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HomeMy WebLinkAbout2009-00646 - windows T , CITY OF ORONO PERMIT NO.: 2009-00646 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/29/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4380 NORTH SHORE DR PIN : 07-117-23-42-0040 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 016 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,090.00 NOTE: REPLACE WINDOWS APPLICANT pERNIIT FEE SCHEDULE 88.50 SCHOENING,WILLIAM STATE SURCHARGE(VALUATION) 1.05 4380 NORTH SHORE DR TOTAL 89.55 MOLTND,MN 55364 OWNER SCHOENING,WILLIAM 4380 NORTH SHORE DR MOiJND,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 appmvals,and the State Building Code. This permit is for only the work described and does not grant permission for addirional 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. fa.>� � % �1��9 � 09 ,D Applicant Permitee Signature Date Iss By Signa e Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: ��'�p�' ��,�. PO Box 66 Permit number: Q � Crystal Bay, MN 55323-0066 Da#e received: d a n, Street Address: Received by: � �',�, �tii5r 2750 Kelley Parkway Plan review fee: l�sg.�og'� Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: � �� �� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: y3 ge � �.--�-L� SG�o r-� (�r , n�ouvz d �!?i1 S-S^3 � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes �No ff yes,a special event permit is required with Police Department and City Councll approva160 days prior to the event Shuttle bus service will be required unless applicant demonstrafes sufficient on-site parking is available. Non permitted evenfs will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: S�` -� State License# Expiration Date: Phone: (o�ce) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Clrcle One) Email and/or Fax: PROPERTY OWNER INFORMATION: . Name: (������aw� � �c�,c�.rt f n�i Phone(day): q,g�- y�2.- 3 ?S3 '/ Address: t�3�0 t�l o�-� S�•r e f1 v�v �t City: !'Y�e N r�� Yy1�l, ZIP: .3~S 3 � 7 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may requlre MCWD revtew 8�permlts ❑Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Siding ❑Restoration �Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Re-roof ❑Fire Damage w�►tdc+e� eplacew�� www.minnehahacreek.orq Overall Project Description: ��o�� vL� �,,�„��!•,,,�S � �e pla�� k�a�-k (�Ie�J w��d a�s Estimated Construction Valuation of Project(excluding land) $ �,D%f � O a � 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: ti���.- � oate: j- Z 9 - o l Last Updated: 05-04-2009 �e�� D TIME �/ CITY OF ORONO CALLED IN �� INSPECTION NOTIC SCHEDULED !D- -O�I � PERMIT NO.dOD��Of1�p�ON�PLEfED ADDRESS_ 30� /U���l S`�e L�/1 � OWNER �.�1�'�.s`�-w CONTR. TELEPHOWE NO. i��Z Z-'aL 375� � DESCRIPTION �Z�� ���� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING ,Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREIWETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C � .� • O � � - �".'��� o - � W � Q � z W � W � j � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITIQN WITNIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURPI ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ IPlSPECTIONRE4UIRED.CALLTOARRANGEACCESS_ Call for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contractor on site: ' Inspe�tor. �� / I��; Whke Copyllnspector's Flle Canary Copy/SRe Notice