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HomeMy WebLinkAbout2012-00993 - windows CITY OF ORONO * z 0 1 2 - 0 0 9 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 10/OS/2012 t + ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2850 LITTLE ORCHARD WAY PIN : 09-117-23-21-0007 LEGAL DESC : LITTLE ORCHARD : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 10,000.00 NOTE: REPLACE BAY WINDOW,REPAIR ROOF OVER WINDOW&RAISE GARAGE DOOR HEADER. ALL WORK APPROVED BY LYLE, WITHOUT DRAWINGS. APPLICANT PERMIT FEE SCHEDULE 191.75 SWENSON,JAY 2850 L[TTLE ORCHARD WAY STATE SURCHARGE(VALUATION) 5.00 WAYZATA, MN 55391- TOTAL 196.75 OWNER SWENSON,JAY 2850 LITTLE ORCHARD WAY WAYZATA, MN 55391- AGREEMENT AND SWORIv STATEMENT "Che work for which this pern�it 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 shail be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commeneed 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 are requested in conformance with the State Building Code.This permit may be revok at any time f due cause. �� �0 / � / Zp/Z- '-�-� � C� _c � A lican ermitee Signature Date � � � � ������' �� / �� � � � lssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. .. ,}:" r .:'c1't' F"" ;'1,T ' ti'J `.+C-.-' f : � . � . ' . .. . � �t�� �f ����� . , ���i���� E��r�E� �,��a�������c� ���- �����ar��r�c� � �er�c��sa���� - . (v�i�aav���, �ioa€-�, si�ir��, ��-r��f, ��c.) C� � � � °�� � � o` /� MarIrPO Bo�r 66 i Permitnumber. u � ' �� � Q� Crystal Bay, MN 55323-0066 ' Qate received: 3 (� �� -�'` s. � S'rreet Address: ,� Receivsd by:�� � �� f� s ��'�r ���'� ,ti o '; \�cn �f,�. �/ 2750 K,.Iley Parkway � Plan:review fee: � "�rzEs�'04'� Orono, MN 55356 -� `= Total':Fee: � M�ain: 952-249-4000 Fax: �52-249-4010 wwv<<.ci.orono.mn.us '; This appfication rorm must be compfeted in full and all required informaiion must be submitted. � incompfete appficaiions will be returnecl. (Please prrnt) '� u��l=RA! INrORMA'f"IOn: � Job Site Address; 2� �Q L- �TTL�— �►t C/�/�'12� �/a�' � p�f' Will ti�is be a Parade or Fiomes, Remodeiers Showcas� Home or other Display Nome? ❑ Yes I��fo � 1f yes, a special event permit is required witn Police Departmenf and Crty Council approval 60 days prior to the evenf. Snuttie bus servrce wil!be ' required unless applicant demonstrates sufiicient on-site par'rcing rs available. Nor-permitred events will nof be aliowed. �* t, CONTRAC�OR!�PPLICANT WrOP,MA IOf�t: � Name: � A Y Gv E7V�O� ,: _ � �% State License # �xpiration Cate: '° Lead Certificaiion Number. A� � Expiration Cat,,. � (for work on �►omes that were construcfe�'prior to 1978 � Phone: Gj Z,�` Z,�' Z� � (ofiice) (cell) ,' Maifing Address: '� L, b ��tY� W q, ZIP: 5'�^� � � Contact Person: Appiicant : Contract r / omeowner (Circfe Gne� .� 6.P Errfail and/or Fax: � G� � W e1�S p.y� (J p� /1�(p�� � � CO/�l _ � ,� �� PROPcR�"Y OWNER INFORMl�,�IOht: � : , Name: _ •.� G. �I �l/�1-2r'1.50'�. � Phone(day): C� �-L Z3 Z--1 � . i ; F�ddress: � _l--'� ' ; ° 2 � City: (�.�a, ZIP: �q � Email and/or �ax J S :� � , . c � PRQJ�CT IfV�ORMlt,�lOt�: :� �. ' Type of Project: j � � L�ny earth movement rr,ay require � ' ' , ❑ Door s MCWD review&permits: � ) �temodel , ❑ �ire Camage � � Ninnehana Creek V1.'aiershed District(MCW D) ° :� ❑ R e-r o o*, a sphalt �Repair ❑ Storm Damage ! 15202 Ninneionf:a Blvd � ❑ Re-roof, cecar ❑ Restoration ❑V1�'aier Gamage Deephaven, MN 55391 :� Phone: 952-471-Q590 ❑ Re-roof, other(speci"ry) ❑ Siding ❑ Other. (specify) Fax: 952-471-DoE2 �°� E ❑Window(s) � www.minnehahacreek.orq Ove�alf Froject DescripfiaR: (��Q w ,` w o� � e Q �� =siirriatecf Cor.struciion �'afuaiion of Froject (.. ciucfing ;and) $ a � � p?�!IC�I�T ��Fvi��1J1pL��f��M�P��: i � Agrees to provide all inTormaiion reouired or requesied by tne Building Department; .,. • �.eriiries tr,at the inTormafion suppfied is true and correc� to Yne best of his/her knowledge. Tne appficant recognizes tha: tney '� >� are solefy responsible for submitiine a complete appficafion being aware that upon �ailur�to do so, the staif has no aliernative I but io rejecf it until it is complete; i � y � Some or ali o.`tne informaiion tr�at you are asked to provide on tnis appiication is ciassified by S;ate law as eitner private or I� �_ �onfidential. Private da;a is inforrr�ation wnich generaliy cannot be given to the pubfic but car be qiven to the subiect or"the �I �4 " da.a. Confideniial cata is informatior, whicn peneraliy ;,annot be given to eitner th� pubii� or the subjec't o� tne cata. Gur �� �:` �,: purpose and iniended use of this informafion is tc annualiy update our re;,ords and records of other qovernmen;a! agenci„s '� A � �' ; reauired by law. If vou reruse to sup�iv tne inr"ormaiior, ' e anpfication mav not be issued. ��' '::�:: °,� �pplicanYs Sigra'ture: Qatv `Q_(�,- 2-D�Z a '. � �as±�pda[ed: 08-DS-2D1, � �� .. �t..� _ _ . . ... . , _„ . _ � ,.. .F...,. ., .. .�a.� �i� DATE TIME ✓ CITY OF ORONO CALLED IN ��.� INSPECTION N�QJI L���/y+� SCHEDULED �— �— ��3 � PERMIT NO.��> �� COMPLETED ADDRESS �5D L��� C�� OWNER TELEPHONE N0 7�3 � �/ CONTRACTO �� >; DESCRIPTION � l �C� � � ❑ FOOTING ❑ PLUMBING FINAL CAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � � �.WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � � � � �-� White Copy/lnspector's File Canary Copy/Site Notice