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Home My WebLink About2012-00704 - windows CITY OF ORONO * 2 0 1 2 - B 0 7 B 4 * � 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2012 - ORONO,MN 55356- ' (952)249-4600 FAX: (952)249-4616 ADDRESS : 4240 NORTH SHORE DR PIN : 07-117-23-43-0014 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 014 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 643.00 NOTE: REPLACE 1 WINDOW IN EXISTING OPENING APPLICANT pERMIT FEE SCHEDULE 31.50 WINDOW WORLD STATE SURCHARGE(VALUATIOl� 032 2211 11TH AVE.E. �L-IN FEE 2.00 #130 ST PAUL,MN 55109- TOTAL 33.82 (651)770-5570 PAID WITH CC# 0074 Minnesota State License#:BC356847 OWNER SCHWARZKOPF,PETER&JENNIFER 4240 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. 1'his permit is for only the work described and dces 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 consiruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 1 SO days az any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in wnformance with the State Building Code.This permit may be revoked at any time for due cause. �1�..«, l�y(. / / / / Applicant Permitee Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB VE. �2✓ G�u � � Ci of Orono ,. tY � Building Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O��,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: � a Street Address: Received by: ��ti 2750 Kelley Parkway Plan review fee: '�.E�og� Orono,MN 55356 Total Fee: 3� •�/ � 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� /V��"� ��or� �< Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No If yes,a special event permit is reguired with Police Department and City Council approva160 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/APPLICAN INFORMATION: Name: L,/,�� I,J�i( � State License# �(�3 S(,g c�� Expiration Date: �,� �1 �c� Lead Certification Number: N�- ,��Z�� Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �jsl - 77U��U!/ (offi�) (cell) Mailing Address: 2Z �� f4 /�,,..� L ,�� City: ,.��, �, Ip: — Contact Person: �jt �,,� /��,1"� Applicant is: Contractor / Homeowner (Clrcle One) Email and/or Fax: �,�I _ 7 Zl� , o y �1 S- ��-� � � �e�.J-o B-✓G✓a. �� -�.ti. GU.�-� PROPERTY OWNER INFORMATION: Name: �/� �G�.Uw�Z i�o,p � Phone(day): �j �Z ' `�5 7 - 7�� Address: y Z kn ��,�'� �� n� City: ()ry�p ZI P: ��3�v� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review S permits: 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 �Window(s) www.minnehahacreek.ora Overall Project Description: L„ �, �,� ,,, , Estimated Construction Valuatio of Pr ' ct(excluding land) $ 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 altemative 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. Applicant's Signature: �,�'�Gi + Date: �� ( �� Last Updated: 08-09-2011 �'/� � �� ATE / TIME ✓ CITY OF ORONO C`aLLED IN �l ��O / ��' INSPECTION NOTICE SCHEDULED � �`r ��- � PERMIT NO.�O I� -C� ��' coMP�ETE� ADDRESS � o��D , �OI"f!'l _�G'lU ►'�2 pF? . OWNER TELEPHONE NO. —`�� S� ��.� CONTRACTOR �/�t ��, oc 1 ( 1.�_(� �: DESCRIPTION �l G�1C� L� (_� �l{�Y' � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: r1 V��P �'�a,jrc� l�►'1 S �C� c`�(�(� W a � � O a � O � W � Q � Z W � W � � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlIL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice