HomeMy WebLinkAbout2009-00442 - windows '� � ` CITY OF ORONO PERMIT NO.: 2009-00442
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE IssuEn: 07/28/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2824 CASCO POINT RD
PIN : 20-117-23-32-0006
LEGAL DESC : CASCO HEIGHTS
: LOT 000 BLOCK 004
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 900.00
NOTE:
INSTALL 92)SKYLIGHTS FS ]04 AND FLASHING KIT
APPLICANT PERMIT FEE SCHEDULE 38.00
SELA ROOFING&REMODELING, INC. STATE SURCHARGE(VALUATION) 0.50
4100 EXCESIOR BLVD
ST. LOUIS PARK,MN 55416- TOTAL 38.50
(952)915-7227
Minnesota State License#: 0001050
OWNER
SHEPHERD, DAVID& EMILY
2824 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvais,and the
State Building Code. This permit is for only the work described and does
not gran[permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming 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 are
requested in conformance with the State Building Code.This permit may be
revoked a�ime for ause.
/�� �i a� i�� i �i'�
Appli ant P rmitee ' at e Date Iss ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. � �
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
Og,O,�O PO Box 66
Crystal Bay, MN 55323-0066 Date received:
n\
�"� -�_�� Received by:
a <. a, Street Address:
�'�c, � '� �%� Y �ti`�' 2750 Kelley Parkway Plan review fee:
L9kESH�¢F' 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. (Please print)
GENERAL INFORMATION: ,
Job Site Address: -,��'-,'�� ��'����'' ��//�17 �/�
Will this be a Parade of�Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
/iyes,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 un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# G Expiration Date: j/s✓/ G-`
Phone: 7`��- / -� .� _- office 5� L '-i � e �,� i��� � I �,, ':
Mailing Address: /� ^ �,Z it, Ci : ZIP: � `c. � ���
Contact Person: Applicant is: ontractor / Homeowner (Circle One)
Email and/or Fax: ��:] `,�,� �
PROPERTY OWNER INFORMATION: r
Name: �>C"[,� ..1- ``�h� r=����� ,
Phone(day): �i i/_ ? i".�_ i-'j f
Address: ��;� L�t 5t"C'' �" r" ' �, t City:,�`�,,C�r��;� ZIP: ,. c,�,� /
� ,�"._ ` 1 � J /
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review 8 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
L. \�„`� ' Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage www..minnehahacreek.orp ,
Overall Project Description: �)- ' ��� �� �,L •{ -� � �i� �:�, ,
Estimated Construction Valuation of Project(excluding land) $ �--
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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 inforrpation is to annually �J ate our records and records of other governmental agencies
re uired b law. If ou refuse to su I 'e information,the lication ma not be issued.
'� . i �
Applicant's Signature: � Date: f �
Last Updated: 05-04-2009
� DA�j� TIME "
CITY OF ORONO CALLED IN �a _"� /
INSPECTION NOTICE SCHEDULED 0 ��
PERMIT NO. <�C�('�� --C=C%�I U�aMP�ErEo
ADDRESS '<� c� •�' L I ���L_S ���-' �� ���
OWNER CONTR. � �%�
TELEPHONE N0. C����" C�/�.7 " ����
� DESCRIPTION �� � I I !C�'1 f --��-����'
� ❑ FOOTING � MECHANICAL RI r ❑ 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
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED �Q PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED I '-ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL FiETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
O INSPECTION REOUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-460�
OwnerlContractor on site:
inspector. � ?�G �
White Copyllnspector's File Canary Copy/Site Notice