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Home My WebLink About2015-00850 - windows t , CITY OF ORONO * Z 0 1 5 - 0 0 8 5 0 * 2750 KELLEY PARKWAY DATE ISSUED: 07/08/2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1015 LINDEN LA PIN : 07-117-23-13-0093 LEGAL DESC : LINDEN BEACH : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 2,473.00 NOTE: (1)WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 92.93 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 1.24 10751 EXCELSIOR BLVD TOTAL 9417 HOPKINS,MN 55343 Payment(s) (952)277-1600 CREDIT CARD 9036 94.17 Minnesota State License#: BUIL-BC239369 OWNER CARLSON,THORA ERICKSMOEN&SAPA MARY 1015 LINDEN LA MOiJND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permi[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 dces not grant permission for additional or related work which requires sepazate 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. 1'he 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. � � �/I�t.��c.�.c_.�. O -�C�—�St7 �i 9 � /S Applicant Permitee Signature Date Issued ignature Date < `• City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, efic. — NO STRUCTURAL EXPANSION} ,�O�} MaiNP Box 66. Permit numbeT� �1�!S–��;e� 'VQ -`< - ;: Crystal Bay,MN 55323-0066 Date received.. 7-�_:f..s Streef Address: Received by, –"�'.�*��-� y ; i -- �, G�� 2750 Kelley Parkway Plan reXiesN fee: - l�'YESH04�' Orono,MN 55356 -_ - Total Fee."- `�c�. �, ; Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us _":_ _.. �___ � ..i,, This application form must be completed in fuil and all required information must be submitted. Incomplete applications will be returned. (Please prinf) GENERAL INFORMATION: � / Job Site Address: /0�5 L�!�de�� C,.�/'j� Will this be a Parade of Homes, Remodelers Showcase Home or other Dispiay Home? Yes No If yes,e speclal event permlt Is required with Pollce Department and Clty Councll approval 60 days prfor to the event. Shultle bus service will be required unless applicent demonstretes sulilclent on-site parking is avalla6le. Non�ennitted events will not be allowed. CONTRACTOR/APPLICANT INFOR TION: Name: ��/I�V'�-1� Y�0$. '�.U.N'�(p�l� State License# gG �39 369 Expiration Date: 3 3/ lb Lead Certification Number: ��(p�0 �� Expiration Date: �p� (for work on homes that were construcfed prlor to 1978 Phone: (cell) ,�j' � �— �$ (o�ice) Mailing Address: ,e($�..p r^ �/ City: / ZIP: Contact Person: h Applicant is: ontrac o Homeowner �cir�i.o�.� Email and/or Fax: G Y,,�, P,k�ir OS. �.0 PROPERTY OWNER INFORMATI Name: �a�a �.Y�SOVI Phone(day): �a, • O,(�- O,�a Address: /D�$ lyd,cn �f�.� City: (��O ZIP: �j 3(v� Email and/or Fax: � PROJECT INFORMATION: Overall ro'ect descri tion: Type of Project: Any earth movement may also require ❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permits: ❑Re-roof,asphalt ❑Repair ❑Stom�►Damage Minnehaha Creek Watershed District(MCWD) ❑Re-roof,cedar 18202 Minnetonka Blvd ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,other(specity) ❑Siding ❑pther($pecify� Phone: 952-471-0590 Fax: 952-471-0682 �Nindow(s) � �.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all informallon required or requested by the Building Department; • Certifies that the information supplied is tnae and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete appiication being aware that upon failure to do so,the staff has no alternative but to rejed 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 conBdential. Private data is information which generaliy 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 lntended use of this information is to annually update our records and records of other govemmental agencies required by law. If ou refuse to su I th information the a licatiort�ma not be issued. Applicant's Signature: Date: �O Owner's Signature: Date: Last Updated:January 2015 DATE TIME CITY OF ORONO cnLLED IN INSPECTION N�O`TICE SCHEDULED PERMIT NO. �J�� `�0 COMPLETED eZ�a�-�7 ADDRESS f b!5 G��r�oe•t �a . OWNER TELEPHONE NO. CONTRACTOR s Gif�+-ar ,��as . � DESCRIPTION w�M� �a� tN ❑ 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 Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q�FjNAL ❑ WATER HOOK-UP �OLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z OMfN�fRRACTOR TO MEET YCU:_YE8_NO � COMMENT'� /��M-C �'IdloDe � �.�c� � c�/� �' 4 � �n�G ��s�e��. — 121� G�� +� � o - 6iG.f'.iK� 6 r2.e�.F .5'L�� h e,rrs�e•{r �O�- � WQt �C (�1.� 0 W � Q � W � � � � DerfK- `i �rla�� ❑WORK SATISFACTORY:PROCEED �ECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑.ISSUE CERTiFlC/1TE OF OCa1PM�NCY O ❑OORRECT WORlC,CALL FOR REINSPECTION TEMPOFtARY V BEFORE CdVERIN(i pER1iAANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRAN(3E A(:CESS. CaY tor the next h�spection 24 hours in advanoe. (952) 249-4600 OwnerlContractor on site: Inspector: White CopyAnspector's FII� Can�ry Copyl8lb Nodes