The URL can be used to link to this page

Home My WebLink About2011-01198 - windows , CITY OF ORONO PERMIT NO.: 2011-01198 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/OS/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4745 CREEKWOOD TR PIIV : 30-1 18-23-33-0008 LEGAL DESC : PAINTERS WOODS : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 14,385.00 NOTE: RF,PLACE(8)WINDOWS IN EXIS7'ING OPGNINGS APPLICANT PERMIT FEE SCHEDULE 265.50 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 7.19 10751 EXCELSiOR BLVD HOPKINS, MN 55343 MAIL-IN FEE 2.00 (952)277-1600 TOTAL 274.69 Minnesota State License#: 20239369 PA[D WITH CC# 3989 OWNER YOCKEY, STEVEN&CLOLLEEN 4745 CREEKWOOD TR MAPLE PLAIN, MN 55359 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o 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 permi[s. All provisions of laws and ordinances governing this type of��ork 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[he State Building Code.This permit may be revoked at any time for due cause. C�/Lt1�C�r�� Ul -`��l �� (� ��YL(.E�l�l_ Ul �' l /� Applicant Permitee Signat� Date Issue y Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. ,. Oct. 4, 2011 3. 58PM No, 8124 P. 1 �, , ,� City of Orono Building Permit Application for Maintenance I Renovation (windows, daors, siding, re-roof, etc.) ..-_-�-__ MailingAddress: Pe►mitnumber: o.��/�-- U� O:�O,�O PO Box 66 Crystal Bay, MN 55323-0066 Date received; � ' �, Street Address: Received by: i�� 2750 Kelley Parkway Plan revie e: ��< ' �° Orono,MN 55356 `.:qkEgslo�`'% =___= Totel Fee. —7 Main: 952-249-4600 Fax: 952-249�616 www.ci.orono.mn.us � / i This application form must be completed in full and all required information must be submitted. Incomplete appllcations will be retumed. (Please print) GENERAL INFORMATION: _ Job Site Address: `� � �' S L"'�-�w�:�� T R Wlll thls be a Parade of Homes,Remodelers Showcase Home or othe�Dlsplay Home? Yes o If ye9,a special event perrnit is required with Police Department and City Council appiova160 days pnor to the event. Shutt/e bus service will be requ;ied unless applicant demonstretes suHicient on-site parking is availabls. Non-permitted events win not be a/lawed. CONTRACTOR/APPLICANT INFORMATION: Name: S �_h �,�, �0�:� State License# z�y z � � 3 � y Expiration Date: �.��3 � ��,��_ Lead Certification Number. _N f} �1 .- ��3 �S-1 Expiration Date: (}p�ryoMc on homes that were consf►ucted prior to 1978 Phane: �JS�? - 7 �- � (office) (Cell) Mailing Address; � '7 � / E X � e �:.� �1) v ,4 � City: ��;y, Z�P= SS.�� 3 Contact Person: ('��,� � Applicant is� Contractor / Homeowner �ci�ia o�a� Email andlor Fax; 10,�.�"„��,� � S�n d �., s �� PR�PERTY OWNER IN�ORMATION: Name: �- � �\ a-� c K� Phone(day): �ya -� �:� _ �b� Address: y rl `1 � C•..�.�y�.,�.q Z nc.-�� _ City: OR,c�.�, ZIP:_^5.5 3S ^ Email and/or Fax PROJECT(NFORMATION: _�„M„ 1�Ipe of Project: '� My ealth movement may require MCWD revlew 8 pecmlffi: ❑Door(s) ❑Remodel ❑Fire Damage Minnehaha Creak Watershed District(MCWD) ❑ Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven,MN 55381 ❑ Re-roof, cedar ❑ Restofatlon ❑Water Ddmage Phone: 952-471-0590 []Re-roof,other�apeclty) ❑Siding ❑ Other:(speciry) Fax; 852�71-0682 �4lVindow(s) www.minnehahacreek.ora Overall ProJect Description: ��_ 1 � � � w � -�o _ .y s��- IZ �� ,v��A...,. Estlmated Construction Valuatlon of Project(excluding land) S ' �_� APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building DepartmenY, • Certifies that the informalion supplied is true and correct to the best of his/her knowledge, The applicant recognizes that they are solely responsible f�or submitting a complete application being aware that upon failure to do so, the staff has no altamative 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 suhject of the dsla. Confidential data is inforrnation 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 r�efuse to su I the information the a lication ma not be issued. Applicant's Signature: c.:J�-�� _ � Date: � �''�-'� � �� q( Ej/ TIME ✓ CITY OF ORONO CALLED IN ��` `� INSPECTION NOTICE (/ SCHEDULED � ___��.fC�, PERMIT N0. .�C I I � ��0 COMPLETED ADDRESS �f�y� C��('� ��)C'�C�/��//�Z. OWNER TELEPHONE NO.��' �a `J�� CONTRACTOR ��1��11,�)��'�-1, j: DESCRIPTION C��{��(>�� 7�'1 c� I ~S � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED JECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. �..c_/ � White Copyllnspector's File Canary CopylSite Nofice