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Home My WebLink About2012-00628 - windows CITY OF ORONO * Z 0 1 Z - PJ 0 6 2 8 * � 2750 KELLEY PARKWAY DATE ISSUED: 07/02/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 129 CHEVY CHASE DR PIN : 36-ll 8-23-41-0020 LEGAL DESC : HILL O'WAY MANOR : LOT O15 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACT[VITY : O/S BUILDING-UNDEFINED VALUATION : $ 1,486.00 NOTE: REPLACE ONE WINDOW IN EXISTING OPGNING APPLICANT PERMIT FEE SCHEDULE 57.50 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 0.74 10751 EXCELS[OR BLVD HOPKINS, MN 55343 MAIL-[N FEE 2.00 (952)277-1600 TOTAL 60.24 Minnesota State License#: BC239369 PAID WITH CC# 3989 OWNER SAHLSTROM, DAVID&JEAN 129 CHEVY CHASE DR ,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 approvals,and the State Building Code. This pennit is for only[he work described and does no[grant permission for additional or related work which requires separate permits. Ali 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 are requested in conformance with the State Building Code.This permit may be revoked at any[ime foFdue cause. / / / / Applicant Permitee Signature Date Issued By Sig ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. Jul, 2. 2012 12; 40PM No, 9248 P, 1 City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �-1 MaiJing Address: Pertnit number: a O►a - 0�(p a O:¢,Q�.O PO Box 66 Crystal Bay,MN 55323-0066 Date received: Z-2- I 2- � �' �, Strael Address; Received by; � �, � G� 2750 Keuey Parkway Plen review fee: �k��o$4� Orono,MN 55356 =-_—= Total Fee: �(� , 2.� Main; 952-249-4600 Fax: 952-249�616 �, i.orono.mn.us 7his applicstion form must be completed in full and all required information must be submitted. Incomplete applicatlons wlll be returned. (Please print) GENERAL INFORMATION: " Job Slte Address: f a cl C-� �� y L.rC�� ` � J `� Will this be a Parade oi Homes�Remodelers Showcas Home or other Dlsplay Home? Yes o H yes,a special evenf pem'ilt is r�equiied with Pollce Department and City Council approva/60 days prior to the event. Shuttle bus servlce wilf be required unless applicant demonstra�es sufficient on-site parking is available. Non-pennitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � c� 4� �2�,L �� State License# C ,�3 ,�� c; Expiration Date: �� /� �f� Lead Certificstion Number: f{ T �� (e;3 •�S,_� Expiration Date: � � (f�r work on homes at were conatructad prror to 9978 Phone: �5 - `"1_l (office) �S � - �- tQ d� (Cell) Mailing Address: �� '� - �„ ( „ City: o ZIP: �S y Contact Person: �,,.z_ � ��.5�,;�.�s �-� Applicant is: Contractor Homeowner ic,�ia o�o� Email andlor Fax: �S ,� �� -� � °� O PROPERTY OWNER INFORMATION: Name: � �e. �,� S�� + (s' t' a PhOne(day): �' S S� " 4 �3-- ��)�`'r City: Q 2� � ZIP: S.�3 �-_� Address: � a � �, C �,, �., C�c,a.�, Email and/or Fax h (� c � � �= (o� � �a� 4 ^ �� PROJEC7 INFORMA710N: Type of Project• Any ear�movement may require ❑Door(s) ❑ Remodel ❑ Fire Damage MCWD revlew 8 permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphak ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven,MN 55391 ❑Re-roof,cedar ❑Restoration ❑Water Damage Phone: 952�71-0590 Re-roof,othar(ap�clfy) 0 5iding ❑Other; (specify) Fax: 952-471-0B82 • www.minnehaha�@k.orq � A v_� ❑Window(s) Overall ProJect Descriptlon: � 0�w ..�� >. . . _ �v �� S f . �, Estlmated ConstrucNon Valuation of Project(excluding land) S /�� „ J'� _ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide ell 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 recogni�es that they are solely responsible for submitting a complete application being aware that upon Failur�e to do so,the staff has no altema6ve but to reject it until it is complete; • Some or all of the information lhat you are asked to p�ovide 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 pur�ose and intended use of this informaGon 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. ��,��Q�e �ate; ��""a � �� Applicant's Signature: � . �. �.�. / �__a��_�_�_�. n0 RIf�1l1A� . . �� DA TIME V CITY OF ORONO CALLED IN �"�� INSPECTION NOTICE SCHEDULED 7-ZS-/�� PERMIT NO. �O/a.-D�Co Z-� COMPLETED ADDRESS �a 9 �%`�� OWN ER II�Gt�c �S2P S fV'�- TELEPHONE NO.��z- �13 �7 8� CONTRACTOR SC�.PitZl, 1ti�Lt�� DESCRIPTION w��1�Dw T��Q� z nc� S�'D�^�jl. l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O � � O � W � Q � Z W � W � � GW �WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR u CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�0 OwnedContractor on ' e: r Inspector. l White Copyllnspector's File Canary Copy/Site Notice