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HomeMy WebLinkAbout2015-01181 (Windows & Roof) CITY OF ORONO * z 0 1 5 - 0 1 1 8 1 * 2750 KELLEY PARKWAY DATE ISSUED: 09/15/2015 � ORONO, MN 55356- (952 249-4600 FAX: 952) 249-4616 ADDRESS : 1432 BALDUR PARK RD P[N : 08-117-23-43-0007 LEGAL DESC : BALDUR PARK : LOT 007 BLOCK 001 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,600.00 NOTE: REPLACE 12 WINDOWS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 23234 STATE SURCHARGE(VALUATION) 5.80 BLUFF CREEK CONSTRUCTION CO. TOTAL 238.14 1401 HESSE FARM RD Payment(s) CHASKA, MN 55318- 238.14 (952)240-5843 Minnesota State License#: BUIL-BC634010 OWNER NYQUIST, MR.& MRS. 1432 BALDUR PARK RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perforrned 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 l80 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 onformance with the State Building Code.This permit may be /C7�") revoked a[5 time for due caus`-'"_/ /�/ �. j,�l �� �' �-'� �---�.,�_f� � �� �v �J pl' nt ermitee Signature Date Issued By Signature Date City of Orono Bui.ldin� Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSIOfV) �O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: S. G� 2750 Kelley Parkway Plan review fee: `� Orono, MN 55356 1�kESHO�� Total Fee: 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. (P/ease print) GENERAL INFORMATION: �J Job Site Address: � .,32.. ��L��it _1 i4� 6 AD Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servic will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Lk f� C�'�P�"E �''O.tJS`fiPu�'�`-��� �d State License# 3 � O Expiration Date: 3 —,3/— Zpl7 Lead Certification Number: Expiration Date: (for work on homes thaf were constructed prior to 197!8� �1 Phone: (cell) 9j�Z—�f� �5�J T3 (office) 9�Z �/ �.!' ��.�Z Mailing Address: / / �/,�SSE ,¢R� �d�p City:C��y��- ZIP: ,�/ Contact Person: ��C� �v�q,r,�O�j�. Applicant is: Contractor / Homeowner (CircleOne) Email and/or Fax: (j,[,4 {/PE�I�['Q,dS�'',�a�,f�'yQ�J,�,�� l4-�L„ ,,(�Q/Y1, PROPERTY OWNER INFORMATION: � ) Name: ��iv d��1�4GG/e�Lc/lJ /V J� ��/S� Phone (day): /— Address: ��3Z �3.g�.ou R .4�/C �a4D c�ty:w,¢�Z,�-i4 Z1P: J�,S`�39� Email and/or Fax: �, PROJECT INFORMATION: Overall project description: Lfl{"E /2. �N�O�,c)S � � Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ 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) $ C70 O 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 ou refuse to su I t information,t a licat'o ma not be issued. ApplicanYs Signature. � Date: S�"����. 2O1.S Owner's Signature: Date: Last Updated:January 2015 . . CITY OF ORONO PERMIT NO.: 2009-00716 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssvEn: 10/26/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1432 BALDUR PARK RD PIN : 08-117-23-43-0007 LEGAL DESC : BALDUR PARK : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 3,160.00 NOTE: �.-(�,�_- C` C) - ��-3 ( �'�_ `� l:'U G�-��-l� ✓�� � �'l v'�'e-' � � � � APPLICANT PERMIT FEE SCHEDULE 103.25 LAKEWOODS REMODELING INC. STATE SURCHARGE(VALUATION) 1.58 9001 E. BLOOMINGTON FREEWAY ST BLOOMINGTON, MN 55420- MISC FEE 0.00 (952)888-5550 TOTAL 104.83 Minnesota State License#: 20443066 OWNER NYQUIST, MR.&MRS. 1432 BALDUR PARK RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfomied according to the approved plans and specifications,applicable City approvals,and the Sta[e 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 specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the da[e of issuance,or if construction is suspended for a period of 180 da s at any ti after work has commenced. The applican sponsibl� suring required inspections aze requested co orman�e' the �de.This permit may be revoked a time f� cause. � � i � /G� 2 C�% O �plicant rmitee S' nature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. , � k City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) ��`.