The URL can be used to link to this page

Home My WebLink About2011-01549 (Windows) � CITY OF ORONO PERMIT NO.: 2011-01549 ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/14/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 1420 BALDUR PARK RD PIN : 08-117-23-34-0014 LEGAL DESC : BALDUR PARK : LOT O10 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 1,000.00 NOTE: INSTALL ONE NEW WINDOW AND RETRIM APPLICANT ED COX PERMIT FEE SCHEDULE 41.25 5925 POLAR BEAR LANE STATE SURCHARGE(VALUATION) 0.50 WHITE BEAR LAKE, MN 55110- TOTAL 41.75 (651)926-3125 Minnesota State License#: BC319491 OWNER ETAL, BRADLEY MCDONNELL 1420 BALDUR PARK RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT "I�he work for which this permi[is issued shall be performed according to die 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. AII 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� onsib for assuring all required inspections are requested nform e ith State Building Code.This permit may be revoked ny ti or e cause. ��- l ( 4� i l � �� Zi- �`7`i // Ap ' ermitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �i�� af ��o�o � �;D� r � �uiieiing Perr�it �ppii�a�io� for IV�ainte�ance / f�env�a�ion (windows, doors, sidi�g, re�-�-oof, etc.) Mailing Address: Permit number: �`l— ��,L,0,� PO Box 66 /� O Crystal Bay, MN 55323-0066 Date received: l � / ,�;;�, �u�. I � ' :Received by: ' �� 1�� s, � Streef Address: ��n ` �"`''�� 2750 Kelley Parkway Plan review fee: �LR��w Orono, MN 55356 kEsxo / Total:Fee: � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �i ,� This application form must be completed in full and all required informafion must be submitted. incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: � /� �� Job Site Address: � � ,� �, �/ „` Will this be a Parade of Homes, Remodelers Si�owcase Home or other Disptay Home? ❑ Yes No If yes,a specral evenf permit is required with Police Department and City Counci!approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufi'icienf on-site parking is avaifable. Non-permitted events wif/nof be allowed. CONTRACTOR/APP(,ICANT INFORMATIOh: Name: �-- �'�. � state �icense# C �3 �q q� � Expiration Date: 3 � �� Lead Certification Number: Expiration Date: (for work on homes fhaf were constructed prior fo 1978 Phone: (office) � �—�� S"—� --� `� 4 c� (cell) Mailing Address: �-� �S— ��,,�� ` (^� City: �(� ��(�f—��ZIP: SM-�*7�0 Contact Person: �� x, Applicant is: Contractor / Homeowner (Circie One) Email and/or Fax: �� ---�� S-'� PROPERTY OWNER INFORMATION: Name: 1> K--,R-� `�-� � l�N�� C �`Ja f1 �e � � Phone (day): — S Address: �C� .2a� j�,,.�-�`,_,!1 �J,lj City: �v�-�'�,l�i�. ZIP: 5' Sr �' � Email and/or Fax PROJECT INFORMATION: Type of Project: � Any earth movement may require ❑ Door(s) ❑ Remodel i MCWD review&permits: ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair � ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration Deephaven, MN 55391 ' ❑Water Damage Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 (�Window(s) wwv��.minnehahacreek.orq Overall Project Description: ( �r S t�'r I l U �4% � �U i=- t,�%' �J c v�.� ,(�C� �.•.� p1.,1,�p �E=,,"t-�� w1 Esfirnated Construction Valuation of Project(excluciing landj $ l�p�� G'a APPLICANT ACKNOWLEDGEMcNT: i • Agrees to provide all information required or requested by the Building Department; ; • Certifies that the informafion supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete appfication being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; � i • Some or all of the inrormation that you are asked to provide on this appfication 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 subiecf of the data. Confidenfial data is information which generally ca t be given to either the pub(ic or the subject of the data. Our purpose and intended use of this information..i�'fo ��r ally u ate our records and records of other governmental agencies rea�ired b law. If vou refuse to su I nfor a�ion the a icafion mav not be issued. ApplicanYs Signature: Qate: �� — �� '— �� Last Lipdated: 08-09-2011 �`� ATE TIME � CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED / � �-'� PERMIT NO. � ��5 � COMPLETED ADDRESS ,L��U �j�C�Gf�-J�� rC� OWNER TEL PHONE N . CONTRACTOR � � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C � � O � C� v -f-�, c� � C� - , n- � W � � � Q � � z W � W � � d W� �QRKSATISFACTORY:PROCEED C PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: i Inspector. White Copyllnspector's File Canary Copy/Site Notice