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Home My WebLink About2011-01053 - windows r • a CITY OF ORONO PERMIT NO.: 2011-01053 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1SSUED: 09/14/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 135 CHEVY CHASE DR PIN : 36-118-23-41-0023 LEGAL DESC : H[LL O'WAY MANOR : LOT 018 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 4,278.00 NOTE: WINDOW REPLACEMEN7' APPLICANT PERMIT FEE SCHEDULE 118.00 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 2.14 ]0751 EXCELSIOR BLVD HOPKINS, MN 55343 MAIL-IN FEE 2.00 (952)277-1600 TOTAL ]22.14 Minnesota State License#: 20239369 PAID WITH CC# 3989 OWNER ETAL, ROBERT HOWE 135 CHEVY CHASE DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for N�hich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. 'I'his 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 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 I 80 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 revo d at any time for due ca �� / � � �� % � Applicant Permitee Si re Date ]ssue y Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. r • Sep� �T• �OI � / � LJI`11t1 IYQ� VOIV 1 � � City of Orono Building Permit Application for in#ernal Work (windows, doors, siding, re-roof, etc.) Mailing Address: ��//_0/Q Jr.'� Og�j�O PO Box 66 Permit number: _; Crystal Bay, MN 55323-ooss Date received: ~ �� .� �� a, St�eet Add�ss: Received by: �, �� `� � 2750 Kelley Parkway Plan review fee; �k�sxo¢$ Orono,MN 55356 c� �- —�—` Totaf Fee; � o�a� � / Main; 952-249�600 Fax; 952-249�616 www.ci.orono.mn.us This application form must be completed in full and all�required information must be submitted. Incomplete applications wlll be returnad, (Please print) GENERAL INFORMATION: Job Site Address: � 3.S �e,v y cQ�.r�,__ pcz,�� Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes [] No ff yea,a specia!event permit is roqulied with Police Dapartmen!and City Council epprova160 days prior to the event. Shuttle bus service will be required unless appllcant demonstrates sufficient on-site parking is available, Nonpermitted events will not be allowed. CONTRACTOR/APPLICAN7 INFORMATION: ►vame: 5cr��.� ;r�5 State License# �o,�3`i3� 5' __„__ Expiration Date: � 3 Phone: �`5 a-1 7 7— (�_O U offce ce{I Mailing Address: n y � ��, C' : o ,lti�h S ZIP� 5;5'3 S�� Contact Person: _ ,� Applicant is: ontrac o I Homeowner �ci��i.o�.� Email andlor Fax: PROPERIY OWNER I��i1 FORMATION: Name: ft:-, �eR � \-. �. Phone(day)� '� � �� Add�es5: , 1 3S c_.h� a � cD;�.�, - CitY ��r' � ZIP: S S39� Email and/or Fax PROJECT INFORMATION; Type of PmJect: � �� Any earth movemerit may require MCWD review 8�pertnita ❑Door(s) ❑ Remodel ❑Water Damage Minneheha Creek Watershed District(MCWD) '�Yndow(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Siding ❑Restoration Deephaven, MN 55391 ❑Other.(specify) Phone: 952-471-0590 Fax: 952�71-0682 ❑Re-roof ❑Fi�e Damage www,minnehahacreekom .. ......__: ...................__.. _.:_........ Overall Project Description: vEstlmated Constructlon Valuation of Project(excluding land) $ � �rf� , � � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all infomtation required or requested by che Buifding Department; • Certifies that the information supplied is true and correct to the best of his/her knowfedge. The applicant recognizes that chey are solely responsible for submitling 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 appllcation is classlfied by State law as either private or confidential. Private data is informaGon 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 he 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 end records of other govemmental agencies re uired b faw. If ou refuse to su I the information the a lication may not be issued, ApplicanYs Signature: �-`�� "'�c_ ... .._.__ .. Date: �'�� ^� � Last Updated� 05-0420o9 �� DY � D�jT TIME ✓ �CITY OF ORONO CALLED IN �0-`� INSPECTION NOTICE SCHEDULED -��- � � PERMIT NO. o�O//- D�D 5,3 COMPLETED ADDRESS �3 5 C�y� 4�J OWNER TELEPHONE NO. ��z �7� �`�� CONTRACTOR S�%�� : DESCRIPTION �� q[ � � ❑ FOOTING ❑ PL MBING FI AL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAI 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � u/r f� ��il.,�� ° � P1 �t s� � W � Q ti Z W � W � � GW ❑WORK SATISFACTORY:PROCEED Q�RRl�JECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OFiDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on te: Inspector. White Copyllnspector's File Canary CopylSite Notice