HomeMy WebLinkAbout2014 - 00798 - windows # . . CITY OF ORONO I1I 0 11111 �1 I 1 H it l i !T lll1111 � — 0079 8 1
2750 KELLEY PARKWAY DATE ISSUED: 07/29/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1125 WILLOW DR N
PIN : 28-118-23-41-0002
LEGAL DESC : WILLOW RUN
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 3,500.00
NOTE: REPLACE WINDOWS INTO EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 103.25
STATE SURCHARGE(VALUATION) 1.75
LESKINEN, WILLIAM&DENISE TOTAL 105.00
1125 WILLOW DR N
LONG LAKE, MN 55356 RED
CPayment(s)
CREDIT CARD 7273 105.00
OWNER
LESKINEN, WILLIAM&DENISE
1125 WILLOW DR N
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 goveming 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 a I required inspections are
requested in4nforman•-with the St. I•ilding Code.This permit may be
revoked at.44 time •� cause.
(9..)4/t
pplicant'Perm tee Signature Date Issued Signature Date
City of Orono
r 'r
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, `
A
re-roof, etcc .)
�O • Mailing Address: Permit number: (940/g-CO 7
PO Box 66 -7
Crystal Bay, MN 55323-0066 Date received: /
Street Address: Received by:
2750 Kelley Parkway Plan review fee:
L Orono, MN 55356 C
�•, >Est-i°--8' Total Fee: /615
D�J
0-0
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: /125 i1 t 1,c)/ /(00- I
ig
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes .:12t No
If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR!APPLICANT INFORMATION:
Name: D-e f h S-e fr,'rl e f l
State License# Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (office)
Mailing Address: City: IP:
Contact Person: Applicant is: Contractor Homeowne (circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION: /
Name: Der)isL &lofrum
Phone (day): C.o ia. S"4$ $9 s .
Address: l/ -5- W. k) ;i/a w 0)e. City: zm 9' act_ ZIP: 55350
Email and/or Fax: denestjes j,t t lrylea I cowl
PROJECT INFORMATION: Overall project description:
Type of Project: Any earth movement may also require
CIDoor(s) ❑ Remodel 0 Fire Damage MCWD review&permits:
❑ Re-roof,asphalt CI Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Window(s) ., ., www.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ * .34QC') . 00
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are
solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to
reject it until it is complete;
• Some or all of the information that you are asked to provide on this application is classified by State law as either private or
confidential. 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 subject of the data. Our purpose and
intended use of this information is to annually update our records and records of other governmental agencies required by law. If
you refuse to supply the information he applicati may not be issued.
Applicant's Signature: Date:
Owner's Signature: Date: 7/Z4 4D/7
Last Updated: 03/06/2013
DATE ‘::1‘(74-1J
J
CITY OF ORONO CALLED IN v
INSPECTION N IC SCHEDULED
PERMIT NO. I- � -u-brigf COMPLETED C7
ADDRESS I ( 2-Js Ni. b./ Ik b'. ,f I
OWNER TELEPHONE NO.(D(01 �45 -02-rI
CONTRACTOR
3:: DESCRIPTION LL r-. of )S
W ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
• 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
❑ FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL
.(!./ ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
N.
0 DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
co COMMENTS:
cc
j
cc
cc
Q
1
W
W
cc
W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE
CC0 CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
CISTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advanc - 600
Owner/Contractor on site: G34 '
)(21f
Inspector.
White Copyllnspector's File Canary Copy/Site Notice