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Home My WebLink About2011-00850 - windows CITY OF ORONO PERMIT NO.: 2011-00850 � 2750 KELLEY PARKWAY " ORONO, MN 55356- �ATE ISsuEn: 08/15/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2797 CASCO POINT RD PIN : 20-117-23-23-0016 LEGAL DESC : SPRING PARK : LOT 128 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEF[NED VALUATION : $ 13,000.00 NOTE: WINDOW REPLACEMENT-WOOD AROUND WINDOWS REPLACED-SOFFIT AND FASCIA APPLICANT PERMIT FEE SCHEDULE 236.00 MINNESOTA LAKES REMODELING, INC STATE SURCHARGE(VALUATION) 6.50 155 MCCULLEY ROAD TOTAL 242.50 MAPLE PLAIN, MN 55359- (612)275-2767 Minnesota State License#: 20631119 OWNER GRUNDEEN, JOY 2797 CASCO PT RD � WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I'he work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission tior additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whcther 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 timc after work has commenced. The applicanE� responsible for assuring all required inspections are requested in nformance with t ate Building Code.This permit may be revoked �i for e se. � ' ' ' �� /.��Uj � i C1- G�� / Applican Per itee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ` City of Orono � Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: I l—��_ ��O�O Crystal Bay,MN 55323-0066 Date received: _'_�S� � Received b � a `�'> a, Street Address: y' �'��-. �',�,��'��,.,,�,�°ti`� 2750 Kelley ParkwaY Plan review fee: f�i'}��' xo Orono,MN 55356 = 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: Job Site Address: Will thls be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes No 1(yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle 6us senrice will be required unless appl'�nt derrronstrates sulhcient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR!APPLICANT INFORMATION: Name: �5��/'4 �-' �'i D Jj�t--1 NG !l�C_ State License# ��DCr, 3 t ( �q Expiration Date: 3 3� C Lead Certification Number: /�f A:?- —�D,�(p D C'j-..% Expiration Date: �`� �� (for wo►k on homes that wene constructed pr�or to 1978 ' �T- Phone: l��Z °Z7 S Z�b '`7 (office) (cell) Mailing Address: ��?�C;v��y �2� Ciry:�///fP� QCA�rJ ZIP: -f'j�� Contact Person: �y��. ��f�//�v-�,� Applicant is: , n ra � / Homeowner �circa on.� Email and/or Fax: �N�.�c'-5��L L ��'{�i4�-�o. Cr�e� PROPERTY OWNER INFORMATION: Name: �'�'� �/Zv/v�� Phone(day): �5� t�7� 9/3 �✓ Address: �� C/i5ct> � /Z� - City: D�UN i.0 ZIP: ��'(! Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door(s) ❑Remodel ❑Fire Damage MCWO review 8 permita: Minnehaha Creek Watershed Distrid(MCWD) ❑Re-roof,asphalt ,�Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar �Restora6on ❑Water Damage Deephaven,MN 55391 Phone: 952-471-0590 ❑Re-roof,other(apecfty) ❑Siding ❑Other:(specify) Fax: 952-471-0682 �Window(s) www.minnehahacreek.om Overall Project Descrlption: Eatimated Construction Valuation of Project(excluding land) s/3,��,�'�' APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required w requested by the Building Depa►iment; . Certifies that the infortnation supplied is Uue 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 aftemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this applicatlon is classfied by State law as either private or confidential. Private data is infamaUon 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 th' information is to annually update our records and records of other govemmental agencies re uired b law. If ou refuse u the inf ation a ication ma not be issued. ApplicanYs Signature: Date: g o� 0�01/ Last Updated: 0&09-2011 � �l� ��.`�� D TE � TIME v CiTY OF ORONO CALLED IN � /,/ INSPECTION I E Q SCHEDULED /'3d PERMIT NO. �d� V� COMPLETED ADDRESS OWNER TELEP NE NO. � ��.�� CONTRACTO >; DESCRIPTION l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � O ❑ 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 MEET YOU:_YES_NO � COMMENTS: � W � o �. ',<�' c C.�-�.;' S � v� ��`C� '' �2 .7 � �} �,c�_�j�;. � 0 � W � Q � Z W � W � � GW [�+AQ�iKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL 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. �c '� �� S White Copyllnspector's File Canary CopylSite Notice �� `r � �_DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE�9�)Q� SCHEDULED � —� �� PERMIT NO�d��"��/�'C J�O COMPLETED ADDRESS � 74 7 C�2Q��'�O �j� OWNER TELEPHONE NO.�Iz z7S Z7�� CONTRACTOR,Ll� L�.E�� .E��C� �: DESCRIPTION ��n� —' ��5 � � ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O a � O � ti � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED ,�ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED '' ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREOUIRED.CAILTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector._��.� � � White Copyllnspector's File Canary CopylSite Notice