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HomeMy WebLinkAbout2014-00370 - window replacement .• r CITY OF ORONO * Z 0 1 4 - 0 0 3 7 0 * 2750 KELLEY PARKWAY DATE ISSUED: 04/28/2014 ORONO, MN 55356- (952) 249-4600 FAX: 952 249-4616 ADDRESS : 601 MINNETONKA HGLD LA PIN : 06-117-23-41-0091 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 000 BLOCK 009 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,749.53 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 132.75 STATE SURCHARGE(VALUATION) 2.88 VANCAMP,NATHAN&WENDY TOTAL 135.63 601 MINNETONKA HGLD LA LONG LAKE,MN 55356- Payment(s) CHECK 135.63 OWNER VANCAMP,NATHAN& WENDY 601 MINNETONKA HGLD LA 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 sepazate 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 are requested in c formance with the State Building Code.This permit may be revoked at 'me r e cause. ���� �� Z� 4� ��-�'� �S� App 'cant ermit S gnature e Issu d By Signature Date ... �t C i ty of O ro n o Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �----_. /" \� Mailing Address: Permit number: ,i� �O�O PO Box 66 � Crystal Bay, MN 55323-0066 Date received: i � �; � t Street Address: Received by: 'yF � 2750 Kelley Parkway Plan review fee: L Orono, MN 55356 ���F�R� / 5( Total Fee: � � 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: �oC�� 1'��n��c�,ta,��C:�. ��ci���,�-•[�-� L,;.r��- . ��r;�ti� ��1� 5.����� Will this be a Parade of Homes, Remodelers Show ase Home or other isplay Home? —�Yes No lf yes,a speciaf event permrt is required with Police Departmenf and City Council approva160 days prior to#he event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. No�-permrtted evenis will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ' ' cl��t�n `� �'L'�:t�1. � State License# ��� Expiration Date: � Lead Certification Number: ���} Expiration Date: N / l� (for work on homes that were constructed prior to 1978 Phone: (cell) (Z��Z'��x . Z��;�� (office) ��j� Mailing Address: � , � - ��� City:�,G, , ZIP: �- h�"� �SG Contact Person: �a.�� �l�,r„ ��,,,,,� - Applicant is: Contract r / Homeowner J �ci.�ie o�e� Email andlor Fax: ;1����.f_ I_� �dr.�;: � �rh PROPERTY OWNER INFORMATION: Name: 1�«t�n,c:,n � W�2.ViG�N �:=�vt�.uni� Phone (day): �Z i�� ;3�S5 - Z,'�C`1 Address: �aD i �1;sv,�t�nl�:� ���:����c� 5 �Q C�ry� �r� r�� ZIP: 'S �j ..��C.; Email and/or Fax: n�� •� �� �,;, � � Zr.r. : c..�;. PROJECT INFORMATION: Overall ro'ect description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review S�permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District{MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �Window(s) www.minnehahacreek.orct Estimated Construction Valuation of Project(excluding land) $ �"74 ') � `��> 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 a!I 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 govemmental agencies required by law. If ou refuse to su I the information,the a lication ma not be issued. � Applicant's Signature: ���iy„ti -ti►. (.�, n Date: 2 1 Owner's Signature: �� 1:�Gt,,.,, U'L„l.��vr•j., Date: �-�2 J�J/''f Last Updated:03/06/2013 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMR NO.����� COMPLETED ��'��L�J'� ADDRESS �D/ ���lN.�l-�` ls.�. J.'�.rd •�.r . OWNER � TELEPHONE NO. CONTRACTOR � DESCRIPTION /��/�J '��1� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v INAL ❑ WATER HOOK-UP ��OLLOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-S�TE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: C ��/'N�•C /l0l0'�� �4�1� � �'�l 7's� Q � - . J �/�?�E�—[d.�eC�� O � � �� kJ lE�,s !'eD�oCG� s� �.ks���i� W _ � � . �'i�'LB `SlL1 . S"G��rt e ��%t�� — Q ` i �f /� 2 ��7�.►t a r '� /R M,b y- �q,at l�s� .SG L l� �Q�/i � . � � e �O/1� � k�� l� �J'� G�D+1� „� 7�!�.a G j o� �es��.0 � w�i� �..c4! �JiFt�Gbws �Z_ a fiM� o�' rc-S " � ��-�t W ❑VYORKSATISFACTOHY:PROCEED ❑ PROJECT COMPLEfE ��ORRECT V1fORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY �RECT WORK,CALI FOR REINSPECTION TEMPORARY V �BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on s�te: Inspector: Q�•- � White CopyAnspector's File Canary CopylSNe Notice 1 �j DAT TIME -CITY OF ORONO , ED IN �� � S � INSPECTION NOTICE ,�,r,7,�DULED / , r�i'J'1 PERMIT NO. '�� COMPLETED ADDRESS � �5 OWNER ��L�`���TELEPHONE NO. � " � CONTRACTOR (�{�� �� �d��r�L--� . � DESCRIPTION T I[-��� r— I Vl� � VV 1 v rw)(,� lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W _ ❑ AS BUILT-SURVEY S WER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE PTIC INSTALL ❑ FOUNDATION/REMOVAL � OWNERICONTFiACTOR TO MEET YOU: YES_NO y COMMENTS:�� � � � G '� o . - C ff��/� �. � o � W Q � �r� -` � � r;r�� .a C� � l..e e W � � J d W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED O I E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDEFi POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call tor the next inspection 24 hours in advance. (952) 249-4600 OwnerlContra n site: Inspector. White Copylinspector's File Canary CopylSite Notice