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Home My WebLink About2010-00171 - windows CITY OF ORONO PERMIT NO.: 2010-00171 ' a 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 03/25/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3575 CHRISTINE DR PIN : OS-117-23-12-0018 LEGAL DESC : BETZ ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS VALUATION : $ 20,000.00 NO'CE: REYLACEMEN"1�WINDOWS APPLICANT PERMIT FEE SCHEDULE 339.25 LDK BUILDERS INC 8242 125TH AVE STATE SURCHARGE(VALUATION) 10.00 MILACA,MN 56353- TOTAL 349.25 (612)685-9066 Minnesota State License#: 1327 OWNER SHIELDS, MR. & MRS. M[CHEAL 3575 CHRISTINE DR 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 no[grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 permi[may be revoked a any ti e for due cause. � � �`.+�� `�� G7 / / Applic n Permitee Signature Date Issued By i nature re SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED AB E. - - City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 4.,0,�� PO Box 66 Q :�}\ � Crystal Bay, MN 55323-0066 Date received: i s�;�� Received b � �''�-�`��" s,'� Street Address: Y� �I, �. ;�� `` '�� 2750 Kelle Parkwa r 1 � Y Y Plan review fee: '�kEsxo4`'� 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: .�� % j �--� l '-�� l /' � ��- �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !f 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 FO ATION: Name: � f� � v� f r�t .- ; �.,c� State License# j �� Expiration Date: _j - 3 U - 1/ Phone: �, j 2-- (�,� � - � O� office �._-� --- cell Mailing Address: � � � �- v�- Cit :/1 ��:,�, ZIP: ,q �(,i�-� Contact Person: L�,-,- • �,,, � .-� S Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: ��? ,� ��1., � �,r s y � v p . �.,v n-� PROPERTY OWNER INFO MATION• • Name: �/f� ,�� --��•-n,.c. l( � � �� t �� Phone (day): �-� �� ( (�,5 _ 5'v;/ Address _�� 7 5 � •�- � � � � r, J�--' Cit � (��'J^ 'J ZI P� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review&permits ❑Water Damage Minnehaha Creek Watershed District(MCWD) �'(Nindow(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Sidin Deephaven, MN 55391 g ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 ❑ Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ � c�. c'� � �� . o�� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide alf 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 re uired b law. If ou refuse to su I the information the a lication ma not be issued. Applicant's Signature: � Date: � � `� � !U Last Updated: 05-04-2009 �� <C� D E TIME V CITY OF OR NO CALLED IN � INSPECTION��_ /'�/�/ SCHEDULED �� PERMIT NO. w COMPLETED � ADDRESS �� L%�!2/Lf.O�/'l�_ �!(/`G OWNER TELEPHONE NO��—��9d�� CONTRACTOR n - � � ��/J� O �� : DESCRIPTION ��LL��L1� ��%,�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 J ❑ PLUMBING RI ❑ S FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEETYOU: YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � GW ❑WORKSATISFACTORY:PROCEED L�PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice