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Home My WebLink About2009-00683 - windows ' > CITY OF ORONO PERMIT NO.: 2009-00683 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/07/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4040 DAHL RD PIN : 07-117-23-11-0021 LEGAL DESC : P[RATES COVE : LOT Ol7 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 14,537.00 NOTE: REPLACE 8 WINDOWS (3) 1-WIDE CASEMENTS,(4)2-WIDE CASEMENTS,(1)3-WIDE CASEM�NTS APPLICANT PERMIT FEE SCHEDULE 265.50 HAMEL BUILDING CENTER STATE SURCHARGE(VALUATION) 7.27 18710 HIGHWAY 55 PLYMOUTH, MN 55446- TOTAL 272.77 (763)478-6601 Minnesota State License#: 20631040 OWIVER LEPPLA, MR& MRS JOHN 4040 DAHL RD MOUND, MN 55364 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 E3uilding Code. This permit is for only the work described and does not grant permission for additional or related wark 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 ot�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 permit may be revoked at any time for due cause. ,��'.y .l_��_ /� � 7 � .� /D/ D 7/ l� Applicant Per � e Signa e Date Iss � By Signature Date SEPARATE PERMITS REQU[RED FOR WORK HER THAN DESCRBED ABOVE. � � ' ' ' City of Orono ='� 7�-%' °�� Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) —__� Mailing Address: Permit number: ��,0\ PO Box 66 �� 0 �� O � Crystal Bay, MN 55323-0066 Date received: ��,a �` ` a,� Street Address: Received by: ,�, � � Gti 2750 Kelley Parkway Plan review fee: �L�kESH�4'� Orono, MN 55356 --=� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 ____._ 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� /��'�f1 �.D L F��<,� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. ShuKle bus seivice will6e required unless applicant demonstrates su(ficient on-site parking is available. Non-permiKed events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �j-,�-��F� ��-;��.�-� ��-i� —/1��.-�' � Gi«F��tr�E� State License# ,�o�j /c�y� Expiration Date: 3 �� >��cu Phone: 7G�- y�� -6G � / (office) C�� --�i� - � s'a G (cell) Mailing Address: �7 iv � Y �S' Cit : -�� h�._-r�� ZIP: f"YY6 Contact Person: /�'s�-�-T �� «.-.+�t<��. Applicant is: Contra or / Homeowner �Circle One) Email and/or Fax: �Lic.f xi,<,r�-cf-��/�-r-�� `"��,_- <<< �-hn. , c��-- PROPERTY OWNER INFORMATION: Name: 1i��/�" s` �i�' L�`/��,� Phone (day): �s.� - �/7�- SySfr' Address: y�.��- n�al2- �o City: �j,�s-�-o ZIP: �S�G% 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) indow(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 Overall Project Description:/1�y��f � /�,•��<< <'s� ��, �y �< �,o�� lJ,,. cs"� �� w=,�f° �S%�--� � Estimated Construction Valuation of Project(excluding land) $ � /� S 3"7 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 altemative 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. ApplicanYs Signature: � ,.tll-�� Date: ��/� � Last Updated: 05-04-2009 � �`'�. � � « '� �`�. `�i""'� M'" �.a�y� � � .... ,. . 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' ., i �+ �°a...�... . � j i � ?C'' . . j._ � � ,� S E�� .R;". ��'� � s e � I. . � . . . � rr.-.*a„i 9� . �` �. _ � `� (M�I�� I �I �I � � � ��H Y f I I I � i � �, � D��I � � ' � � ` i F .,� # I! ` ' I � ��. . . .. � F� ��f I ' f I I. ,� jf �k5 .... _ �::� �� I ' .. � Y.., fe�l � � � �I i� � `��; . . . � . . . �, ,.-— � .� ., . . � '� t r ^�(. � • t � n_� ''`. ��:. ��r:n � .� r �,�f � E � �� ,',�- '� '� 'r '&�t"�. t'� '�"�� '' �'� �j � ! f � �, � :� � ,,,�k.��`�� ,�i��, i:��; ,` � I� ��' 1�� ! � � � I i � �, ��. �;�'i <. fi'�' r: .s i� �,"� � 0. � ; , � � � � � ^�x�..�. � � �� T � TIME � CITY OF RONO �CALLED IN /� ��"� INSPECTION TICE Q�SCHEDULED / �� PERMIT NO. d O� ��LJ COMPLETED ADDRESS � � � 4 OWNER Q- CONTR. TELEPHONE NO. �✓_��7a � �J • � DESCRIPTION � � �"V1��u�/� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNE NTRACTOH TO MEET YOU: YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z w � W � � d W� ❑WORK SATISFACTORY:PROCEED /�'PROJECT COMPLETE r � W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �_1 PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�0 OwnerlContractor on site: Inspector. L�/ -�1 /: L White Copyllnspector's File Canary CopylSite Notice