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Home My WebLink About2014-01120 - windows CITY OF ORONO * 2014 - 01120 * 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2014 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 2480 OLD BEACH RD PIN 21-117-23-22-0004 LEGAL DESC SHORE HILLS LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 16,000.00 NOTE: WINDOW REPLACEMENT INTO EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 280.25 DANBERRY BLDG CORP. STATE SURCHARGE(VALUATION) 8.00 TOTAL 288.25 5413 MANITOU RD Payment(s) TONKA BAY,MN (952)474-5990 CHECK 008800 288.25 Minnesota State License#: BUIL-BC6389415 OWNER MCDONALD,ROBERT&BRENDA 2480 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 du(2"' e cause. �J) V / AppIi e 'ee S' re Date Tss#By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O1V Mailing Address: Permit number: �Q O PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: y� ti 2750 Kelley Parkway Plan review fee: Orono, MN 55356 KFSN°tee Total Fee: 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: / Q Job Site Address: y �SU (1 / h� 7 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �a.No If yes,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/APP (CANT INFORMATION: Name: �j� r State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (Q j Z Z 5 0 7106 (office) Mailing Address: f/ f/yla„ ;40ti City: �y ZIP: Contact Person: e E 1 Applicant is: Contractor / Homeowner (circle One) Email and/or Fax: et. (-,rX", PROPERTY OWNER INFATION: Name: OR ),-m6X(!,-' o'11�I Phone (day): Z — 30 FS — c/72 3 Address: City:Q� - ZIP: s 3� Email and/or Fax: ;nQ,� [— pd)v;- e 1(2 &Me , I c,v-- U- y PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) MCWD review&permits: ❑ Remodel ❑ Fire Damage ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 91/inciow(s) www.minnehahacreek.org Estimated Construction Valuation 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 inform 'on is to annualyjupdate our records and records of other governmental agencies required by law. If ou refuse to su lVtheAfoymation,the Voycagon may not be issued. Applicant's Signature: zL Date: 0 L Owner's Signature: Date: Last Undated: 0310612013 E--lb TIME CITY OF ORO CALLED IN 04/6 INSPECTION%a-OLLADOOMPLETED SCHEDULED PERMIT NO. ADDRESS OWNER TELEPHONE NO. Sa'Y7y" CONTRACTOR DESCRIPTION , ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADINGIRLUNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS C ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ 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 .t ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: �® w,►r�ea.�� ree/.Fi�r�S � 3 0 /+ W cc Z — j /'✓ Q Srt �or`se u�ra _ osier_ �or�Of top aF' a teras -� aa� •�roo W ❑WORK SATISF TORY PROCEED a ❑PROJECT COMPLETE ,U„PRRECT WORK&PROCEED Joe-r 1K�� ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION �,o TEMPORARY V BEFORE COVERING A PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS.' ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Inspection 24 hours in advance. (952) 249-4600 OwnedContmctor on site: Inspector. White Copytlnspector's File Canary Copy/We Natice