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Home My WebLink About2013-00813 - windows CITY OF ORONO 1 1 �I' �'�� 1 * 20 1 3 - 008 1 3 * 2750 KELLEY PARKWAY DATE ISSUED: 08/19/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 435 OLD CRYSTAL BAY RD S PIN : 04-117-23-31-0002 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT ooq BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 13,000.20 NOTE: WINDOW REPLACEMENT II APPLICANT PERMIT FEE SCHEDULE 236.00 HEMMEKE,MELISSA A STATE SURCHARGE(VALUATION) 6.50 435 OLD CRYSTAL BAY RD S TOTAL 242.50 LONG LAKE,MN 55356- OWNER HEMMEKE,MELISSA A 435 OLD CRYSTAL BAY RD S LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfo ed according to the approved plans and specifications,applicable City:pprovals,and the State Building Code. This permit is for only the work•escribed and does not grant permission for additional or related work whi h requires separate permits. All provisions of laws and ordinances govemi g this type of work shall be compied with whether or not specified herein. his permit will • expire and become null and void if construction author ed is not commenced within 180 days of the date of issuance,or f construction is suspended for a period of 180 days at any time after w. k has commenced. The applicant is responsible for assuring all required in pections are requested in conformance with the State Building Cod= This permit may be revoked at any time for... aus' • PF/ ( / /l tel/ ,,3 Ap.,�c..��.� au, Date �' Issu . By Sign re Date SEPARATE PERMI1 S REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) VOA/O Mailing Address: 4::7Z)/ 3_ J/3 PO Box 66 Permit number: p Crystal Bay, MN 55323-0066 Date received: 0�l �/ �� Street Address: Received by: yF G� 2750 Kelley Parkway Plan review f t Orono, MN 55356 1kESH0 c=7 (77,66 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 mu be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �� (r y S 74 8,L y R nQ Will this be a Parade of Homes, Remodelers Showcase Home dr other Display Home? ❑ Yes ❑ 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/APPLICANT INFORMATION: Name: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: /� Name: /1/1e bissa Q 4,-1 �-4-e_ Phone (day): .75'2_ Z `?3 ' 50/ (o Address: y5 S O/d C1-5-7-''- '- LX ,City: OA GNU ZIP: 56-3 .s Email and/or Fax: Y,- /,.ssa e,,--- -c- K __( cj ,,, j a / . c o--)---,--7PROJECT INFORMATION: Overall project description: (� Type of Project: Any earth movement may also require IIIDoor(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: CIRe-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 111 Re-roof, other(specify) n'SidingI CIOther: (specify) Phone: 952-471-0590 Fax: 952-471-0682 E]Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project (excluding land) $ /3) 0 0 0 •- 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 appfcation may not be issued. l Applicant's Signature: -�'�/, Date: F-/q - 73 Owner's Signature: / Date: 8-- /9- /.5 Last Updated: 03/06/2013 1 }�. E TIME CITY OF ORONO OD g / 2 CALLED IN INSPECTION NOTICE (J SCHEDULED ?—/&'—I3 8�'1 PERMIT NO.020/.3-006 COMPLETED ADDRESS 1/3 S D icy CY'Y5ircP 84-Am S '. `7/ OWNER TELEPHONE N61.&/7 1-//11f 7/ 7 CONTRACTOR /If CL-- . DESCRIPTION k411)11/1C1$05 5/01/ 4 D FOOTING D PLUMBING FINAL ❑ EXCAV/GRADI G/FILLING Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORENVETLANDS y 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS 0 FINAL 0 SEWER HOOK-UP ❑ COMPLAINT 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP ttl 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI 0 SEPTIC FINAL LI FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: W a cc 0 cc O W cc W W cc 0 WC[ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector: White Copy/Inspector's File Canary Copy/Site Notice //' DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 3 - 1/13 COMPLETED /-6-'4 ADDRESS .3,.6-- Old Crys 4f 4 42 OWNER ,Lje 6'd,K,1E EPHONE NO. CONTRACTOR DESCRIPTION k/c/laJ“J il /• W ❑ FOOTING 0 DEMO«FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL 2 ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q JAL 0 WATER HOOK-UP IBIOLLOW-UP i ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OYVNERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS: IQ 74csit r"HLc +041Aplc� 1 ?le Krt o� CC St 4 5.�.� .44414-s-.-01.- Oma? 1--r6!1 6 0 W O; Q 2 W ccW 0 WORK SATISFACTORY:PROCEED V2RO ECT COMPLETE CC 41 0 CORRECT WORK R PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,PALL FOR REINSPECTIOIN TEMPORARY 0 BEFORE COVERIh G PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN_HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspect 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: 9,15:-/ Whig Cepyllnspectors File Canary Copy/Site Notice