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Home My WebLink About2012-00344 - windows CITY OF ORONO * 2 0 1 Z — fd PJ 3 4 4 * ^ 2750 KELLEY PARKWAY DATE ISSUED: 04/30/2012 ` ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4265 CHIPPEWA LA PIN : 31-118-23-42-0019 LEGAL DESC : UNPLATTED : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATIOIV : $ 8,000.00 NOTG: ADDING AN EGRESS WINDOW&WATERPROOFING THE FOUNDATION APPLICANT PERMIT FEE SCHEDULE 162.25 PHEASANT H[LLS CARPENTY INC. STATE SURCHARGE(VALUATION) 4.00 5700 REBECCA PARK TR LORETTO, MN 55357- TOTAL 166.25 (612)221-8577 PAID WITH CC# 3163 Minnesota State License#: 20629764 OWNER MCCAFFREY, THOMAS&KATHLEEN 4265 CH[PPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMEIVT The work for which this permit is issued shall be performed according ro the approved plans and specifications,applicable City approvals,and the State Building Code. 7'his permit is for only the work described and does not gran[permission for additional or related work which rcquires separate pennits. 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 no[ 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 ap t is responsib for assuring all required inspections are re ste ' co t r the State Building Code.This permit may be evo r d u �/� l! � � i _ � � � � ; � � � (�LC i�'1 / 1' —30/. Ap � er rtee �gnature ate Issued Qy Signatu e Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono _ Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: ��,� PO Box 66 Permit number: O Q� Crystal Bay, MN 55323-0066 Date received: ., ,� ! `� �.� �, Street Address: .Rece ve b� �',�c, � �'��, ,G�/i 2750 Kelley Parkway Plan reviewfee: \kESH�g� 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: �' � 1 � Job Site Address: 1�/—�C-�� `'�� l;:).��G� L__�,;�l� Will this be a Parade of Homes, Remodelers St�o'wcase Home or other Display Home? ❑Yes ❑ No If yes,a special event permit rs required with Police Department and City Council approval 60 days prior to the event Shuttle bus service wil!be requi�ed unless applicant demonstrates sufficient on-site parking is available. Non-permrtted events will not be alfowed. CONTRACTOR/APp�ICANT INFORMATION:.� 4 Name: ` ) r-- ';'.vi�� ✓'"�C,v State License# �,�,��r��l�- Expiration Date: ��r��-� ��,�� Lead Certification Number. �,�i.... �� Expiration Date: ;�'(,�(G �Q Z��,(L (for work on homes that were constructed prior to 1978 Phone: ( �� 1 - , ' (office) (cell) Mailing Address: � � Cit : � ZIP: � , Contact Person: • �� .� Applicant i Contract6rv / Homeowner (CircleOne) Email and/or Fax: ,;�; � + r PROPERTY OWNER INFORMATION: � Name: ' ��1�L�:� � flr!%��-�7��' � ��--�►+-.�'t'.v Phone (day): ��.c��f�/, Address: � " ,� Cit : ZIP: �=;; •�„=;-� ��1_l.�'/l�t��b ��- y � • 6 Email andlor Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ( ) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Door s Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding �Other: (specify) Fax: 952-471-0682 ' �� l�y� www.minnehahacreek.orq �Window(s) ��'1'U/ �� Overall Project Description: �� 'ylE: '' y� �. � �;� . � , '� ` Estimated Construction Valuation of roject(e cluding land) $ - .� 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 whi e erally cannot be given to either the public or the subject of the data. Our purpose and intended use o�f �s infor io o nually update our records and records of other governmental agencies re uired b law. If ou re�se to:§u ati ,the a lication ma not be issued. , Applicant's Signature: � - � Date: � �(.� . __ ---__�_.__._ Last Updated: 08-09-2011 ' DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTI�E ��t SCHEDULED ( i(?��r 2 PERMIT NO. � COMPLETED ADDRESS � ��i�-d� �� OWNER TELEPHONE NO. CONTRACTOR �: DESCRIPTION ��FJ ��`�� '��/' �J� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � GW �RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CA�I FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice