The URL can be used to link to this page

Home My WebLink About2017-00337 - windows � CITY OF ORONO * z 0 1 7 — 0 0 3 � 7 * 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 110 LEAF ST PIN : 04-117-23-22-0005 LEGAL DESC : REG. LAND SURVEY NO.0744 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACT[VITY : O/S BUILDING-iJNDEFINED VALUATiON : $ 3,000.00 NO"rE: REPLACF,3 WINDOWS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 92.89 STATE SURCHARGE(VALUATION) 1.50 CONTRACTORS INC TOTAL 94.39 2160 W WAYZATA BLVD#6 LONG LAKE,MN 55356- Payment(s) (763)213-2850 CHECK 5686 9439 Minnesota State License#: BUIL-BC639265 OWNER GRONBERG,MR.& MRS. MARK 1 10 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 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 I 80 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 du e. /) , � � �%'i // �� C`;�� _c / :�r� -/�` -�_ �f i %�� i � �-� Applica ermit e Signature ate [ssued By Signature Date . � �� O� ��'��1� ��x��c�ir�g Permit �4pplicatiae� for NBaantenance / Replacement / RemodeE — 12esidenti�6 OI�LV �i.�. �E�a��, �c��, �G�!��, ��-��; �� '�� T��"�k�e�P �:_��',�,6�SIQF�) �� ` ` MailingAddress: Permit number. �� - , ; � `7 1�l� PO Box 66 ` Crystal Bay, MN 55323-0066 Date received: �— �� - '7 � � Street Address: Received by: ti�, � 2750 Kelley Parkway Plan review fee: �---- L Orono, MN 55356 t�k�SH�� Total Fee: �/ / �� Main: 952-249-4600 Fax: 952-249-4616 �v��,-�.�-c;i.orono.mn.us '7 This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENER�►L INFORMATION: Job Site Address: ��Q �p�,��' 1lVill this be a Parade of Homes, Remodelers Shovvcase Home or other Display Home? ❑Yes f�o If yes, a special event permit is required with Police Deparfinent and City Council approval 60 days prior to the event. Shuttle bus rv� e will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/APP ICANT INFORMATIOfV: Name: n��,r� f ,,�G State License # ��G��,S Expiration Date: 0 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) � �d (office) Mailing Address: G � �v City: d ZIP: s' Contact Person: � � Applicant is: on r / Homeowner (Circle One) Email and/or Fax: .�,� nc '/ PROPERTY OWNER INFOR�ATION: Name: ,,� r�.� i, f Phone (day): � Z� Z Address: � City:G�. ZIP: S� � Email and/or Fax: G.�,� PROJECT INFORMATION: Overall project description: 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) ❑ Re-roof,cedar 15320 Minnetonka Blvd ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding 3 ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Window(s) wv�nu.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 ur records and records of other governmental agencies required by law. If ou refuse to su I the in ion, the a on ma not be issued. ApplicanYs Si . Date: /� � Owner's Signature: Date: Last Updated:January 2016 �i / � �I � �� DATE TIME CITY OF ORONO c,�►LLED IN INSPECTION NOTICE r �HEDULED 7 PERMIT NO. ��I' �,` ��'COMPLETED 7 7 R� � OWNER ? �� `l-`� �'�TELEPHON._ NO.r��r'�J _`�"ZI� -��C' �v��tJ CONTRACTOR �� r , � DESCRIPTION /—/�'��- / -� W ❑ FOOTINCa -FINAL ❑ SEP�C FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN� �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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP k1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC IN ALL ` ? dWNERICOKTRACTOR TO MEET 1fOU:_YES�NO,; ��/ y COMMENT'� � , i j `'J. W • 4 � �' � � '/ � � ��'r 0 � �- t�.��'lr c.J f e,p(. - ` S'��f�C� �5�z_� �- � c�L rei � i� �X� • _ 5��t� 00 K s5 - � _... • - n Q rQx�i�c� ✓ 5 �/''�=- S�•zl�iC � 2 � �cla r d�. �lt�_ W j /l a �r�-�'� ls_rB Q �-v��`i� � ❑NIORK SATISFACTORY`.PFiOCEED �ECT COMPLETE W ❑OORRECT WORK 8 PROCEED O E CEfiTIFlCl1TE OF OCaJPY1NCY 0 ❑CORRECT W'ORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERINO PERMANENT ❑CORRECTUNSAFECONDITIONWRHIN HWRS. p pF{pTOTAKEN INSPECTOR Wlill RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(iE ACCESS. CsN 1or the next inspection 24 hours in advance. (952) 249-4600 OwnerlContrector on site: !�d nr�- Inspector. ��_ - Whtb CopyMspectors FIN C�nary Cop�If81b Nofia