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