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Home My WebLink About2012-00450 - windows CITY OF ORONO * 2 0 1 2 - 0 0 4 5 0 * � '' 2750 KELLEY PARKWAY DATE ISSUED: 05/23/2012 ' ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 4041 NORTH SHORE DR PIN : 07-117-23-44-0077 LEGAL DESC : REG.LAND SURVEY NO. 1420 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,134.00 N01`E: REPLACE 2 DOORS WITHIN EXISTING OPENII�TGS APPLICANT pERMIT FEE SCHEDULE 147.50 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATIOl� 3.07 1920 COLJNTY RD C.WEST ROSEVILLE,MN 55113 1VIISC FEE 0.00 (612)502-4777 MAIL-IN FEE 2.00 Minnesota State License#:BC130983 TOTAL 152.57 PAID WITH CC# 8788 OWNER MCCURDY,DALE 4041 NORTH SHORE DR MOUND,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 sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whett►er or not specified herein.This permit wiil expire and bewme null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consiruction is suspended for a period of 180 days at any time after work has commenced 'fhe applicant is responsible for assuring all required inspecdons aze requested in conformance with the State Building Code.This perrnit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued y Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTI�R T DESCRIBED ABO . Gity of Orano ` Building Permit Application for Maintenance / Renovatian (windows, doors, siding, re-roof� etc.� Meil�n8 Address: '�0� PO Bwc gg Perm(t number: o?D/aZ. -• V D � .� Q Crystal B�ay,MN 55323-0066 Date received: � � Slmst Addr�ss: ReCsived 6y: 2750 Kelley Parkway �o��' Orono, MN 55358 ��j��' Mal�: 952 249�i800 Fax: 952-249-4516 �wy.ci.orono rnn us Totel Fee: f Sz .�� This application form must be comple�d in full and aQ required irtforrnadon must�submitted. Incomplete applicatfons will be returned. (P/ea�pr�itt) GENERAL IAIFORMATION: Job Slte Address: y 0y� N.S t 1� i V�2, Will this be a Parade of Homes� Remodelers Showcase Home or athe�Dispfay Home? Yes No �'res,a s�ecie�e►re►rt pen.,n�a►trq�d+ed wrHr Paurr,e Depa►ar,ent ana►c,Zy councA apprv��ea de r�ulred uNess a p � Y8 Pri'or to the event Shtrtde bus servloe wfli be pP�t demanetrales sul�fClevrt au�-site ark)n Is eve/lable. Afon-pem�fted events wJU notbe aflawed. CONTRACTOR/APpLICANT INFORMATION: Name: '�1 tthe.wo.� �Av�trSe,N State Lioense# o�,��07�3 Expiration Date: 3 j�,l Lead Cettification Number. �j��_ a�.�$3 -i T Expiratlon Date: (Ir�r work on hanes that were�an8br�ci�ed prlor to l978 ��I S Mail1 g Address: � �SI- a -.�}� � (�Ce) . (cetl) Conta�t PersOn: ' Wc Ciiy:��G i G ZI�. ss Applicant Is: / Homeowner tca�as o�„I Ernail and/or Fax: PROPERTY OWNER INFORMATION: Name: �� G�r� . Phone(day): 45 0l-4� -ylo 53 Address: �S��k CItY ZIP: Email and/or Fax PRQJECT INFORMATION; Type oYProject: Any earth mavemeM may r,equine ❑Door(s) ❑Remodel ❑ Fire Damage �C��8(�►+��: ❑Re-roof,�phalt �R e�� Mlnnehaha Creek Watershed Dlstric�(MCWDj eP ❑Storm Derr�ge 18202 Minnetonka Blvd ❑Re-rocf,e�a� ❑Restoration ❑Waier Oamage Deepheven, MN 56391 ❑R�roof,otl�er(apeat�y) ❑Sldt�g Phone: 952-471-0590 ❑��r(�Y1 Fax: 952�71-0882 �1M�ow(s) ]�Iw.mfnnehahacx�ek ora OveraliProectDescrtption•'R��p�� s WI�� `�� o �;�,� =��'.':'•o Q��.��ucuvn va�uat�on of Proj6ct(excluding Iarldl � lo� 13y o� APPUCANT ACKNQWLEDGEMENT: • A9rees to provide ell fr�formetlon required or re�uestad by the Building Deparbnen� • Certifles that the Inflormatlon sup�lied is trt�e and correct to the�st�f his/her knowledge, The applirsnt recognizes tFmt they ere sately rrespor�sible for subrntttlng a compleie applic�tlon being awere that upon failure to da so.the ataff h�s no al�emative but to reject ii un�l it is complete; • Some or all oT the informatian tl�at you are asked � prpvide on this appiica8an Is classified by State lew� @tther private cr r.�nRdentlal. Private data is information which generaliy cannot be gfven �the publfc but can be given to the sub�ecx of tho d�te. Confidentlal data Js ir�fomnatfon which ganerally cannot be given b� sith@r the public or t�e subJect o�t the dsta, pur purpose end iMended uas of this Informatton (s io annually update our reconds and reoards o�f c�ther govemmental agendes u(red b lavy, IF ou refuse to su I the informatian the a Itcat;on ma npt be Issued, Aoolicant's Sianature:��-�r`+DQ� Date: a3 1�� z 'd 06t9bG9TS9 3�Ih213S 1IW213d Q '8 S i� SS � T T ZTOZ EZ �eW � � TIME ✓ CITY OF ORONO CALLED IN � INSPECTION T C CHEDULED ='�� PERMIT NO. c P ED 7t ADDRESS � � � OWNER TELEPHONE NO — ` CONTRACTOR � DESCRIPTION �L _� a�7'�J � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERlFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARO COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a j 0 � 0 � W � Q � 2 W Sc w � j � ❑WORKSATISFACTOR1f:PROCEED T�ROJECTCOMPLEfE W ❑CORRECT WORK&PRQCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER PdSTED.CALL IPISPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours irt advance. (g52) 249-460� OwnerlCantractor on site: Inspector. �� WhRe CopyMspeetor's File Canary CopylSke Notice