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Home My WebLink About2015-00841 - windows CITY OF ORONO * z 0 1 5 - 0 0 8 4 1 * R - 2750 KELLEY PARKWAY DATE ISSUED: 07/06/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952 249-4616 ADDRESS : 2545 NORTH SHORE DR PIN : 09-117-23-41-0003 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,000.00 NOTE: REPLACE 1 BAY WINDOW IN EIXISTING OPENING APPLICANT PERMIT FEE SCHEDULE 77.44 STATE SURCHARGE(VALUATION) 1.00 MIKE NORTH CONSTRUCTION TOTAL 78.44 800 NORTH BROWN RD Payment(s) LONG LAKE, MN 55356- CHECK 2097 78.44 (612)246-0027 Minnesota State License#: BUIL-20636890 OWNER VANORDEN,ABIGA[L 2545 NORTH SHORE DR WAYZATA,MN 55391- 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 governing 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 alI required inspections aze requested in conformance with the S[ate Building Code.This permit may be '�;; � revoked at_ y time r�ue cause. `/ �� f � '�� - r� �� M��--� �+�� -1, �� , J �� ; �� Applicant Permitee ignature Date Issued By Signature Date City of Orono : i�ilding Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �T Mailing Address: �� (., � ��VO PO Box 66 Permit number: ` Crystal Bay, MN 55323-0066 Date received: ;`? � (`'� i i Street Address: Received by: �'� y�, Gfi 2750 Kelley Parkway P�an review fee: `� � �� lqkESH�R� Orono, MN 55356 Total Fee: r'��; �� 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: Z��l 5 �,.��-� � �,�,r � ��'. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ��fQo If yes, a special event permit is required with Police Department and City Council approval 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: �� LC 2- (v'c� !'"�'�.. State License# 2�(,� '�(� �C� 0 Expiration Date: ��r 7 Lead Certification Number: Expiration Date: (for work on homes that were construcfed prior to 1978 Phone: (cell) � �Z� • �- ��Z 7 (office) Mailing Address: �d�� , c3,Y,�,,,� � City: �,j�� f�t ZIP: �� Contact Person: M � � �� Applicant is: n ract / Homeowner (Circle One) Email and/or Fax: (�,� /�'��. S'r' �y► �, , � C U^-� PROPERTY OWNER INFORMATION: Name: /-��,�., 1,�r,,� D 21�� Phone(day): 9��_..,cj Z �/•—j Q 1 O Address: ��lS /(�.y�� S'G,u� /,�.-�, City: �9�U�(,O�y ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: 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) ❑ Re-roof, cedar 15320 Minnetonka Blvd ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-ro f, other(specify) ❑ S'ding ❑ Other: (specify) Phone: 952-471-0590 � Fax: 952-471-0682 '�-L �'` 1 /l�indow(� � .� � k�S I> �� www.minnehahacreek.or4 Estimated Construction Valuation of Project(excluding land) $ Z�� .:� 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 hislher 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 ca ot b given to either the public or the subject of the data. Our purpose and intended use of this information is to nnually up ecords and records of other governmental agencies required by law. If ou refuse to su I the i r atio , e a on ot be issued. Applicant's Signature: -- Date: / '' ~ �� Owner's Signature: 1� Date: � � � � Last Updated:January 2015 DATE TIME CITY OF ORONO cnLLED IN 1NSPECTION NOTICE ��t SCHEDULED PERMR NO. O� ��a7� COMPLETED "� � ADDRESS �,^YS iy. S�� D� - OWNER TELEPHONE NO. CONTRACTOR /�'I��C�. ./Ya��i Co�s�• � DESCRIPTION w�Kao�.> R��O�- �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMINC, ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT v �JLAL ❑WATER HOOK-UP �OLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OMfNENCONTRACTOR TO MEET Y�l:_Y6S_NO � COMMENT� fcr»c:�' ��•- �'�•/4� �' � !l �,/' •[ � �n¢G /�sa�c �iro%� . O /�d B�ti� �o N^r_' � � � � ^ � Gl/�F-/�lou) ��ti �-�t�s�..rc D�rt�s. � ��ivl� �i z-� 4- S�y�P 4�.0 Q .s r � ^ Q Cdrw. D��'G • _ __ � W W � /I�l��` i/l.Gl�O j � ❑WORK SATISFACTORY`.PFiOCEED �'PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPI4NCY OO ❑OORRECT YNORlC,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINO pEq�AANENT ❑GORRECT UNSAFE CONDITiON WRHIN H��- O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �GTATION ISSUED O INSPECiION REQUIRED.CALL TO ARRAN(iE ACCESS. CaN brthe next inspection 24 hours in advance. (952) 249-4600 Owne�ICorttractor on site: �nspector: �� 1�- WhNs CopyMnspectors Fih Grury CopylBft�NoNe