HomeMy WebLinkAbout2011-01444 - windows CITY OF ORONO PERMIT NO.: 2011-01444
' 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 1U2U2011
952 249-4600 FAX: 952 249-4616
ADDRESS : ]025 HER[TAGE LA
P[N : 10-117-23-13-0008
LEGAL DESC : FOXHILL
: LOT 002 BLOCK 002
PERMIT TYPE : M[NOR ALTERAT[ONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 12,300.00
NOTE: REPLACE WINDOWS AND DOORS
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APPLICANT
PERMIT FEE SCHEDULE 236.00
BOYER BUILDING CORPORATION STATE SURCHARGE(VALUATION) 6.15
3435 COUNTY ROAD 101
MINNETONKA, MN 55345 TOTAL 242.15
(612)475-2097
Minnesota State License#:2988
OWNER
BYRNES, STEPHEN& PAMELA
1025 HERITAGE LA
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 [he
State Building Code. This permit is for only the work described anJ 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 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 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 Building Code.This permit may be
revoked at any time for due cause.
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Applicant Pe � ee Signature Date [ssued t3y Sig re
SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABO .
Cify of Orono
� �Building Permit Appiicafion for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number. U �— �
�,0,�.� PO Box 66
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Crystal Bay, MN 55323-0066 Date received: ��"�����
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� �a , ��'� ,�:"� s, '� Street Address: Received by:
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\�.�n '',��, �,� 2750 Kelley Parkway Plan review fee: �
ly fP�g� Orono, MN 55356 �
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Total Fee: �? (��� �
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: iZ$' ��' �-�c. L.G�N-�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
If yes,a specia/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-permitted events will nof be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: 3O�2� �Q U�\.C.l�►v�, CU v'�
State License# ���0�c�,� Expiration Date: r�l,aw�• ZOIL
Lead Certification Number: N A,,�-_ (� �O 1`j --� Expiration Date:
(for work on homes thaf were construcfed prior to 1978
Phone: �SZ�Y�S— ?.097 (office) (cell)
Mailing Address: G�.. �d � City: �� ZIP:
Contact Person: �-�� y.e,� Cv� Applicant is: ntractor / Homeowner (Circle One)
Email and/or Fax: T� p /�, ��
PROPERTY OWNER INFORMATION:
Name: ST�.Vi�.., d-- Phw+. FS`iK-/��S
Phone (day): �� .- Zpp_ tC,,�p _ Ph►^n
Address: �p�,�- �,Cr�.�.�� �� City: orur,co ZIP: �3� �
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
�Window(s) www.minnehahacreek.orq
Overall Project Description: �MDUc Otl� W1KJ�,Loc� -�►� c,Q,bo� Qtr�lfr,c.� �,�, �-h M¢,u,)
Estimated Construction Valuation of Project(excluding land) $ � ���
APPLICANT ACKNOWLEDGEMENT:
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• Agrees to provide all information required or requested by the Building Department; I
• 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 generalty cannot be given to either the pubiic 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 iaw. If ou refuse to su I the information,the a lication ma not be issued.
ApplicanYs Signature: � Qate: l`�.5 /�/
Last Updated: 08-Q9-2011
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I OF ORONO � �LLED IN �tF �-- l Z
INSPECTION NOTICE / L���SCHEDULED '; (�;
PERMIT NO. �'���I( � l.�� ' � / COMPLETED
ADDRESS � �Z�7 f--(��/ f C(C�� �. �
OWNER TELEPHONE NO�% �� -�`�i —� I I
CONTRACTOR �� ' �� �S
�; DESCRIPTION Ct�G�
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 FINA ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES NO
� COMMENTS:
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CAIL INSPECTOR r' CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection 24 hours in advance. �952� 249-46QQ
OwnerlContractor on s' e:
Inspector. � ��S
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME �
CITY OF ORONO CALLED IN ��'��
INSPECTION�IQT E SCHEDULED °1-��'��
PERMIT NO.oIG COMPLETED
ADDRESS / z5
OWNER —TELEPHONE NO. /�2 `��5 2�� 7
CONTRACTOR ���� �`��'�Y
�: DESCRIPTION �/�/��� � CL�TJY'�
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� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SIAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP OPDEfi POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cali for the next inspection 2a hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice