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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 .r - 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): � 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: � W a o �'' �.' A � R � � ���-^'�` �S � 'i� S � � � �QSS' 0 � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED r7 ISSUE CERTIFICATE OF OCCUPANCY W � 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