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Home My WebLink About2012-00307 - windows � �� . CITY OF ORONO * z 0 1 z - 0 0 3 0 7 * 2750 KELLEY PARKWAY DATE ISSUED: 04/19/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1280 BRACKETTS POINT RD PIN : 11-117-23-32-0019 LEGAL DESC : RGT ORONO POINT : LOT 003 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BU[LDING-UNDEFINED VALUATION : $ 7,000.00 NOTE: REPLACE WINDOWS INTO GXIST[NG OPENINGS. APPLICANT PERMIT FEE SCHEDULE 147.50 SOLETA CONSTRUCTION STATE SURCHARGE(VALUAT[ON) 3.50 1773 UPPER AFTON RD ST PAUL, MN 55106- TOTAL 151.00 (952)270-2318 Minnesota State License#: BC635518 OWNER JOHNSON, ROBBIN& KRISTINE 1280 BRACKETTS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 7 he 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 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 180 days at any time after work has commenced. The appiicant is responsible for assuring ail required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for u cause. l l l /i� � Ap ca erm ee S�gna Date � �� / / / /�_ Is d By Signature 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: Permit number: �� ' 7 Og,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: /�� ,a ,f �, Street Address: Received by: �'.�, �'� Gti�' 2750 Kelley Parkway Plan review fee: L9kESH g� Orono, MN 55356 _-_= Total Fee: l�� 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 �eturned. (Please print) GENERAL INFORMATION: ,, r-�, ; � , �' Job Site Address: j '�• ��•� �-� ��%it�� :I. ��1�� . �� l��i�l ( J �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Ho e? Yes `No lf yes,a specia/event permit is required with Police Department and Crty 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/APP ICANT INFO MATI N: Name: ��,. � i '`�` � State License# (', " C Expiration Date: '3�'�� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: -,:,2 - (office) (cell) Mailing Address: '�") ' - Ci : ZIP: �� Contact Person: � ,r �,,. � Applicant i ' Contractor Homeowner (Circle One) Email and/or Fax: - ' , -.�� ' , , c. � �. • �. ,�� PROPERTY OWN R INFORMATION: Name: c�I�,r. �C�►1��`►1 Phone(day): xI Address: ; ,�� C,' -�� %J �� 1�� , l � ►Y� �� City:��,y �Z G��l�� ZIP: 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 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 _______ _ �,'Window(s) www.minnehahacreek.org Overall Project Description: � �� , a . Estimated Construction Valuatio of Project(excluding land) a "� 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 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. -.-� c-� �� j I � ApplicanYs Signature: ' Date: Last Updated: 0&09-2011 � � L�/`�� ' ` � ATE TIME `' �' � r'a " CITY OF ORONO CALLED IN -I% INSPECTION NOTIC�E C� �� SCHEDULED `�� PERMIT NO. ��L� � COMPLETED ADDRESS i z�5;C I_�r_c�� C�� f#-�. '� f'�cJ OWNER TELEPHONE NO.��'�-`��C' `�'3f� CONTRACTOR ��I�f��_f��"�j-�- � �: DESCRIPTION �f l'1 c� I �,�� Lr1�� C_��<_�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS:��F�'t�1(�Y1 C��1`-cI I �`�. I � I a ��_ ('-11.� 1-�� O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on sit�:� Inspector. o � White Copyllnspector's File Canary CopylSite Notice