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HomeMy WebLinkAbout2013-00024 - Windows CITY OF ORONO * 2013 - 00024 * 2750 KELLEY PARKWAY DATE ISSUED: 01/11/2013 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2440 OLD BEACH RD PIN : 21-117-23-22-0003 LEGAL DESC SHORE HILLS LOT 002 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,121.00 NOTE: REPLACE(1)WINDOW AND(3)SASH APPLICANT PERMIT FEE SCHEDULE 206.50 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 5.06 10751 EXCELSIOR BLVD HOPKINS,MN 55343 MAIL-IN FEE 2.00 (952)277-1600 TOTAL 213.56 Minnesota State License#:BC239369 PAID WITH CC# 3989 OWNER BARBETTA,MR.&MRS. 2440 OLD BEACH RD 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 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. ( J l /3AZU1 / Il l / Applicant Permitee Signature Date Issuq#By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Jan, 10. 2013 2 : 52PM No. 9953 P. 1 City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number O ,0 VO Cr Box 66 Crystal Bay, MN 55323-0066 Date received: A' e. Street Address: Received by, 2750 Kelley Parkway Plan review fee: \9kea�o8 Orono, MN 55356 Total Fee: Main: 952-24914600 Fax, 952-24911616 vnnrw.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: "^1 (4 4 k--:) d E WIII this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El Yes No Kyes,a special event permit is required with Police Department and City Council approval 60 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/APPLICANT INFORMATION: Name: State license# c, 3 3 9 Expiration Date: 0:3 Lead Certification Number: M in�i T ��3 �S- Expiration Date' (for work on homes that were constructed prior to 1978 Phone: Ci - I (office) (cell) Mailing Address: l o� � L K c��c r ( -J City: /4-VPK;,, ZIP: -S; V� Contact Person: 7 z ` Applicant is: Contractor / Homeowner (Circle one) Email and/or Fax: CIS - Q D 7 PROPERTY OWNER INFORMATION: Name: Phone (day): — -Address" 3._ City: - .3., Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391Phone: 952471-0590 ❑ Re-roof, other(speclfy) ❑ Siding ❑Other: (specify) Fax: 952-471-0682 www.minnehahacregk.orq ndow(s) Overall Project Description: Estimated Construction Valuatlon of Project(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 alternative 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 required by law. If you refuse to supply the information, the application may not be issued. Applicant's Signature: Date: Last Updated: p&09-2011 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ROQ 4b6a9 COMPLETED ADDRESSyZ Ll�i'U CYd� .CSeac� �. OWNER TELEPHONE NO. CONTRACTOR =�J r r �✓�S - '> DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKES HORE/WETLANDS O ❑ FRAMING El MECHANICAL FINAL L) TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNEWFIREPLACE ❑ 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 ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNEWCONTRACTOR TO MEET YOU:_YES—NO COMMENTS: cc cc cc ° no h 0$14 - W ac Q P t 'lee �k n4G i S�eG�<d•� b r W ❑WORK SATISFACTORY:PROCEED cc ❑CORRECT WORK 8 W ANCY ❑CORRECT WORK,1 -This in, was done but not necEssary,talked to Doug BEFORE CWORK, from Metro West, he forgot to mark in inspection book as done so]im went1jack out. ❑CORRECT UNSAFE INSPECTOR Inspection passed 09/19/14, see notes. ❑ STOP ORDER POST Ign -€tiffs inspection-5,14,1p' INSPECTION REQU Call for the next inspection 24 hours in adv nce. (J52) 249-46 Owner/Contractor on site: Inspector. ti. W e CopylInspector's File Canary Copy/Site Notice CITY OF ORONO CALLED IN DATE TIME INSPECTION fjOTI ED�(�� SCHEDULED PERMIT NO. COMPLITED _ ADDRESS (/1�,� OWNER TFIFDJ4n1UF NO. CONTRACTOR > DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKE SHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ R N SLAB El WATER HOOK-UP El PROGRESS INAL Ll SEWER HOOK-UP E-1COMPLAINT v EMO-SITE ❑ SEPTIC MAINT. Q ❑ FOLLOW-UP _ L1DEMO-FINAL EJSEPTIC INSTALL ElHARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W Qc J O CC O W W Q 2 W W cc J d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ I E CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED EDSTOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 9-4600 Owner/Contractor on site: Inspector. n�� AAd — White Copyllnspector's File Canary Copy/Site Notice