��� Mailing Address: Permit number: � (��'J '�j `� 7� �,�,�. PO Box 66 0 � Q Crystal Bay, MN 55323-0066 Date received: Q 2-(Q (,� a ���.p� i�� ���s� �, StreetAddress: Received by: ,r. �'�c, %� '° '�� ��� 2750 Kelley Parkway Plan reviewfee: t9kESH��`'� Orono, MN 55356 -- Total Fee: J {1 ` (�� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.u� / V p This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: ��}�� ���,�,� �7��. � 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 INFORp�IATION:n � Name: j-�e�(.n-�c,c�s -�E YYI��� '�i :l ..�i State License# �-1py y-3b�tF Expiration Date: 3 3l-lt5 �' Phone: ------� �S� ggg-SSS� (o�ce) (cell) Mailing Address: �,� � jr�m,n �'���,,;�• �•� �4 Cit : � ZIP: E�S Contact Person: �-j-.e�� Applicant is: ontrac o Homeowner (Circle One) Email and/or Fax: ��rn�n �� L,tJ�-�ti,c� , �r t- _-�f5a �?�� ��S<! PROPERTY OWNER INFOR ATION: Name: � � �� 'f' Phone (day): >�. %' � Address: ��;iY�� ' City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �C �Y��;c;� �'_{�1��-..� Estimated Construction Valuation of Project(excluding land) $ �j (��, `�'-� 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 uired b law. If ou refuse to su I the inforrjiation,th '� lication ma not be issued. /' �` / C-. ApplicanYs Signature: �;� `��� Date: �� ���j ��� r Last Updated: 05-04-2009 DAT TIME CITY OF ORONO CALLED IN ��` INSPECTION IOTI E��j-7 SCHEDULED ��-5- PERMIT NO �C/�` �� COMPLETED ADDRESS ��'`'.3Z ����� � �� OWNER CONTR. TELEPHONE NO. ��a� 3o-Z O �5�p � � DESCRIPTION ���� �D� � YL� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o t� a � ��1 � ��� � �} 1 E' �, r � l : , C �t� zQS � � �.r�: Pfz f �,. : rt- C �9� W v � Q z l�r� �(= i �� r � �_ W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours irt advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. � r� White Copyllnspector's File Canary CopylSite Notice � . DAT TIME y CITY OF ORONO CALLE� ll-�o INSPECTION NOTICED 7� /� SCHEDULED �/��—O�/' � PERMIT NO.o2.6D9 � 1� COMPLETED ADDRESS � �.3 Z �G��� ���' K�-� OWNER CONTR. �. TELEPHONE NO. �l�Z •3�� Q ��� � � DESCRIPTION � �� /�""�/ � ❑ FOOTING ❑ MECH ICAL RI ❑ EXCAV/GRADING/FILLING Q � FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING Rt ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j � Q i? f �- �Q� �C�C�` �,�n� e /�l 0 '� � l /� t' �GY� F � � �!C fi��e S ��v �-�� � �`�� W � Q � z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED C IS UE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP OADER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 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M��, i� � � �'�� � �-. a f � � ' �;�t"� „ ' i� ��� •�•6"� E TIM C / CIN OF ORONO CALLED IN �' �� INSPECTION N TI ����8� SCHEDULED PERMfT NO. � co LETED ADDRESS 3 �"� � OWNER TEL }IONE , OcJs� �7�� � ��`1 CONTRAC R � ' � DESCRIPTION ,_../ ��' lS�t (,��L� Lx-�/VL/S t~y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SE TIC INSTALL �ONTRACTOR TO MEET YOU:.�YES_NO / � COMMENTS: � � I�!/I �(l;�jc,� �GlJI. - �N'[c �S�ZPi. O �4�'K e L�G/� � � � l J�rO�/��Q G � d1�G'�GG�od �fil�.�.. /d � W �-� Gl- L• �i wrs . � - Q � a � a S� ��/r�P.s� 5 �J� � � ✓✓c v� 'b �r.�c•� �.�tG�� J W ❑WORKSATISFACTORY:PROCEED /�rnOJECT COMPLEfE � �/ � ,,,�p QRRECT VYORK 6 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O�O CORRECT WORK CALL FOR REtNSPECTION TEMPORARY V BEFORE CO'VERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector:�� � White CopyAnspector'a File C�nary CopylSfts Notics