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Home My WebLink About2009-00713 (replace 4 windows) CITY OF ORONO PERMIT NO.: 2009-00713 t 2750 KELLEY PARKWAY ` ORONO, MN 55356- DATE ISSUEn: 10/27/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2470 CARMAN ST PIN : 20-117-23-12-0060 LEGAL DESC : LEHMAN LAGOON : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -LTNDEFINED VALUATION : $ 11,015.00 NOTE: REPLACE(4)WINDOWS W EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 221.25 SCHERER BROS LUMBER 10751 EXCELSIOR BLVD STATE SURCHARGE(VALUATION) 5.51 HOPKINS, MN 55343 MAIL-IN FEE 2.00 �9s2�2��-i600 TOTaL 22s.�6 Minnesota State License#: 20239369 PA[D WITH CC# 3989 OWNER LIND, MR.& MRS. THOMAS 2470 CARMAN ST , MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed 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 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 aze requested in conformance with the State Building Code.This permit may be cevoked a[any time for due c�use. � J /U i °�� d � C�. /p �7' D Applicant Permitee Signature Date [ssue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � Oct, 15, 2009 12; 03PM No. 3852 P, 1 « . � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) __=--- Mailing Address: Pe�mit number; o��1-G�7/� O.��,�.0 P�Box 66 -•- Crystal Bay, MN 55323-0066 Date received: /d /S b 9 ��r ,, Street Address: Received by; TQ,i�._. �,�, �i` 2750 Kelley Parkway _ �,�gg�o� Orono,MN 55356 =____- To,taf Fee; . ��p, ��p .,� Main, 952-249-4600 Fax: 952-249�616 www.ci.orono.mn.us This application form must be completed in full and all required in� s e su�mi ed �`� Incomplete appllcatlons wlll be returned, (Please print) GENERAL INFORMATION: � Job Site Address: �y�'j� C�,�w�a� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes � N Kyas,a special event permit is required with Police Depa�tmenf and City Council approva/60 days prior to the evenf. Shuftle bus service will be required unless applicant demonsbates sufficient ornsite pa�lJng is available. Non-permiffed events will nof be allowed. CONTR4ICTOR I APPLICANT INFORMATION: Name: S�;I�a,v'.e,�' �roS State l.ir�ense# ' � ____ Expiration Date: 3�/O � Phone: ' d- �7 - offica cell Melling Address: ! O XS'/ ��.(5 i o✓ �3�uc. .._._ __„ . . Cit : 1,tis . . ZIP:s:53�/3 Contact Person: k3zJ�n �2�.�dh�ck�, Applicant is: Contra ' / Homeowner (Clrcl�On�) Emailand/orFax: ��( 95a-�7�-/�so hr�dhZc��_S_._.__,_____Q✓ (o�o�',,._resrv� PROPERTY OWNER INFORMATtON: Name; a � ; L.S►�d Phone(�aY)� —_`L�S�..._.71= 7�s� Address; 7'-�7o Cn.v w.<t►� Si- City:K�QY 7�.� ZIP: v,$',3 J� Email a�d/or Fax PROJECT INFORMATION: Type of Projec� � Anr eartt�movement may require MCWD revlew S�permlts ❑Door(S) ❑Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �Windqw(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Siding ❑ Restoration ❑Other. (specify) Phone: 952�71-0590 Fax: 952�71-0682 ❑Re-ropf ❑Fire Damage www.minnehahacreek.ora Overall Pro'ect Description: �.CP�c;n� w'��do cL S 1 ►ti e.X i5�.--��---_........_�._�.._..._.... 1 _ __ .. � +;►�� o�s�yS _. __ Estlmated Constructlon Valuatlon of ProJ�ct(excfuding land) $ //�D !S,�U � APPLICANT ACKNOWLEDGEMENT; • qgrees to provide all inForcnation required or requested by the Building Department; • Gertifies that the information supplied is true and correct to the bast 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 hut to reject it until it is complete; • $ome or all of the information that you are asked to provide on this application is classified by State law as either private or cpnfidential, 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 date. 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 information.the a lication ma not be issued, Applican�'s Signature: �,,,�,� , ,�1�,.��ia.i" Date; ��'- ��'"O � . _______ Last Updal¢d� 05-04•2009 i ' ' Confiirmation Report — Memory Send Time : Oct-15-2009 01:12pm Tel line : +952Z494616 Name : CITY OF ORONO Job number . 127 Date . Oct-15 01:12pm To . 9522771690 Document pages . 