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HomeMy WebLinkAbout2015 - 01455 - windows 1 CITY OF ORONO I II I II III III IIII II III II I I III 111 * 20 1 5 - 0 1 4 5 5 2750 KELLEY PARKWAY DATE ISSUED: 11/17/2015 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2525 WOODHAVEN DR PIN : 33-118-23-41-0016 LEGAL DESC : WOODHAVEN 3RD ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY 0/S BUILDING-UNDEFINED VALUATION : $ 3,726.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 108.42 WINDOW WORLD STATE SURCHARGE(VALUATION) 1.86 2211 11TH AVE. E. TOTAL 110.28 #130 Payment(s) ST PAUL,MN 55109- CREDIT CARD 0058 110.28 (651)770-5570 Minnesota State License#: BUIL-BC356847 OWNER O'CONNOR,CHRISTOPHER&LYNETTE 2525 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 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 all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. l ' G // //7 // Applicant Permitee Signature Date Issued By, ature Date Nov 11 2015 11 : 11RM HP LASERJET FAX p. 1 • City of Orono /$7r72 Building Permit Application for Maintenance / Renovation 1. (windows, doors, sidin , re-roof, 0th.) •titoa Meiling Address: PO Box 58Permit number: __D/ ,5S 0 O Crystal Bay, MN 55323-0066 Date received: ///07/s- +. ;t 1 ,,,,, Street Received by: �•� I G 2750 Kelley Parkway �t - - . Orono, MN 55355 pian review fee: Main: 952-2:49-4600 Fax: 552-249-4615 Total Fee: /�Q��8 www.ci.orono.mn.0 This application form must be completed in full and all required information must be submitted. incomplete applications will be returned. (Please print) GENERAL INFORMATIDN: Job Site Address: 4 Do-P.r. . 3•, / , 44-Ke. 553 Will this be a Parade o Homos, Remodeiers Showcase Home •r other Display Home? ■ Yes No If yes,a specie/event pe It is required With Police Department and City Council approval e0 days prior to the event. Shuttle bus service will be required unle applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: /1 /4l pj _d2 State License# _43.2 8, Lead Certification Number: j 7 — Expiration Date: _ (for work on homes that were cvnstructed97 prior to 1 ; Expiration Date: Phone: 467- 7]O - p0/ (office) Mailing Address: r ,Q /.- 'e', (cell) Contact Person: � -4,_,._ City"��� � .r.", ZIP: �.S�lpc� Applicant is: �/ Homeowner (grow one) Email and/or FaX d_5-/ -,170- EL _ V , cr..16/Peedie?oRcb ,s/ C, PROPERTY OWNER INIORMATION: Name: .ir A ! O 'd_O n/. 0 R, Phone(day): j-, 6 -_6-1•._5 i - nal :�,4,3.71--564bF- Addresa: �oNNr‘Rk�/ -A 11 OO- - • / City: d O ZIP: `.53 .. Email and/or Fax i ` it - • A a %-indirall PROJECT INFORMAT,ON: Type of Protect: Any earth movement may require © Door(s) I 0 Remodel ©Fire Damage AIiCWD review permits: ❑Ra-roof,asphalt 0Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑Re-roof,cedar I 0Restoration ❑Water Damage Deephaven,MN 55391 ❑Re roof,other(specify) 10 Siding phone: -0580 ❑Other:(specify) Fax: 9522.471-.471-0882 iI►�/ Window(S) Syww.minnehahacreek.org Overall Project Dascri•tl!•n; Estimated Construction ! eluation of Project exciudln. land $ a , . .e:, APPLICANT ACKNOWLEDGEMENT: • Agrees required or requested by the Building Department es to provide all nfor • Certifies that the Information Supplied Is true and correct to the best of his/her knowledge. The applicant recognizes that they ere solely responsible far submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject It until it ie complete; • Some or all of the inlOrmatlon that you are asked to provide on this application is classified by State law as either private or confidential. Private ate is information which generally cannot be given to the public but can be given to the subject of the data, Confidential d to is Information which generally cannot be given to either the public or the subject of the data, Our purpose and intende use of this Information is to annually update our records and records of other governmental agencies re.uired b law, if o refuse to su••I the information the a.•//cation me not be issued, Applicant's Signature: , / - / Date: r 0 //,� Last Updated: 08-00-2011 / —' r __._ J 2DAT TIME CITY OF ORONO CALLED IN /Z--- �L5 INSPECTION NOTE SCHEDULED 1-8 -/( PERMIT NO.c7,261 -d 1' " COMP ETED /^ ! .- ADDRESS a 5075 I,c�x .LLiG 1,A.&(/`e, OWNERTELEHON NO4 5/- 3?k CONTRACTOR /� d 1�t/PC DESCRIPTION (.I ) u l-d 2 9-141.4a,-) W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF CI PLUMBING FINAL CI TREE REMOVAL 0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION _ 0 "AMING ID MECHANICAL FINAL 0 RATED WALLS 1.,, IR INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT v M FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ S BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO ti)• COMMENTS: et W a ec ccO W CCN 2 W Z W CC / 7 CI LU Lu ❑WORK SATISFACTORY:PROCEED ,PROJECT COMPLETE W CICORRECT •WORK&PROCEED r ❑ISSUE CERTIFICATE OF OCCUPANCY CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance (95 ) 249-4600 Owner/Contractor on site: /A -'''.. / / .11 Inspector. (, ( f White Copyllnspector's File 1, Canary Copy/Site Notice