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HomeMy WebLinkAbout2016-00131 - windows , � CITY OF ORONO * 2 0 1 6 - 0 PJ 1 3 1 * � 2750 KELLEY PARKWAY DATE ISSUED: 02/10/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1220 LAKEVIEW AVE PIN : 10-117-23-24-0019 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : W�j�]DOWS =�I� C�I��j � ��-r ac-�-����,�-c1 VALUATIOI�T : $ 35,000.00 NOTE: ADDING A NEW WINDOW&REPLACING WINDOWS&DOORS APPLICANT PERMIT FEE SCHEDULE 546.57 STATE SURCHARGE(VALUATION) 17.50 SCHNOOR,MR.&MRS. DOUGLAS TOTAL 564.07 1220 LAKEVIEW AVE Payment(s) WAYZATA, MN 55391 CREDIT CARD 8385 564.07 OWNER SCHNOOR,MR.&MRS. DOUGLAS 1220 LAKEVIEW AVE 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 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 l80 days at any time afrer 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. 1 i - � jlG' . ��`s i �� ��� 'l��'t,�`� w '� v� ��� ��'� �� � � 1 � � j �' � Ap licant Permitee�5ignature Date Issued By Signature Date r � City of Orono Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �'��"'~ Mailing Address: L, (� \ Permit number: � ��-•� ,; PO Box 66 ,�� ' � �� \� Crysta! Bay, MN 55323-0066 Date received: - �L � �� '` „ 1 Street Address: Received by: _ ��`y �! 2750 Kelley Parkway Plan review fee: ' ���� , �,/ Orono, MN 55356 \`�tF'�iio�" Total Fee: <= ' / �-'� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us J� �` This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: ` �- ti' - � , �,� ��' �, � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes, a special event permit is required with Police Department and City Council approva/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 not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � �-� _ � �:�(_� '' �� ����� r ������.. � c����o�,,, State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were consfructed prior to 1978 Phone: ��{tj C, � ��, �; - � � office � c � r � ` � �� � 1 �� /5 ��\ ( ) "l,� �- �� /�1 - (r Mailin Address: % � � � 9 l � � L� �a f�F �; ,�- „J )-k J z CitY: l,r c v � �� zIP: � 5"3�'r Contact Person: f���f,�,,,�� ��}����. r Applicant is: Contracto / omeowner-� (Circle One) Email and/or Fax: ( ; � � j <, e � r� � � � C�1' ir���. . �C_�\n(`C�r' �� � L'(� i.SII-vtL�iyi� � PROPERTY OWNEI�jNFORMATION: �, Name: 1�r,�.�� I c� � `�+� ��'n �� ,�c— � c� ��r�o n ;,- Phone (day): �l_S.� -���,3- L� S� � �/-�� �1 S�- S/� �-!���3 S- w� Address: /�� ;� C:� Lci k n �;���w � v'� City: l.c��, ���,_ �c- ZIP: S S `��i / Email and/or Fax: ,'�„- .� ;�.,- � S �l��r�n� n �;c°� r � i �. r;r� r t �; . c n rti PROJECT INFORMATION: Overall pro�ect description: �--<- /� � ' � Sf//�`� ���ij, Type of Project: Any earth movement may also require � [�Door(s) �Remodel ❑ Fire Damage MCWD review&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 Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ �.;, (�;��� 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 the information,the a lication ma not be issued. Applicant's Signature: Date: � ��� ��� Owner's Signature: Date: � `U -/�o Last Updated�January 2016 / � � � V r�l ( ✓ DATE TIME� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED �!� �-` �_� PERMIT NO. 7 r^f k'�'�'�'C- ��� COMPLETED ADDRESS � Z��-�' � C�lC.� �' i f�..�: -{-�v�. OWNER ��r��,�i.("4�TELEPHONE NO. C�S�- �{�r�/c� CONTRACTOR � , , -� ,,,� . � DESCRIPTION I F�'I L l.l� �-�r I `� � '._ V � W ❑ FOOTING ❑ DEMO-FINAL �^ ❑ SEPTIC INAL Q ❑ POURED WALL ❑ PLUMBING RI � �L/� ❑ EXCAV/GRADING/FILLING O ❑ FOUNDA ION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z. ❑ RADO SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FR ING ❑ MECHANICAL FINAL ❑ RATED WALLS � I ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL - I�E PTIC INSTALL OWNERICONTRYICTOR TO MEET YOU: YES_NO � MENTS: ��z �,✓�'�2 �.c tt,�l.� !�//n'1� �_ W a � J � O �.. � � O � W � Q � 2 W � W � J d W RKSATISFACTORY:PROCEED ROJECTCOMPLEfE � RRECT VYORK 8 PROCEED ❑ I E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERiNG PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED_CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho in adv n . (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice