The URL can be used to link to this page

Home My WebLink About2010-00909 - windows � � � CITY OF ORONO PERMIT NO.: 2oio-oo909 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/28/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 509 FERNDALE RD N PIN : 36-118-23-13-0011 LEGAL DESC : FAIRWAY VIEW : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILD[NG - UNDEFINED VALUAT[ON : $ 8,502.17 NOTE: REPLACE(4)WINDOWS APPLICANT PERMIT FEE SCHEDULE 177.00 SCHERER WINDOW& DOOR CONSULTANTS STATE SURCHARGE(VALUATION) 5.00 ]0751 EXCELSIOR BLVD. HOPKINS, MN 55343 MAIL-IN FEE 2.00 (952)277-1635 TOTAL 184.00 Minnesota State License#: 20239369 PAID WITH CC# 3989 OWNER SUTTON,GEORGE& KATHY 509 FERNDALE RD N WAYZATA, MN 55391 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 Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.'1'his permit will expire and become null and void if wnstruction authorized is not commenced within 180 days of the date of issuance,or if construc[ion 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 the State[3uildi��g Code.This pemtit may be revoked at any time for due ca se. ��;�L�u.�c�� 9��Y /o g, � o Applicant Permitce Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Sep, 27. 2010 2 : 04PM No, 6029 P. 1 w . .. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Pe�mit number: �—da � O4v D,j�jO PO Box 66 Crystal Bay, MN 55323-0066 Date received: � � a St�et Addiess: Rec2ived by: . ' �,�' 2750 Kelley Parkway Pla�revfew fee: ��g�o8�' Orono, MN 55356 �/ Total Fee� yw� ) �+ �� Main: 952-249�600 Fax: 95Z-249�616 www,ci.orono.mn,us / Q This appfication form must be completed in full and all required information must ba submitted, Incornplete applicetions wlll be retumed, (Please pnnt) GENERAL INFORMATION,;.,.. � Job Site Address: � � � �rZ.� � � � 0 2-f- Will this be a Parade of Homes, Remodelers Shvwcase Home or other Display Home? Yes !f yes,a special event permit is required with Police Department and City Council epprova/60 days pnorto ths avenf. Shuttle buS service wlll be required unless appllcent demonstrates sufflcient on-slt�pailcing is availab/a, Non-permi8ed eve�ts wilf not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name� 5 v,r v�a State License# �p�.,3 g�3� q Expiration D�te: p Phone: �'�a-1 - /�O O ��office cell Mailing Address: c�� E 'e ( Cit : o l-(�h S ZIP� S 3 C/ Contact Person: �� ..ic�v„c l�; Applicant is: ontra 1 Homeowner �ctrcle one) Email artd/or Fax; 4j R � ,g�� • ,,� S�h,er�.ec� b c��; � � e „� r ,— PROPEE�TY OWNER�.�I FORMATION: Name; Cp�� .� � m Phone (day): _ �0 1 �.=�� e�.- 5 � o� Address: � o � �= e;�� _ �� (� � /V,.� CitY: � �,..� � ZIP: c�3 c�� Email and/or Fax PROJECT INFORMATION: Type of ProJect: Any earth movement may requlre MCWD review�pertnits ❑Door(s) ❑ Remodel ❑Water Damage �Window(s) ❑ Repair Minnehaha Creek Wstershed District(MCWD) ❑Storm pamage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Siding ❑ Restoration ❑Other. (specify) Phone� 952-471-0590 ❑Re-roof [� Flre Dama e Fax: 952-j{71-0682 www.min�ehahacreek om Overall ProJect Descriptlon, �. � c�� _��+J�s Estlmated Construction Valuatlon of Project(excluding fand� $ �� °�I � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the infoRnation supplied is true and carrect to the best of his/her knowledge. Tha applieant recognizes that they are solely responsible For submiiting a complete application being aware that upon faiture to do so, the staff has no alternativg but to reject it until it is complete; • Some or all of the information that you are asked to provide on this appfication is classified by State Iaw as eifher private or con�dential. Private data is informafion which generally cannot be glven 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 end records of other governmental agencies re uired b law. If ou refuse to su I the information the a lication ma not be issued, Applicant's Signature: G--�� Date: � M a ( � � � Last Updated: 05-04-2009 � �;�� ATE TIME . / �`" I:ITY OF ORONO CALLED IN • � INSPECTION N TICE SCHEDULED ( CT PERMIT NO. ��U WC��JCj COMPLETED ADDRESS C�.�� f- �`f� /"��'f�k' C.0 �C� i�I OWNER TELEPHONE NO. ��a _�' �� CONTRACTOR E�1'lT�''7Y� - � � >; DESCRIPTION �,� � t ��C i(`�._1 l 1; � /��i� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W 0. � �� i.'-�� l ti (� i l, 1� �c.,�r�+�i o �- a � ��;�`� s;�t i..�.�. �, �-� �� ,rs�a -- ��a� o ' � w � Q � z W � W � j d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on sitet Inspector_ i.�� ( White Copyllnspector's File Canary CopylSite Notice