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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. � - .� `.� -� ��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 `-�:. ,,.y� "� 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� ���� � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS h 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 �. � � � Aatio ,�do�S - W _ � � �v�krt�aW r 460�e Q Z / eK�r�s s�0o�— W _ W �Ja r K �A,o��s c� •+1.n !�L`.� � i,�vc�� � leQ � W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 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 � (�� 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: � � � 0 �. � 0 W � Q � W � W � , 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