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Home My WebLink About2011-01354 - windows � CITY OF ORO � PERMIT NO.: 2011-01354 2750 KELLEY PA AY ORONO, MN 553 6- DATE 1sSUED: 10/3U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4465 BAYSIDE RD P1N : 06-117-23-21-0006 LEGAL DESC : JOHNSON WHEELER 1 ST ADDN I : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 500.00 NOTE: INSTALL(1)EGRESS WINDOW IN BASEMENT APPLICANT PERMIT F E SCHEDULE 25.00 CARLSON, ROBERT 4465 BAYSIDE RD STATE SU CHARGE(VALUATION) 0.25 MAPLE PLAIN, MN 55359- TOTAL 25.25 OWNER CARLSON, ROBERT 4465 BAYSIDE RD MAPLE PLAIN, MN 55359- ' AGREEMENT AND SWORN 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 i 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 construc[ion authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a perio�sf ays at any time after work has commenced. The applicant is.r�e�ponsibl�assuring all required inspections are I requested iry�'onformance with the StaEe�uilding Code.This permit may be revoked�f any time for d};e'cauae' �, 'f � �.''f I � i,-:%E� :/�� !(� l �� l �� C� l�� l � Applic C Yirfi�ee Sfgnature Date ssu By Signature � � Date SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. - , City of Or no Building Permit Appfication for M intenance / Renovafion ; (windows, doors, siding re-roof, etc.) �— Mailing Address: � Permit number. oC0//—D�� / �.,�,� PO Box 66 j Q � � Crystal Bay, MN 55323-OQ66 Date received: /0 �/ i 3,�y ��\� � ;t �',�� ) Street Address: Received by: \�., � �'��,_ �ti 2750 Kefley Parkway Plan review fee: t9g' f�4ti Orono, MN 55356 � ESHD �� _--- Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.or no.mn.us This application form must be completed in full an all quired information must be submitted. Incomplete applications will b� ret rned. (P/ease print) GENERAL INFORMATION: , ' ? � �i� � S—z-/ Job Site Address . -� 1�� : ` . ' � � ) �� %�/�; Will this be a Parade of Homes, Remodelers Showcase Home or ther bisplay Home? ❑ Yes �No If yes, a specral event permit rs required with Police Department and City Council pprova/60 days prior to the event. Shuttle bus service wil/be required unless applicant demonstrates sufficient on-site parking is a ilable. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License # Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhat were constructed prior to 1978 Phone: (office} (cell) Mailing Address: City: ZIP: F Contact Person: ppli ant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: `� G�� .- `�. Phone (day): �j �'� � '� C l / 3-� l Address: ` c.� (� � S ��(� /2�� City. v L-�;,: C�, ZIP: �� > � t Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s} ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damag 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-Q590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �]Window(s) www.minnehahacreek.orq Overall Project Description: (%�,, 5 �((� =�;�55 � r ��; � � �� ,f Estimated Construction Valuation of Project(excluding land $ �� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Buildi g Department; • Certifies that the information supplied is true and correct to the bes of his/her knowledge. The applicant recognizes that they are solely responsible for submitfing a complete application b�ing a are 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 th s application is classified by State law as either private or confidential. Private data is information which generally cannot b given to the public but can be given to the subject of the data. Confidenfial data is information which,generally cannot be iven to either the public or the subject of the data. Our ' � purpose and intended use of this information is to annuall� updat our records and records of other governmental agencies � re uired b law. If vou refuse to su I the-informafion,�he 3 licati n ma not be issued. ApplicanYs Signature: - — -- .-� `= �' .�? -� ,fZ // Date: ��/— �� ' ast Updated: 08-09-2011 �✓' DATE I II TIME V CITY OF ORONO CALLED IN �'� INSPECTION NOTIC/E CHEDULED d -�.3-�a I � PERMIT NO. �Dl�OI�S COMPLETED I ADDRESS OWNER TELEPHONE NO. CONTRACTOR �; DESCRIPTION � ��'J �l�� ❑ FOOTWG ❑ PLUMBING FINAL ❑ EXCAV/C�RADI G/FILLING y ❑ POURED WALL ❑ MECHANICAL RI O LAKESHQRE �TLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVA Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INS�ECTI N Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRE�S � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW IUP I _ ❑ DEMO-FINAL TALL ❑ HARD CCIVER EMOVAL v ❑ PLUMBI ❑ SEP I FINAL ❑ FOUNDArION/ �MOVAL � OWN /CONTRACTOR TO MEET YOU: YES_N I I � COMMENTS: � W C � � O a � O � W � Q � Z W � ti � � � GW ❑WORKSATISFACTORY:PROCEED PR JECTCOMPLEf� � ❑CORRECT WORK&PROCEED �E CERTIFICATE�F OC UPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORP�RY i V BEFORECOVERING PERMANFNT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN I INSPECTOR WILL RETURN ❑ CITATION ISSUED I ❑STOP ORDER POSTED.CALL INSPECTOR ❑ tNSPECTION REQUIRED.CALlTO ARRANGE ACCESS. I Ca11 for the next inspection 24 hours in advance. (952� Z49- 6�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Noti I � � � �<� D TIME V CITY OF ORONO CALLED IN �� INSPECTION NOTICj� SCHEDULED / PERMIT NO. O I L �� COMPLETED ADDRESS OWNER TEL HONE NO. � Q �� CONTRACTOR >: DESCRIPTION ' � l � ❑ FOOTING ❑ PLUMBING FINAL ❑ E AV�I/GRA ING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESIIHORE ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE�P`iEMO L Z ❑ INSULATIO� ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPEC ION Q ❑ RADON SL B ❑ WATER HOOK-UP ❑ PROGF�ESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPµ�aINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLO�/-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD�OVE REMOVAL J ❑ PLUMBWG RI ❑ SEPTIC FINAL ❑ FOUNqATlO REMOVAL � OWNER/CONTRACTOR TO MEEi YOU:_YES_NO I � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d 4��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLE�fIE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATL OF CUPANCY W I O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORIARY V BEFORECOVERING PERMAWENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN I INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED I ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) I24 �460� OwnerlContractor o site• Inspector. � White Copyllnspector's File Canary CopylSite Not ce