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Home My WebLink About2010-00416 - windows CITY OF ORONO PERMIT NO.: 2010-00416 2750 KELLEY PARKWAY � �'' ORONO,MN 55356- DATE ISsuEn: 06/08/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3845 NORTH SHORE DR PIN : 17-117-23-22-0045 LEGAL DESC : SHERRI LAKEVIEW ESTATES : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 13,665.00 NOTE: REPLACE(9)WINDOWS IN EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 250.75 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 6.83 1920 COUNTY RD C.WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 259.58 Minnesota State License#:20130983 OWNER FRITZ,LOREN 3845 NORTH SHORE DR MOLJND,MN 55364 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 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 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 all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �� / / � Applicant Permitee Signature Date Issued By ature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . City of Qrono . � � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc. Mailing Address: Perrnit number: �,�lb_pp �,6 'g+0� PO Box 68 Q � Crystal Bay, MN 55323-0086 Datie received: ��/ /d � ;-� � Stnset Addr�ss: Received by: � �p 2750 Kelley Parkway Plan review fee: °�c�Hoa Orono, MN 55356 Total Fee: v��,5� Main: 952-249-46D0 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 retumed. (Please pnnt) GENERAL INFORMATION: �$y� �O� Job Site Address: S �{'� �� \lh� Will this be a Parade af Homes, Remodelers Showcase Home or other Display Home? Yes No /fyes,a specla/event permit is r�qul�d w/t�Police Department and C/ty Couna'1 approval 6D days pnor to the event Shutt/e bus senrice wiN be requirod unJess applicanF demonsbates sufficient on-site parNir�g is evailable, Non-pernritted events wi11 not be allowed. CONTRACTOR/ APPLICANT INFORMATION: Name: Renewal By Andersen State License# 1920 Coun Road "C" West Exp�ration Dat�e: Phone: �' Mailing Address: Roseville, MN 55113 (cell� License#20130983 ��tv� ZIP: Contact Person: �t is: Contractor ! Hcmeowner (Clrcle Dne) Email and/or Fax: 651-264-4777 ° PROPERTY OWNER INFOR TION; Narne: -e,. �►'� Phone {day): a Address: ; Ci ; ZIP; Email andlor Fax � , PROJECT iNFORMATION: Type of Project • ,O�CQ q 1� h� $ ,1� ..QJ��S (�p Any earth movement may require ❑ Door(s) ❑ Remodel , J MCWD reviaw 8,permits ❑Waier Damage ��Q �indow s MT�nehaha Creek Watershed District(MCWD) ( ) ❑ Repair ❑ Storm Darnage 18202 Minnetonka BWd Dee haven,MN 55391 ❑ Siding ❑Restoration ❑ Other. (spec'ify) Ph ne: 952-4T1-0580 Fax: 952-471-0682 ❑ Re-roof ❑Fire Damage �nrw.minnehahacreek oro Overall Pro'ect Deacription: Estimated Construction Valuation of Project(excludin land) a � 3 (�(o S .� APPLICANT ACKNOWLEDGEMENT; • • Agrees to provide all informaiion required or requested by the Building Department; • Certifies that the information s�pplied is true and correct to the besf of his/her knowiedge. The applicant reoognizes that they are solely responsible for submitting a camplete application being aware ihat upon failure to do so, the staff has no attemative but to reje�ct it until it is complete; • Some or all oi lhe inforrnalion that yo.0 are asked to provide on this application is dasslfied 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 infarmation is to annually updete our records and rocords of other govemmental agencies re uired b law. If ou refuse to u I the information the a Iication ma not be issued. Applicant's Signature: � Date: f �lUl'� �� Last Updated: 05-04-2009 Z 'd 06T9trL9TS9 3�IA213S 1IW213d Q '8 S �1 9Z =zT OTOZ TO ��C ��1 DATE TIME ✓ CITY OF ORONO CALLED IN 7 ZL' INSPECTION NOTICE /��/ SCHEDULED 7-ZFS"lD PERMIT NO. ��'"'�`� COMPLETED ADDRESS .��75 /UDY�� t�/f-�-Q �2� OWNER TELEPHONE NO. �5� � r �a gS' CONTRACTOR �� J`T„� >; DESCRIPTION �n�K ��`�"" �`"S � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O �. � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. L� �� White Copyllnspector's File Canary CopylSite Notice