HomeMy WebLinkAbout2009-00155 - windows CITY OF ORONO PERMIT NO.: 2009-00155
� ` 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 04/15/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3020 CASCO POINT RD
PIN : 20-117-23-34-0025
LEGAL DESC : KELLY 2ND ADDN
: LOT 001 BLOCK 001
PERMIT TYPE ; MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
COI�TSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATIOI�T : $ 2,000.00
NOTE:
RL'PLACE EXISTING WINDOE WITH EGRESS WINDOW SW LOWGR BEDROOM.
APPLICANT PERMIT FEE SCHEDULE 73.75
LINDGREN,MR. & MRS. STATE SURCHARGE(VALUATION) 1.00
3020 CASCO PT RD
WAYZATA,MN 55391- TOTAL 74.75
PAID WITH CC# 9074
OWNER
LINDGREN, MR. &MRS.
3020 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORI�STATEMENT
The work for which this permit is issued shall be performed 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 specitied 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 1 AO days at any time atter work has commenccd.
The applicant is responsible for assuring all required inspections are
reque ed in conforman�w'th the�tate By{Iding Code.This permit may be
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revo ed at any tim f �d �ciuse , -�,
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Applicant Permitee Signature Date �•
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s ed By Signature Date
SEPARATE PERMITS REQUIRED FOR WOR OTHER THAN DESCRIBED ABOVE.
City of Orono
' � Building Permit Application
Mailing Address:
���,� PO Box 66 Permit number:
// Crystal Bay, MN 55323-0066 Date received:
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���a �'����`���„ ��; StreetAddress: Received by:
�'� � � °'�, ti 2750 Kelle Parkwa
o y Y Plan review fee:
L9kESH04'� 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: �C' `�'f S��' �'� ���� c-c:'r�y��47"�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes [�i�'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 INFORMATION:
Name: t ✓L-�'��7( � � i�/L� CIZL-� ��rc'
State License# Expiration Date:
Phone: lv� z 2 �(o G,.s(( (office) (cell)
Mailing Address: 5 r�,.1_- Cit : ZI :
Contact Person: Applicant is: Contractor / omeowner (Circle One)
Email and/or Fax: -I e v��� , ;,-� q��e� L� wl c l�s°< <•G�• �''
PROPERTY OWNER INFORMATION:
Name: ,�g,-,.��
Phone (day):
Address: City: ZI P:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
( ) ❑ Remodel MCWD review&permits
❑ Door s ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
[�'j�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: �e�(ac� �X�S�'�w�q �U�����c--� w<� /a.✓� C��css �v����=� S�'�/�w,e.� � v��,
Estimated Construction Valuation of Project (exclud ng land) $ Z G�U��
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 you refuse to supply the information, the application may not be issued.
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ApplicanYs Signature: '�G'' � �L Date: `� IS `����r
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_ ❑ PLUMBING Rf ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
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❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
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❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952� 249-4600
Owner/Contractor on site:
Inspector. o , �
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CITY OF ORONO CALLED IN � T
INSPECTION NOTICE SCHEDULED h 3_� �
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OWNER L./" ��`IQ� TR.
TELEPHONE NO. /�l —��1�—9�� 7
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Q ❑ 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
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN .
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor on site:
Inspector. � . � l o�
White Copyllnspector's File Canary CopylSite Notice