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Home My WebLink About2015-00767 - windows CITY OF ORONO * Z pJ 1 5 - 0 0 7 6 7 * . � 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2015 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 345 LEAF ST P[N : OS-117-23-14-0003 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 1,000.00 NOTE: 5 WINDOWS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 43.30 MATTSON SCHOSTER LLC STATE SURCHARGE(VALUATION) 0.50 332 2ND STREET TOTAL 43.80 EXCELSIOR,MN 55331- Payment(s) (612)751-0488 CHECK 7937 43.80 Minnesota State License#: BUIL-BC663107 OWNER AMPLATZ,CAROL[NE 345 LEAF ST 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 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 goveming 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 aze requested in conformance with the State Building Code.This permit may be revoke t iy ti or e cause. � J � / / Applicant Permi ee Signature Date Issued By Signature Date City of Orono E?uila�ng Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) O�T Mailing Address: Permit number. � � � '" �p7 � 1 y PO Box 66 ��` ��> � Crystal Bay, MN 55323-0066 Date received: 4' �.� � c. , Street Address: Received by: y � F G� 2750 Kelley Parkway Plan review fee: ''� t �, Orono, MN 55356 -�, �K6SH�� i J� r Total Fee: �--T ��.,,' 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: ,�j 7 5� <=-�/--' ,':-` '�.' �. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se ice �ll be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �� ..�1 � �:,<�' r�/C L State License# �� 7 Expiration Date: Lead Certification Number: n/`� - �a, S �C� - Expiration Date: a� (for work on homes thaf w re constructed prior�0 1978 ,- �, Phone: cell � �'� ' ( ) ��-��'"�.yc'j ir (office) ��c�- �.a�� u � C �. Mailing Address: �� „r-��y p S"'��' , Cit : ZIP: ."�w��:;T C'�/J'i ,� ��: ` .� Contact Person: b f'0 Applicant i . Contrac � / Homeowner (Circle One) Email and/or Fax: _ T ;, .'lL-�� .� 0 ' �Y'"Y1(� r�/L. �'��"�� l �--_ PROPERTY OWNER.�INFORMATION: ,1 Name: � , .�<�:"., ��,�.✓�;:_ ��/ri"li''��' �"�L__. Phone (day): / Address: 5 ��"� City: �,��'Q'�1S ZIP: >�� Email and/or Fax: �� lA�7U :n��. ,�-�yl/,J�,�}�.2 , (�a?'y.� PROJECT INFORMATION: Overall project description: r� ' � "1 " '��. t•L. � 1 l � �� d�°� �r G 7t-r�-�'� Type of Project: Any earth movement may also req ire � ❑ 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 info m 'o 's ar�ally update ur records and records of other governmental agencies required by law. If ou refuse to su I t i orm ' � e issued. ApplicanYs Signature_;'� � �� C�� w-- Date: Owner's Signature: Date: Last Updated:January 2015 /� DATE TIME / CITY OF ORONO�� -6�S`� CALLED IN �� INSPECTION NOTICE SCHEDULED PERMIT NO. o?aCS'Cn�? COMPLETED �'-'dl' �7 ADDRESS -3`fs <c4-� S�, OWNER TELEPHONE NO. rn.��.c s o .�� CONTRACTOR �� c �� s2lrr� �`. DESCRIPTION w��/�� 't ��r 2Q��• � 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FINAL ❑ WATER HOOK-UP FOLLOW-UP W ❑ S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ F UNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICOIdTtiACTOR TO MEET YiOU:_YES_NO h COMMENTS: /�r..t:C �d/d�� "Q•l� �'d G� �l �o�' t W ' � '�.�l�G �r� cs�R,' � n� o.�,� � ,.tii. - 0 o?p�S'" 60 - kJ�c Odd /t -- F ` 4 l( � , 1 , � �GH G�� W/F-/40cJS /1GX-� i0 �� ¢ S�ZG�� .S� �F !i�, GJ�. � � - -fc B�'G� /GSS Qt0 v i iJ'G� ` O�' KG'o r+1- �,�t c_ - �•••`t �i' l� � «' �'�� ' �.� /� /. ^ , oQ G �.�ro� Z `�� -n � lr�� 4-�� A �.� �YN G✓�/ � ln, � �pG�,S fi �n� D /1 — //f �'Q yN �i6�� — �iri��t � irf'`/e � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLEfE W ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O D CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdNERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CAIL TO ARRANGE ACCESS. Cail tor the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector: ►�-� Whits Copyllnspector's Ffle Canary CopylSib Notice