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Home My WebLink About2011-01203 - windows � � ' CITY OF ORONO PERMIT NO.: 2011-01203 ' 2750 KELLEY PARKWAY • ORONO,MN 55356- DATE ISSUED: 10/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3160 NORTH SHORE DR PIN : 09-117-23-32-0008 LEGAL DESC : CRYSTAL BAY PARK : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: REPLACE(7)WINDOWS/DOORS INTO EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 221.25 VILLAMIL CONSTRUCTION CO. STATE SURCHARGE(VALUATION) 6.00 5535 COUNTY ROAD 151 MINNETRISTA,MN 55364- TOTAL 227.25 (612)221-7511 PAID WITH CC# 1804 Minnesota State License#:20633780 OWNER WALLACE,MICHEAL&DONNA 3160 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 separate 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 consWction 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 State Buil ' g Code.This permit may be revoked at r / / � �Q / � pp icant Permitee gn re Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,. ;, . �._ . . � i� `� � • ' City of Orono � sz. .- Building Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) �:'. Mailing Address: Permit number. a�l�'��D� � O�,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: � U � ' �� 1 / �°>'�t� y. �i ` �a � �.; s, S t r e e t A d dre ss: Received b { � �- F� • �'�t � t �,�,„�„ �ti�' 2750 Kelley Parkway Plan review fee: �kESHo4•� Orono, MN 55356 � -- Total Fee: v3 ��, �� ' 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. (P/ease print) L ' GENERAL INFORMATIO • `��' ` �I � � �. �Iti.�l� Job Site Address: � +- '� ��.r-e �' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus s rvice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � ti� # �:: CONTRACTOR/A Pi CANT IN ORMATIO : � , �� ,: Name: av�: a��. ` �: � C>✓� � State License # , (� '� 7� ` Expiration Date: �p �2 �� Lead Certification Number: Expiration Date: (for work on homes that were cons ructed prior to 1978- 1 Y�{q Phone: (�( �-Z Z ( - (office) (cell) Mailing Address: 5' -C' ( ( . City: ��,,,, ��. . ZIP: �` 3 � �. Contact Person: �' � Applicant is: Contractor � Homeowner �c��ie one> 7�; , �ti, Email and/or Fax: , _ � � � �„ �___._____--' ` -� PROPERTY OWNER INF RMAT ON: , 7 � �° Name: M;C; Cz� � �/lJr l f C'�C�. � ` Phone (day): (�(2_ _ �3 � � Address: �(J ,� � � City: � � - , ZIP: ,� 3 � � � Email and/or Fax � �,,� � . � � � � ` � �,' PROJECT INFORMATION: � Type of Project: Any earth movement may require MCWD review& ermits: � , ❑ Door(s) ❑ Remodel ❑ Fire Damage p ,� Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � Phone: 952-471-0590 �� ; ❑ Re-roof, other(specify) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 `��.'. indow(s) www.minnehahacreek.orq � � �� .� Overall Project Description: ,, - . b o ` — ,� - -- � ��Estimated Construction Valuatio of Project (excluding land) $ Q , � (� Y,3 � :� 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; ,t. �: �.� • 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 r ords and records of other govemmental agencies re uired b law. If ou refuse to su I the informatiory;the licatiom m �ot be issued. � _—___----_---. ApplicanYs Signature: Date: � � a,�:: ,�- Last Updated: 08-09-2011 s'� DATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTI E SCHEDULED �`/ /� � PERMIT NO. � D l -��a D 3 COMPLETED ADDRESS �f� �� S�� OWNER TELEPHONE NO.� �a a a� 75`� CONTRACTOR �/L��-�-� �� >; DESCRIPTION �� w��d� � 7� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: r �� D G��C a � ¢ J O >. � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �$nJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on s'te: Inspector. White Copyllnspector's File Canary Copy/Site Notice