HomeMy WebLinkAbout2016 - 00842 - windows CITY OF ORONO 11111111111111 III 1111111
.• 2750 KELLEY PARKWAY DATE ISSUED: 07/20/2016
• ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2445 WOODHAVEN DR
PIN : 33-118-23-41-0010
LEGAL DESC : LEVERINGS WOODHAVEN
: LOT 007 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 16,025.00
NOTE: REPLACE 7 WINDOWS WITHIN EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 309.75
STATE SURCHARGE(VALUATION) 8.01
RENEWAL BY ANDERSON MAIL-IN FEE 2.00
1920 COUNTY RD C.WEST
ROSEVILLE,MN 55113 TOTAL 319.76
(612)502-4777 Payment(s)
Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 319.76
OWNER
HARRIS,JOHN&PATRICIA
2445 WOODHAVEN DR
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.
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Applicant Permitee Signature Date Issued By Signature Date
• City of Orono
Building Permit Application for Maintenance / Renovation
(windows, doors, siding, rewroof, etc.)
Mailing Address: ..
"� PO Box 66 Permit number: ". Z�'. '` L` 112
Q Q Crystal Bay, MN 55323-0066 Date received: !'--1: 1 q.
�� ii*�.� Street Address: Received by I_
N. .- t 2750 Kelley Parkway
g�v Pian review fee:
a Orono,MN 55356
Total Fee:Fee: 7 ('
Main: 952-2494600 Fax: 952-249-4616 y�y�v-4i.oronQ,Ynn-us . 31.,7 .;
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL,INFORMATION: 0( r 1 , \
Job Site Address: `1 1./V .0 C _i_,_k___
•
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? []Yes • 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: `R°3-0Jo.\ 'B‘-k 'Qr\Atfe'N
State License# -5C.-11018- Expiration Date:
Lead Certification Number: — � �
AI- a`4'-c?S 3 -l Expiration Date: �f
(tor work on homes that were constructed prior to 1978
Phone: 1- oQ(p — {.Q l- %ma ,, (office)
Mailing Address: 9 a• Co, 1 •* WeCity: • (cell)
v,1 t, -ZIP: 5'51
Contact Person:
Email and/or Fax: ' Applicant is: ontra • / Homeowner (Circle One)
PROPERTY OWNER INFORMATION: �l
Name: v,� Hcx(l; `,
Phone (day): 40 I
Address:
Email and/or Fax - City: ZIP:
PROJECT INFORMATION:
Type of Project:
Any earth movement may require
d Door(s) ❑Remodel MCWC review&
1a Fire Damage permits:
❑ Re-roof,asphalt Repair Minnehaha Creek Watershed District(MCWD)
P �]Storm Damage j 18202 Minnetonka,Blvd
Q Re-roof,cedar I Li Restoration [J Water Damage Deephaven, MN 55391
El Re-roof,other(specify) 0 Siding ( Ry) Phone: 952-471-0590
❑Other.(spectfy) Fax: 952-471-0682
1Mndow(s) www.minraehehacreek.ora
Overall Project Description: Lurk. ce C._il �F
Estimated Construction Valuation of Project excludingland) c SS S mi
I
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
. re.wired b law. If ou refuse to su..l the information the application ma not be issued.
Aooiicant's Signature/ r,/r ! G-1--------
Date: / l(1fr/(7
)' - -2 tr-r,r''---j
ATE /
/ .
CITY OF ORONO CALLED IN / b
INSPECTION NOTICE r , SCHEDULED -/ —1 (C� _
PERMIT NO.,;2/--)/(62 w7�'�/ `OMPLETED
ADDRESS , 7`f',e_S C-c_)( ,,,ti2<i,C^e_-/ti, ,41 >c.,(yC.
OWNER _ TELEPHON NO.1-51`2 - 7�-�.
CONTRACTOR Gft'F t L't-t Z7 dJ ISS=<--'- * j,9 c-PeL,
E DESCRIPTION - 1�i✓L eLi- ) Ft. a
14 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
❑ FOUNDATION WATERPROOF El FINAL 0 TREE REMOVAL
O
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
SINAL 0 WATER HOOK-UP 0 FOLLOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
.I ❑ DEMO-SITE 0 SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
co)• COMMENTS:
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IQ ❑WORK SATISFACTORY:PROCEED `T�E6T COMPLETE
W 0 CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING _ PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. Cl PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali tor the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector i/I,�-
White Copyllnspector's File Canary CopylSite Notice