HomeMy WebLinkAbout2009-00298 - window/door replacement � CITY OF ORONO PERMIT NO.: 2009-00298
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUEn: 06/29/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2565 DUNWOODY AVE
PIN : 20-117-23-21-0031
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 000 BLOCK 008
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 240,000.00
NOTE: WINDOW AND DOOR REPLACEMENT
MASTER BATHROOM REMODEL
SEPERATE PERMITS REQUIRED: PLUMBING,M�CHANICAL,AND ELECTRICAL(STATE)
APPLICANT PERMIT FEE SCHEDULE 1,896.75
CHOICE WOOD COMPANY PLAN REVIEW 1,232.89
3300 GORHAM
ST. LOUIS PARK,MN 55426 STATE SURCHARGE(VALUATION) 120.00
(612)924-0043 TOTAL 3,249.64
Minnesota State License#: 1532
OWIVER
WELLS, ELLEN
2565 DUNWOODY AVE
P.O. BOX 351
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 separa[e
permits. All provisions of laws and ordinances governing 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 per d of 180 days at any time after work has commenced.
The applica is res nsible for as ring all required inspections are
requested confor ance with t tate Building Code.This permit may be
revoke at any ti for d a
lol� l � � lPl l�
App ' Per ee S�gna ure Date Iss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
_
d«,���:,, i�,drd
�
Doug Hudson
� Project Manager
dough@choicecompanies.com
E Cell 952.237.7357
t `
�-, Te1.952.924.0043 Fax.952.924.0269 LIc.1532
www.cholcecompanies.com
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- City of Orono
A Building Permit Appiication for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: .�G���– DU ` �' �
�,�,� PO Box 66
� O � Q\` Crystal Bay, MN 55323-0066 Date received: 09 G' "
I �� ��
� � � �e,.� a, �' Street Address: Received by:
,�"�t � �'�"� ��/� 2750 Kelley Parkway 0` Plan review f :
9�i�og,rv Orono, MN 55356 � �`b b
ESH� � �,
— Total Fee:�� a �
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: ��� �`7 �L%j �Vz� � - � '
Will this be a Parade of Homes, Remodelers Showca e Home or other Display Home? ❑ Yes � ,No
/f yes. a specral 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 available. Non-permitfed events will not be allowed.
CONTRACTOR/APPLIClj�NT,INFORMATION:
Name: /t,� e C�Z. r/'�✓ � �' , ����
State License# � Expiration Date: �' 3/:'�-o,iO
Phone: � � ;. D� office) �Z �,� j �y cell
Mailing Address: ''' '' L?D ��-- /� , Cit ;�` �'� ZIP: _ ��� � �
Contact Person: �>� �� � Applicant is: �Contractor / Homeowner ,c���ieone�
Email and/or Fax: �; ` �Z �
PROPERTY OWNER INFORMATION:
Name: � 'C�E,P'�l L-�f�/�L��S
Phone (day): �jz-., U - l
Address: ��a�o-j L c.���i,U�lj j�r•(�y�� City:���r�.T'� ZI P: '-�� r'�/
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may re;quire
MCWD review 8�permits
�Door(s) �Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
�Window(s) � ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvci
Deephaven, MN 55391
❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage www.minnehah re .arg j
Overall Project Description:��,' ; J'� • l� � �� -U' i "L. /' � ,Q(
Estimated Construction Valuation of Project(excluding and) $.���' ���
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 rec;ognizes 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 cann�t be given to either the public or the subject of the data. Our
purpose and intended use of this information is to annua y �ipdate our records and records of other governmental agencies
, re uired b law. If ou refu o u I the inform io ,th a lication ma not be issued.
,Applicant's Signature: `� Date: � � (�
%
L2s!Update�: 05-0�-200°
� . ,
CHECIi OFF LIST FOR ISSU.4_NCE OF PERMITS
FOR OFFICE' US£ ONL�'
ADDRESS OR LEG_AL: Z�65' �N w o�
PID:
DESCRIPTIO?� OF GT�ORIi: �y►�v p�L
ZO.NING REi�IEGi�"BF: �� DATEAPPROI'ED:
BUILDI.NG RE!'IET�T'B�': DATEAPPR06'ED.� 6•4 le•oq
FEES TO BE CFZ4RGED: Misc_ Fees Calculated By: �~ �
PERMIT �"es �/' No
PL.glv REVIEu" 1'es �/' No SEYT'ER CONNECTION
STATE�SURCHARGE �'es ✓ No NATER CO?VNECTION
INT ESTIG�I TIOl�'FEE �"es No � FARIY FEE
SAC Z-es No ✓ SITEINSPECTIO�%
Ivzamber o`S�IC Units 07'HER (spec�)
ZONING CHECli LIST Zonino Disu�ict: /�o C/.y, � ���~ �� ~� ^
Fire Deparnnent: Post Ofiice: School Disn�ict:
Lot Area: Sq.ft. Acres GPidlh Deptn
Su�veySubmitted: I'es No Date afSurvey:
P�roposed Setbacks:
Front(Lake): Right Si 'e:
Rear(Su�eet) Lef Side:
.9ajacen[Sn•uctin-es: N'e and:
Builaing Height: Def Hgt p�a�Hg�
Lol Coverage:
Gradiisb Sta�,4pproval Dat�: Bv: CouncilApproval Date:
Septic: Stafj`�ipprovai Dace: B�
Zor:ing File � Resolutio�r r R�solutiora Date: ��??
Shoreland District: A1CN"L�Permi,
Avd. Serbach: Eli�Setoacl; �, Lor�over-a�e:
::zisting Froposed
Hardcove,-: 0_-?'
'"�-'�0' ��
��C-�00'
.i 00-1 D00'
Hard;oi�er f"ariarzce Required: I��s No Date ofCozm�il.9pprot�al:
RENL4RIiS('i�t Izouse):
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B UILDING RETlIEN'CHECS LIST
UBC: (Z CO�'STRUCTIDI�`TYPE: �l
Sg Footage �Per Sq Fto
Basement x =
1 sr Floor s =
�nd Floor x =
Ga�-age z =
s =
TOTAL
Estimated Construcrion [%alue: ,fi Z�{O�OC�O ��
Inspections Required: W'ork Requirir:e Separ�zte Permits:
Site �Pl'umding rire
- Hardcover Remova/ _�Mechanical N'ater Connection
Footing Septic Sewer Connection
. �_Framing Fireplace Lawn Irrigaiion
'"'� _�Insulation (Masonry) Other
Yt'all Boa�-d (Mjg.) YT'ell(State Permit�
� Final Grading/Filling �Electrica!(State Permit)
Otner
RE1t2ARKS(IN HO USE): �
� RET�7EYT'B�"OTHERS: � DATE:
.4ccess: E,iistino A%e�v
Access Approval: Date Br
RE112ARIiS (7'O BE 1VOTED Ol�'PERMIT):
� DATE TIME �/
CITY OF ORONO CALLED IN �_
INSPECTION NOTICE SCHEDULED �7-�2 "�D �
PERMIT NO.a.��� QG��� COMPLETED
ADDRESS aS�oS �D �1J�
OWNER TELE ONE NO. 95z �� 731�
CONTRACTOR ��� ���— �
>; DESCRIPTION ��""'�
�
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
h
O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOH TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED r7 ISSUE CERTIFICATE OF OCCUPANCY
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� CJ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITION WiTHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. L� /� � �'
White Copyllnspector's File Canary CopylSite Notice