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Home My WebLink About2010-00910 - windows CITY OF ORONO PERMIT 1v0.: 2010-00910 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/28/2010 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 : RESIDENT[AL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BU[LDING - UNDEFINED VALUATION : $ 3,000.00 NOTF,: REPLnCE(3)WINDOWS INTO EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 88.50 COUNTRYSIDE CONSTRUCTION &REMODELI STATE SURCHARGE(VALUATION) 5.00 21631 SHELBY LANE JORDAN, MN 55352- TOTAL 93.50 (612)716-6276 Minnesota State License#: 20444119 OWNER JOHNSON, ROBBIN& KRISTINE 1280 BRACKETTS PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work lor which this permit is issued shall be performed according to the approved plans and specitications,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 cxpire 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 afrer work has commenced. "Che applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be � revoked at y time for due cause. d Z2�?�i�� ,� 6��' l/G� %l � 0/ /L/ Applicant Permitee Signature Date Issue By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono • � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: � .�0,�. PO Box 66 Permit number: ��/G-CC�� s� � Crystal Bay, MN 55323-0066 Date received: /� ��'�� Received by: ,� k-�_�,� �, I Street Address: '�,�,L �� '>"� �ti 2750 Kelley Parkway Plan review fee: ykESKo4,'� Orono, MN 55356 ,�.� Total Fee: 9,7 -��--�; Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us / V 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: ,'� �O �.��,e��f-�� ,`�f ,� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �.�o If yes, a specia!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 INFORMATI �I: �� Name: ��.,.- ;�c� �--s�r��_��__ � � C. State License# �v�yy� g Expira ' n Date: 3 3/-�/�- Phone: ��,}_ �j� _ �,a�7� (office}—� 5��-yq�—�-a.<:.� (cell) Mailing Address: s��l� /�.-�� Cit : ,;,��,l�t-- ZIP: S'�S`�— Contact Person: i Applicant is: racto � / Homeowner (Circle One) Email and/or Fax: c�� t�� f � �v.ts��f�<t„ 1 ,2r-��/�'� �� i Cr.--�-. PROPERTY OWNER INFORMATION: Name: � ,� �'�.�� Phone (day): Address: /,�Q�' ��«�� o,`�f .�� City:G�r/.,z��4_ ZIP: S�,��j'/ Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8� permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) c.�Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orp Overall Project Description:;2�,�/Y� �. ...-�.._,. �� " � � � ��:,� �� Estimated Construction Valuation of Project(excluding land) $ �C��'�� 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 inf rmation,the a lication ma not be issued. ,/ �'-��/D Applicant's Signature: Date: , Last Updated: 05-04-2009 D TIME � CITY OF ORONO CALLED IN `�� INSPECTION NOTICE /J SCHEDULED ' � � PERMIT NO. o?4/b "'DD Z��COMPLETED ADDRESS /�Z�� '�-Q��-S !r� �`"� OWNER TELEPHONE NO.�D�z-y`� �� CONTRACTOR ��t�� ; DESCRIPTION �1��-� �� —�4S'� SCa� o�`�IDty � lV ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � � O � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �AROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTNIN HOURS. � pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�0 Owner/Contractor on site: Inspector. �' �'��--� White Copyll�spector's File Canary CopylSite Notice