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Home My WebLink About2014-00271 - windows ` � � CITY OF ORONO 2750 KELLEY PARKWAY * � 0 1 4 - 0 0 2 7 1 * DATE ISSUED: 04/02/2014 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 30 MYRTLEWOOD RD PIN : 36-118-23-33-0011 LEGAL DESC : MYRTLEWOOD : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 7,900.00 NOTE: REPLACE(3)WINDOWS AND(1)ENTRY DOOR APPLICANT PERMIT FEE SCHEDULE 162.25 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 3.95 10751 EXCELSIOR BLVD MAIL-IN FEE 2.00 HOPKINS,MN 55343 TOTAL 168.20 (952)277-1600 Payment(s) Minnesota State License#: BUIL-BC239369 CREDIT CARD 3989 168.20 OWNER PAULSON,BRUCE&LORI 30 MYRTLEWOOD RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 l80 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 revoked at any time for due cause. i t� / _ J � a--�/ App icant Permitee Sig re e Issued Signature Date . • . City of Orono Building Permit Appiication for Maintenance / Replacement 1 Renovation (No structura! expansion. Only windows, doors, sidin , re-roof, etc.) �OA TO Mailing Address: PeRnit number: �� -�. .y PO Box 66 Crystal Say,MN 55323-0086 Date received: 5fresf Address: Received by: ��s�, G�'' 2750 Kelley Parkway Plan review fe � Orono,MN 55356 t'�k�SN��''�`� /�Q� �1�l ,...�- Total Fee: o«/ Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us (J 'fhis application form must be completed in full and all required information must be submitted. Incomplete apglications wilf be retumed. (Please print) GENERAL INFORMATION: 2� r�� Job Slte Address: J Wfll this be a Parade of Homes, Remodelers Showcase Home or other Dlsplay Home? Yes No !f yes,a special event permit is required wifh Police Depertmenf and Cify Council approva!60 days prior to the event. Shuttle bus rvice will 6e requrred unless spplrcanf demonstrates suffrcient on-site parking!s available. Non-peimitted events will not be aflowed. CON7RACTOR I APP .J,.ICANT INFO TION: I Name: �C.G�I(�iY OS. t..-�1�W�. �.' State License# a 3 =��C� Expiration Date: ' �J /(� Lead Certification Number: J�/-�j��Q. —( Expiration Da#e; �3 ,� � (for work on homes thaf were consfrucfed prlo�to 1978 Phone: (cell} (oifice) .�,��'7 -1�, -�r,-� Mailing Add�ess: (`j U y City: ZlP: '"�'3 Contact Person: �.v^c� h D t�t g►�vi�t�.� _ Applicant is: ntrac / Homeowner �c�r�i.o�e� Emaii and/or Fax: C��/y��,�, �.�C��,,�y��j�+b5�- C.(�lN�. PROPERTY Q1l�lNER INFORMA 10 : Name: O� Z Q..U�So Phone(day): �j� Address: (? b City: ZIP: Email and/or Fax� PROJECT INFORMATION: Overall ro'ectdescri tion: CtC�. ,� 1/1�1L'if�QVt}'S � �.V1 GQ.O D f Type of Project: My earth movement may also requ Door(s) ❑ Remodel ❑Fire Damage MCWD review 8�permlts: ❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWO) i8202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,othar(specliy) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 �9Jindow(s) www.minnehahacreek.ora Estimated Construction Valuatlon of Project(excluding land} $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Bui[ding Department; • Certifies that the information supplied is true and correct to the best of his/tier knowledge. The applicant recognizes that they are solely responsibie for submitting a complete application being aware that upon failure to do so,the staff has no altemative but to reject it until it is complete; • Some or all of the infa►mation that you are asked to provide on this applicatian 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 reco►rts and records of other govemmental agencies required by law. If ou refuse to su 1 the' format' n the a 'catioR ma not be issued. Applicant's Signature: � Date: �' �a � ¢ Owner's Signature: Date: La5t Updated:03/06/2013 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�-��7/ COMPLETED s��i�~ ADDRESS � /�I�r�'L�c�- .P� OWNER TELEPHONE NO. CONTRACTOR Sm�rcd �r�g _ � a DESCRIPTION � �/k� ^� � ��°�' /�D�. W ❑ 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 Q�AIAL ❑ WATER HOOK-UP �OLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARO COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 01NNERICOMRACTOR TO MEET YiOU:_YES_NO y COMMENTS: � — � � kJ/l�/bc�sJ � �G7�uor 1'�eD�G.C�.,w,�•��S j � � p �^- ��X`5'� t �c.� d�.�,so s_ �. � � � �i°t �� 5/ZG_ St-wt `S��le �' �' W � Q 2 �,tJ a/'!� cb...c�leL`-� � j �/�r,c. C �'.�c�!�eQ a � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLEfE �/� W O CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR YVILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call ror the next inspect�2a hours in advance. (952) 249-4600 OMmerlContractor on site: .t 6t i�c . Inspect �^' its Copyllnapector's File Canary CopylSke Notice