HomeMy WebLinkAbout2011-00931 - windows CITY OF ORONO PERMIT NO.: 2011-00931
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/30/2011
952 249-4600 FAX: 952 249-4616
ADDRESS 405 WILLOW DR S
PIN 04-117-23-14-0003
LEGAL DESC AUDITOR'S SUBD.NO.229
LOT 007 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE WINDOWS
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 8,424.00
NOTE: REPLACE(4)WINDOWS WITH EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 177.00
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 4.21
1920 COUNTY RD C. WEST
ROSEVILLE,MN 55113 TOTAL 181.21
(612)502-4777
Minnesota State License#:20130983
OWNER
PRIEDMAN,K&W
405 WILLOW DR S
LONG LAKE,MN 55356
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time
'for
�due
,{cause.
Applicant Permitee Signature Date
Issued By Si ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVS.
Aug-25-2011 07:13am From-CITY OF ORONO +9522494616 T-146 P 002/002 F-396
Building Permit Application for Internal Work
windows, doors, siding, re-roof, etc.
0" MahiPO so 68 Permit number o?o
Q Q Crystal Bay,MN 55323-0068 Date received: z
Street Address: Received by:
2760 Kelley Parkway p
Orono. MN 553513 lan reNiew fes:
Main: 952-2494800 Fax: 952.249.4618 Total Fee: / ��' p�
Jm
This application form must be completed In full and all required information must be submitted.
GENERAL,INFORMATION: Ineomph"applications will be returned. (Please pNno
Job$its Address: rj 5. W1, Havol, b(a64.4,
Will this be a Parade of Homes, Re modelers Showcase Home or other Display Flame? U Yes No
K rift a spo w event pe"W is repuwed WM Pblbe Depmbnent mord Cly cowre�V
inqapproval 60 ort+drror to the event Shuttle bus esnnoe wan be
uired w+bss sppXaant dernonrtrntes sul4rla an-ets owrrlh0 u erellab/e. Nor►pnglHed event wN not be a/bwed.
CONTRACTOR I APPLICANT INFORPAATION:
Name: Regal By Andersen
Phone:icenae# 1920 County Road "C" West Expiration Date:
Mailing Address: ' Roseville,W 55113 Cicell
Contact Person: License#20130983 ZIP:
Email and/or Fax: 651-264-4777 It is; Contractor / Homeowner tcimio osy
PROPERTY OWNER INF RMAT .
Name:
Phone(day):
Address: C. :
Email and/or Fax ZIP:
PROJECT INFORAAATION:
Type M Prollect Any awth movement may require
[]Door(s) ❑Remodel ❑water Damage tIACWD review&permits
13 Wlndaw($) Minnehahe Cnmk Watershed District(MCWD)
❑Repair ❑Storm Damage 118202 Minnetonka Blvd
❑Siding ❑Restolation [I Other:(specify) pts ate: en,M 1-05901
Re-mof E3 Fire Damage 'c� f=ax: 952-471.0882
eat 044 SOMA 10►
Overall Pro i°0t0�`�s�
Estimated Construagon Valuation of Project(excluding land) S
APPLICANT ACKNOWLEDGEMENT:
• Agrees 10 provide 81 Information raqulred or requested by the Building Department;
Cwtlfies than the lnformaticn supplied is true and correct to the bast of hislher knowledge. The applicant recognises that they
aro ad*responsible for sr�bmitting a complete application being aware that upon failure to do so, the staff has no altemathre
but to reject a until It is complete;
• Some or all of the Informadon that you are asked to provide on this application Is elaaslfie�i by Stale law as either private or
oonfidentlal. Private data is Information which generally cannot be given to the public but can be Given to the subject of the
data. Confidential data Is information which generally cannot be given to either the public or the subjed of the data. Our
Purpose and Intended use of this information is to annually update our records and records of other governmen
aired low. H refuse to su the Information on not be issued tall agendas
Applicant's Signature: Data:
LAW updated: 06.04.2009
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�)p Ln DATE_ `` TIME V
CITY OF ORONO CALLED IN � c0 I
INSPECTION NOTICE SCHEDULED JJ1
PERMIT NO. 1 3/ COMPLETED
ADDRESS l L/b c� ��/ l�D l o
OWNER TELEPHONE O. (6t_0 _ U(�I
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CONTRACTOR fjtZk-W (
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL
Q E:1 TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP
_ El DEMO-FINAL El SEPTIC INSTALL El HARD COVER REMOVAL
v E] PLUMBING RI ElSEPTIC FIN%10
ElFOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES
o COMMENTS:
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LAj ❑WORK SATISFACTORY:PROCEED ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice