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Home My WebLink About2014-00005 windows ` r CITY OF ORONO * 2 0 1 4 - 0 0 PJ 0 5 * 2750 KELLEY PARKWAY DATE ISSUED: OV02/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1080 BROWN RD N PIN : 27-118-23-42-0013 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,500.00 NOTE: WINDOW REYLACEMENT[NTO EXIS"I'ING OPEN[NGS. APPLICANT PERMIT FEE SCHEDULE 132.75 STATE SURCHARGE(VALUATION) 2.75 PASZKIEWICZ& DANIELLE SCHUETTE, JOHN TOTAL 135.50 1080 BROWN RD N Payment(s) LONG LAKE, MN 55356- CHECK 1342 135.50 OWNER PASZKIEWICZ& DANIELLE SCHUETTE, JOHN 1080 BROWN RD N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be pertormed according to [he 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 rela[ed work which requires separate permits. All provisions of laws and ordinances governing[his type of work shall be compied with whether or no[specified herein."I'his 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are reque ed in conformance th the State Building Code.This permit may be re ked a any time for ue se. i � Z � / i °Z l�� A icant Per itee gna ure Date Is d By Signature Date � • City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) ' Mailing Address: o�� _ �� -0� ��'�, PO Box 66 Permit number. � � ' Crystal Bay, MN 55323-0066 Date received: �— - � � � � � Street Address: Received by: � � �' ' 2750 Kelle Parkwa � � � � ` �' Y Y Plan review fee: /�� `�! � �� Orono, MN 55356 � �\��c�st��•��-, � ___ _- Totat Fee: /��5� Main: 952-249-4600 Fax: 952-249-4616 4vww.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: O.�X3 /�oi2r�/ 1�rou.J �Zc.�r� 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. Shutt/e bus service will be required unless applicant demonstrates su�cient on-sife parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��N� Rr4 Q!�N�F�� '��k�f v�� z State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (,i J -y 7S.- I,�� y (office) MailingAddress: �oQc n/o�rr� ��..s� .Zo,�v City: � �-�� ZIP: ;; � � Contact Person: ��r,v r a;��,,��,;:� z Applicant is: Contractor / meo � I' (Circle One) Email and/or Fax: a jz�� v,-,„�. �-�� PROPERTY OWNER INFORMATION: Name: J�:,�a.� ��szkr�t�•�� Z Phone (day): �lji� - 3�s_ �r,y Address: !o� Na,��-1� g,e.:r,✓ �t�,�v City: o��.�c� ZIP: 5 S}y�, Emailand/orFax: fq;Zl��.I (4 �, �n„i, �v� PROJECT INFORMATION: Overall ro�ect descri tion: '�r'��r �✓'^�t��„� 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) 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 indow(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ .3�; �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 altemative 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 1 the information,t e a lication ma not be issued. ApplicanYs Signature: � Date: � °� �y Owner's Signature: ',L �`� Date: (��f�Y Last Updated:03/06/2013 j� �� Dq�TE TIM� � CITY OF ORONO CALLED IN 5' (O INSPECTION O I E -'SCHEDULED 5-7-i � PERMIT NO. - DD S COMPLETED ADDRESS ` D�d /�i�(�J�.FTy( `� � OWNER ��(.cO�O. TELEPHONE NO.3 2D ✓�� Z�3p CONTRACTOR � DESCRIPTION �1 �.� � W I�j,l�S � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: a � .S�a� 6�o.�c �Pi�e c� /� br�� I��1.,� � 6��1. �r 6 n� �4- s� S�td!-G IJ/P!�j c��..�_ � (d/ �� ✓n b f'�ts � b i G � i �.� — c y !c��e� — � ��6�1 L° a 6fG�l Lv I 1�40� •— W � Q z2�s� 4�',n��s c`a�.,�.�1�,�-c — W � ' � C�a ��.C� —F �r��•'t �/Kf�r� J d W� ❑WORKSATISFACTORY:PROCEED �PRp,�ECT COMPLEfE � �90RRECT WORK 8 PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOPORDERPOSTED.CALLINSPECTOR ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: /1� Inspector. �sl� t �w White Copyllnspector's File Canary CopyfSite Notice