HomeMy WebLinkAbout2014-00711 - windows , CITY OF ORONO * 2 P1 1 4 — fd 0 7 1 1 *
2750 KELLEY PARKWAY llATE ISSUED: 07/09/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 770 NORTH ARM DR
PIN : 06-117-23-43-0009
LECAL DESC : AUDITOR'S SUBD. NO. 362
: LOT 006 BLOCK 000
PERMITTYPE : MINORALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIV[TY : O/S BUILDING - UNDEFINED
VALUATION : $ 21,000.00
NO'1'E: RF,MOVF,AND RI?NLnCI,: SLID[NG GLASS DOORS AND WINDOWS IN GXIS"I�ING OPF:NINGS
APPLICANT PERMIT FEE SCHEDULE 354.00
STATE SURCHARGE(VALUATION) 10.50
WEST METRO REMODELING TOTAL 364.50
2051 MELODY HILL RD
EXCELSIOR, MN 55331- Payment(s)
(612)790-8232 CHECK 2865 364.50
Minnesota State License#: BUIL-BC6671 19
OWNER
CARLSON,JEFFREY
770 NORTH ARM DR
MOUND, MN 55364-
AGREEMENT AND SWORIV STATEMENT
The��ork for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
nol grant permission for additional or related work which requires separate
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 becomc 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 eriod oi�180 days at any time after work has commenced.
The applican[i, es�o ible r assuring all required inspections are
requested in co r��a �e wi h e tate E3uilding Code.This permit may be
revoked at i fo ue ,e.
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- .� `.� -� ��l"���.�_ / /
pplican�Pe i � t r Date Issued By 'g ature �� Date
r
City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�O�O Mailing Address: Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
Street Address: Received by:
y�, ` 2750 Kelley Parkway Plan review fee:
�' Orono, MN 55356
`�k�SH��� 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: '��� � 1�1 �V`�` � Z. �Q'�.��J'1
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes, a special event permit is required wifh Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �;h�LSt ?'�-�'�Fr'� (��`►'��d-��•��C--C� J
State License# (-`�� ���, �-� � 1 Cj Expiration Date: 3 — � � — i j
Lead Certification Number: N' /�� �- t l U U 1 (J I Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) (� ( Z �UI 5 f C3 � (office)
Mailing Address: ZU � 1 vY�-e-1 U c�� t���) l �v City: t= �� ZIP: � j Tj�j
Contact Person: ►v Q�s,y � o� �- Applicant is: ontractor Homeowner (CirdeOne)
Email and/or Fax: N e l sd� o � @ �^'� E' - ���
PROPERTY OWNER INFORMATION:
Name: j��-�- �� j7�,� v� Cu r�Sv �
Phone (day):
Address: "�`� U �.; �� � l7l���U-C City: v►�o��� ZIP: 5����-{
Email and/or Fax: —�-v r�� � C'c�('\S�� � �"v r� � , c rnr�-�
c `2� IZ S1 ����� ��SS t7�rS u�n� w;;n���S
PROJECT INFORMATION: Overall project description: g
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)
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.orq
Estimated Construction Valuation of Project(excluding land) $ � �, vvv,�'��
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 annually update our records and records of other governmental agencies required by law. If
ou refuse to su I the infor ti a lication ma n be issued.
ApplicanYs Signature: � � � Date: �—� �
Owner's Signature: Date:
Last Updated: 03/06/2013
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"� DATE TIME
s CITY OF ORONO CALLED IN —
INSPECTION NOTICE SCHEDULED �—
PERMIT NO.a�y' ��� COMPLEfED 1 '��'!�
ADDRESS �I� ✓�/�i l�rrc pi' �
OWNER TELEPHONE NO.
CONTRACTOR W c�t /�?��rv /�,�c,v,�s
�; DESCRIPTION wl/-rb� ����
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W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS
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O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ,�FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� V❑ DEMO-SITE ❑ SEPTIC MAINT. ,�pLLOW-UP
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
a `G�'!.s it �e�BGr ? 4./t� '3� G t !/ t�✓ �t
o �'i✓i�� �tis � e� �io:t
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W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site:
inspector. �.�^� �
White Copyllnspector's File Canary CopylSite Notice
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(�� T TIME
CITY OF ORONO CALLED IN �
INSPECTION O ICE SCHEDULED '
PERMR NO. � COMP ETED
ADDRESS
OWNER TELEPHONE NO.��a7-7��^ ���
CONTRACTOR �„ �1�-�c-�b�.L�_
� DESCRIPTION .T�� , �—�(,�1-n�.�t.���1�--,��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GflADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI � LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ IN ATION ❑ WOOD BURNEFUFIREPLACE � SITE INSPECTION
Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL � SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE '� SEPTIC MAINT. � FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�.� COMMENTS:
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W ❑WORKSATISFACTOR�F PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED E CERTIFICATE OF OCCUPANCY
W
0 ❑CARRECT WORK CALL FOR REINSPECTION TEMPORARY
V BEFORE COYERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
�NSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (95 -46��
pwnerlContractor on site:
Inspector:
White Copyllnspector's File Canary CopylSite Notice