001 Start time . Oct-15 01:12pm IEnd time . Oct-15 01:12pm Pages sent . 001 Status . OK Job number : 127 *** SEND SUCCESSFUL *** Oct. 15.' 2009 12: 03PM No. 3852 P. 1 Gity of Orono Building Permit Application for Intgrnal Worlc ��dows, doors s7din . �-roof, atc_ O.�S��TO n�a✓•P aox 66� Psmtit rfUmWar: G��- �/3 Crystal Bay,MN 66923-0066 oac..ocoiwcr_ /� /S d9 3bwt Atldross: Raoalvad by: �if� �r, � ��so rc.uaY Pe.x�y . og�- �rono,nnN s5356 �j/ - �-r�— otal F�o: .��' /c�: `� Mafn: 862-2 600 Pax= 9',i2�349-4B'IB w�wv_S-.i_orone_m _us � Thia appllo�tion form must ba compioted in iuil ancl all requlrod in o rci IncomPl�W aPPflaationa wltl bo�turned. CP/ease prinV � �� QENEl�AL INFORMATIONx ' � Job Slt's Adtliass_ Z y�7d C�..✓rv�a.�. S�_ _ i �11 this be a ParadB oF Homas, Ramodelers Showoaso Homo or othat�iapiwy Homs"? Yes Nn /ly�s,�spaGa/evont po�mlt!s reOWrral wlfn Po/icb Oapaitmant an0 Cffy Cound/approvn/60 day�pr/o�to tha ewnf. SAutI/a bur sarvlee yy4i b� requlrsd un/ws appJ/r�nr damonsfiafns suiFicient on-adt�parWi�p!s aveilab/e. Non p�isn/Hed events wp/nat bs a/Iowad CONT CTOR/APPLICANT INFORMA'T'ION- Nama- . ... . . � . Stat�l.i 1'�so�Y ___"'_'.._.. Expiration L7ats: �- �� u1D Ph one: 9�s�- �-7�-/.�o o CoYfi¢a) �"- , Malltng tlress: -5 o v Juc, ____ Gitv' o �u_S . 2�P=S53 S/3 Contact Person: zJ.-c.-. ...dv.:cfa-. Appli�ant�is'��C�on�tra % Homeowner tc�.�.on.� � �mail ar}p/or Fax: T ,t 9Sa-377-/{r�^� h,.-.��I.�.T�k: �,�� ___._.�_n_Q✓ IQ�,o�3,._c cs rr� ' PROP6�TY OWNER INFORMnTfoNc / _ Nama: T c► �e 1�b 1.Q L ti.�c3 � PF�ona C Y)= _.��ST�—'-'y.71= 7 6r:fU .. Add�es�� -�-/7o Caf.. St- City'i(JQ y�� ZIP: S,3�� ; Email ar7Wor Rax , .. . . . _ .- .__._...------- PROJEi T INFORMATION: ' ^ Typv of j� . -----•Ai�y ca�i mc�vama�may nrqu►� �� , . � MC!Wb evvlow i pa►mlle i �Ooor(�� O Romodal O Watar Oamaage � ' : � . Minnohaha CweK Wyto.r.h�d 016Lfiat(MCWOj �Wind (s) O Repalr, �Senrm�amape '1�202 Minnotonlca B1vd O�ephavsn,MN 5539'I �� Q Siding [7 RastoraOon O Othar. (sPso7y) Phonr: 0$��77-0500 II 0 Ra- �Ffre Ooma a Fax: 962�7'1-0682 9 �mevw. inneV.ahacrealc.oro ____ _""'._......_�._.._._�._--•-• '�.. Ovarall�'rojad�asc�iPtiv_�:.. LZ...C�,(�-c:`-'1-S� uS�.do�-.�S 1 r�.��G�is-�:r��o�.++-.t..�S� -- ---- � Estlma d Co�sstructlo�s Va1uallon ioi Pro dct e:c[uqlc� land AP�LI �rITiAGKNOWLECGEMENT: _ • .Tpr�s,Fn provida all Infortn�tion roquil�d or rrqu�ated 6y tFiw Bu7ltllne Oapa�tmonY: • ��tiflB�6 1hHt tha InfoAnatlOn iup pliod is truo and cofrect l0 Cho bort of hi�/har fcnowl�dgo. THo applicant hCoBrl�Zas that Moy �rn solely responai6lo Tor auCmlttinp a aompl�os applimdon belnp aWars tF�at upon fallure co do so, tha stary has no alrsmative 4t�t to rslect it us�tlt K f�comPleta; $Qm�Qr al� of th� tnformation that you ara ralcad to pravld� on thla applicadon 4s daaa:fiad by Stat� I�w as althar prtvet� or • c��flC9�ltfal. Prlvata dota ls Information wT.ich ggnarally �nnat bo yWan to The publio but can ba giv�n jo the oubjsct of tho c��ta. Confidontlal dato Is Information whiah ganarolly cannoc ba plVan to ejthaf iha publlo or V7s.subJea[ of the dnta_ Our qyrposa an<7 irrt�npr0 usa oF this inPorTotlon Ia to annually update our remrda and ramrds oY othnf..ppvemmsnta! apandar Lo I tFir Informai o _ li ' not ba ina a � ' 1 Appliwn'$Signatura: �—�_��.n� - ,8��- oate: -1Q- /S-c�_ -� ..__ Lwa upawq�¢: os-joa.save . . . - - -- - I I �� D ('� � E TIM E �" `' N ��/��01 CITY OF ORONO CALLED i .� 1 � _� INSPECTION NOTIC^E J SCHEDULED � PERMIT NO. �C��(/� �C��`�OMPLETED ADDRESS �� j�� . ' " OWNER CONTR.,� G 0 J2 � .,�/�'? � TELEPHONE NO. �� `f� � 1 ��0�� DESCRIPTION � � �� J C"l � �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVA� Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W a � J O a � O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE / � W ❑CORRECT WORK�PROCEED � I$SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR v CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52) 249-4600 OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice