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HomeMy WebLinkAbout2009-00685 - windows , CITY OF ORONO PERMIT NO.: 2009-00685 2750 KELLEY PARKWAY . ORONO, MN 55356- �ATE Iss[1En: 10/12/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 100 CRYSTAL CREEK RD PIN : 33-118-23-33-0009 LEGAL DESC : CRYSTAL CREEK : LOT 003 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 13,290.00 NO"1'E: RGPLACG(5)SASHES AND(3)FULL FRAMES APPLICANT PERMIT FEE SCHEDULE 250.75 AMERICAN BU[LD[NG CONTRACTORS STATE SURCHARGE(VALUATION) 6.65 2960 JUD[C[AL RD#l00 BURNSVILLE, MN 55337 TOTAL 257.40 (952)707-6959 Minnesota State License#: 20169383 OWNER WENINGER, MARK&JUILE 100 CRYSTAL CREEK DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT Chc work for which this permit is issued shall be performcd 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 pennit 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 I 80 days at any[ime after work has commenced. The applica responsible for assuring all required inspections are requeste �n onformance with[ tate Building Code.This permit may be revok at ny time for due e. �� ��z �O � � � Applicant Permitee S� ure Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . 131I1 -- w City of Orono Building Permit Application —_� Mailing Address: Permit number. p�((��... ��O� CrOysBtal Bay, MN 55323-0066 Date received: �V c � / � � � �� �' � I Received by: a ,����. a,�� Street Address: ��ly���'�'G , 4� 2750 Kelfey Parkway Plan review fee: �kEsxo . Orono, MN 55356 , __-_-,.% Q�� � %� 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: �'L �-� � "{�Gt� ��I���f' �L Y��L� " Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service wi 1 be required unless applicanf demonsfrates sufficient on-site parking is available. Non-permitted events will not be a/lowed. CONTRACTOR/p�PPLICANT INFORMATION: Name: HYYI�'-Y'� � :�r l�t,;,�� � I� � ��,(1�1�C1G'"1rVd� ��'1C State License# 1 �(i� Expiration Date: 3j-�� - (7 �- Phone: C" " -`� - '� office cell Mailing Address: � p , i�t� � lCC' Cit : .(1�-�5�1 ZIP: Contact Persor�_ � ' G� l�E' �r� Applicant is: ontrac o / Homeowner (Circle One) Email and/or'LFax: (. � ' ^ _ C �j PROPERTY OWNER INFORMATION; Name: '�1\Ctir' � �,lr���'\iC C�� Phone (day): ���� , >� - ^ — Address: ��� C'��'�-�G11 ('��� l�- 62�� City: ������' ZIP: �"J��b Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) � Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) Window ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 � Siding 8 Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 8 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �'��i�tC,C��; � Sc�S4' e;5 �l� 1C� 3 I,� �V'��w�'1 �=5� Estimated Construction Valuation of Project(excluding land) $ ����,�.�'(�. DQ 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 required by law. If you refuse to supply the information, the application may not be issued. ApplicanYs Signature: � G�,�'U-�� Date: �l�1�" D, r'v� Reset Form , 2960 Judicial Road,Suite 100 Burnsville,MN 55337 � Phone:952-707-6959 + • . • • Fax:952-707-9925 MN Contracmr Lic lt20169383 To: �j�t,t�C�lY�� �i.:i IY1t"�S From: '�[����. �1.���������' Attn: Fax:C�'��--:�-��1- �'�G'�l0 Pages:� id"1(.��lU�G1 `��C" �`V`t 5�1���. Phone:����-�"1' �j�i"l.> Date: ��` - ��l" l.�"I Re:-��t fl1�� �1pp�l�(.l.`�L CYI �t �-)'�(���Of�",c.c. ❑ Urgent `�For Review ❑ Please Comment ��Please Reply ❑ Please Recycle (\ `�'� C�.S� C�.l� ��cC�kr �.�u�k� � �.�.�rn,�k 6�YY1.�� .. `-�('1�-�� k- �D�,, ���,� �In,l�e�er \i�- � � 7 L. ). � � DA�E TIME CITY OF ORONO CALLED IN � � J�L�-` � INSPECTION NOTI E _I�,^��.SCHEDULED � C� �i�l PERMIT NO. � �--�-�� �.1.�14�JCOMPLETED ADDRESS I �� � (Z,I71C?� I �.I�P�'� �� , OWNER CONTR. " ��-� � TELEPHONE N0. C�� � � G� �- ������ ��� ' � DESCRIPTION ��l I Y 1L1�7 b 1J � r" ( Y1 c� I � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YO�YES�CNO r-� � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � �� JORK SATISFACTORY:PROCEED �;�OJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: . ' _� 1� � Inspector. , '— � ': White Copyllnspector's File Canary CopylSite Notice