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Home My WebLink About2009-00780 - windows . CITY OF ORONO PERMIT NO.: 2009-00780 2750 KELLEY PARKWAY � ORONO, MN 55356- �ATE 1SSUEv: 1 UO3/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 744 DICKEY LAKE DR PIN : 27-1 18-23-33-0007 LEGAL DESC : R[NGERSWOOD : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIv TYPE : WINDOWS ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 30,000.00 NOTE: KEPLACE WINDOWS INTO EXISTING OPENINGS-NO STRUCTURAL CHANGES APPLICANT PERMIT FEE SCHEDULE 466.75 HOME VALUE IMPROVEMENTS STATE SURCHARGE(VALUATION) 15.00 13756 REIMER DR MAPLE GROVE, MN 55311- TOTAL 481.75 (763)425-9500 Minnesota State License#: 20464927 OWNER PETTIS, GERALD&ALICE 744 DICKEY LAKE DR LONG LAKE, MN 55356 AGREEMENT A1vD 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 Building Code. This permit is Yor only[he 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 whe[her 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are reques[ed i conformance with the State Building Code.This permit may be revoke any e for d c se. ^" ' �/ ��j� �� Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono ' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �� Mailing Address: Permit number: Q �00 7� ��,� � PO Box 66 0 ^,\ \` Crystal Bay, MN 55323-0066 Date received: �� 0,.3 D� � i� � t`��<.�., �.i� Street Address: Received by: �' ` °"�,`"� ��'� 2750 Kelley Parkway Plan review fee: ��o�� Orono, MN 55356 SH� �( Total Fee. '" ��, 7S 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:��//'�1.�� / � /� �� r0 � �� ' ��j�/ Job Site Address: 7 �/ «G,L� , � Will this be a Parade of Homes, Remodelers S owcase Home or other Display H me? ❑ Yes ❑ No If yes, a special 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 avaifable. Non-permitted events will not be allowed. CONTRACTOR/APPLI ANT INFORMAJ ION: Name: ��n-►� �Gi l�( � .Z�n ,o r0 r/�m��s State License# ` Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: • Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: NaOe ERTY OWNER INFORMATION: �{r�� n��/S �l/ Phone (day): Address: • L� Cit : ZIP: ��S,G Email and/or Fax L. / PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage ,r- Minnehaha Creek Watershed District(MCWD) �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: Estimated Construction Valuation of Project(excluding land) $ 3 0,QQ� 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 r 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: Date: �/�J � Z�B'�f , Last Updated: 05-04-2009 :� � ^ � / ATE TIME V CITY OF ORONO CALLED IN �f Z O� INSPECTION NOTICE SCHEDULED 7 - PERMIT N0. ��dg DD 7� COMPLET o ADDRESS � a�e OWNER CONT .)�/L/� �/�G�il TELEPHONE NO. � DESCRIPTION �'(/`��G�i/ /��/�Z� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q �1tJAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-S�TE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ,�� OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REiNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR '=� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. L�� , � ` �� White Copyllnspector's File Canary CopylSite Notice