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HomeMy WebLinkAbout2017-00190 (Windows) CITY OF ORONO * 2 0 1 7 - 0 0 1 9 0 * _ , 2750 KELLEY PARKWAY DATE ISSUED: 03/OU2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2240 ABINGDON WAY PIN : 03-117-23-23-0009 LEGAL DESC : ABINGDON GLEN : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 14,595.89 NOTE: REPLACE(6)WINDOWS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 278.77 STATE SURCHARGE(VALUATION) 730 EAGLE WINDOWS TOTAL 286.07 19300 LINDEN DRIVE Payment(s) ROGERS,MN 55374- CHECK 15376 286.07 (763)42&2883 Minnesota State License#:BUIL-BC638754 OWNER MUELLER,JOHN&KIMBERLY 2240 ABINGDON WAY LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 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 da[e 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. - � � �/ / // Applicant rmitee Sign ure Date Issued By i ature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY r ' (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number. __ �� / "�'� '�/ � O PO Box 66 Crystal Bay, MN 55323-0066 Date received: > "j J� � Sfreet Address: Received by: � � 2750 Kelley Parkway Plan review fee: `� �' Orono, MN 55356 �� qKFSHo Total Fee: � (� � � ; (l� � 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: „ � '� ��� ��3.S1l�° Will this be a Parade of Homes, Remodeler Showcase ome other Display Home? ❑ Yes No If yes, a special event permit is required with Police epartment and ity Council approval 60 days prior to the event. Shuttle bus s rvice will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted evenfs will not be allowed. CONTRACTOR/APPLICANT INFOR ATION: n , n. Name: � �- � State License# , '7� Expiration Date: '�-�' Lead Certification Number: `�I`7 ���� - Z, Expiration Date: ,2-Z (for work on homes that were constructed�ior to 1978 Phone: (cell) �, °` , ��i'7 � `�'��1�� (office) 7, - � �� Mailing Address: jy� �j,� . �,� City: - �5 Z�P: S5 5 7 Contact Person: ' � '1 . Applicant is: ontra r / Homeowner (Circ e One) Email and/or Fax: � � � PROPERTY OWNER INFORMATIO •, Name: Phone (day): - � � Address: " � + ; " City:�,��' ���, ZIP: ,j� Email and/or Fax: , PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 N� k%.'J'/�.�v✓`� Window(s) �'/�.� �U� j��� Fax: 952-471-0682 www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ r 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 purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I �- formation,t e a lication ma not - issued. , �,... � _ �, _�r-�" _ '-' � % ApplicanYs Signatur�: �����dy Date: � ' � � Owner's Signature: Date: Last Updated:January 2016 1.���� `��'� DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � _��� PERMITNO. %�:.�;( �] 'C.'C�'���G� connP�ErEo d�� ADDRESS -y � �'� ;i Y1���� �`�'� l ��:�'e.�-( OWNER TELEPHONE NO. ��Lf �� Ku � CONTRACTOR ��'��'� Li ���Y Y���t�� � - � r____ • � DESCRIPTION �,�..� �1�i` t-L% �}-- j �"1� � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION i ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _� ❑ AS BUILT-SURVEY ❑ S ER HOOK-UP ❑ FOUNDATION/REMOVAL /�SITE ❑I PTIC INSTALL 2 I, OWNERK�NITRACTOR TO MEEi YOU YES_NO y COMMENTS: � � ��;� �%Z l t i� �' � �LI I �� � � � �� a� W � � 0 1il/I�l�x� ✓��i°�• " `�iyl� �v�Z e � 5�vl � �vb �iS���C� D�� � — Gt.F�►X G►�"iG�r✓__ S'��/ � s. �- ,l�/'Od�t9�11 " e W — ��''U v�'�e. C�U �Qe�e'r�o✓.S (.J��li�rc� � � � Q r L n 2 D r L�i,,vt s , � � �G/+i1P G�cc,.t c✓ GJ�6! �r� w - � G p r ✓'¢�r- eE na,� -��.2�/� � � ❑WORK SATISFACTORY:PROCEED C�OJECT COMPLETE W�C�RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT VYORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE C01/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: ���� l/ �- {: .ty <.y.,:--.�•'►.. Inspector. Whits Copyllnapector's File Canary CopylSite Notice