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HomeMy WebLinkAbout2013-01283 - windows [It I I 111 CITY OF ORONO 0 * 2750 KELLEY PARKWAY * 2 T 1 3 - 0 1 2 8 3 DATE ISSUED: 12/12/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1535 ORCHARD BEACH PL PIN : 07-117-23-43-0024 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 018 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 8,387.00 NOTE: REPLACE 4 WINDOWS WITHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 177.00 STATE SURCHARGE(VALUATION) 4.19 RENEWAL BY ANDERSON MAIL-IN FEE 2.00 1920 COUNTY RD C. WEST TOTAL 183.19 ROSEVILLE,MN 55113 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 183.19 OWNER DELTON, LESLIE&NANCY 1535 ORCHARD BEACH PL MOUND, 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 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By S' nature Date f City of Orono Building Permit Application for Maintenance I Renovation (windows, doors, siding, re-roof, etc.) Melling Address: Permit number: 02013-0 /2$3 .0,04? PO Box 66 O Q Crystal Bay, MN 55323-0066 Date received: 12• (I- (3 Received by: n Street Address:% l6GS , +' �, �, 2750 Kelley Parkway Plan review fee: �ega�� Orono, MN 55356 Total Fee: I Main: 952-249-4600 Fax 952-249.4616 www.ci,orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: 1 Job Site Address: 153 5 a`[c, ,cd e�� 1p�C. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes ©No Hos,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonsbates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 'Q -C' er••3 State License# '$� l30183 Expiration Date: 31 Si Lead Certification Number. 1‘3*KT- -1 Expiration Date: 4/l6 (for work on homes that were constructed prior to 1978 Phone: (051 -1.1.0$$- ry (office) (Cel!) Mailing Address: IR GL r Ca. 1R. " " City:?cps.tvi1 ZIP: $5( Contact Person: Applicant is: •ntractor / Homeowner (circle one) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: !VOLT C -1>e..1+oYl Phone(day): 95 3@ :54:98$ Address: ��; City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require- Door(s) 0 Remodel ❑Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) 0 Re-roof,asphalt 0 Repair ❑Storm Damage 18202 Minnetonka Blvd Re-roof,cedarDeephaven, MN 55391 0 ❑Restoration 0 Water Damage ❑Re-roof,other(specify) 0 Siding ❑Other:(specify) Fax:: 955271-Phax2-47066- 52Q 1- 82 0 Window(s) www.minnehahacreek.orc Overall Project Description: 12-be fI A C 1-1 LU: • DWS (-4-7;r1 LQ is i so - .7 Estimated Construction Valuation of Projeet(excluding land) $ $} 3401-. 00 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. Aoolicant's Sianature: df_1 GLt.O Date: /b[Igo 3 /_ jE 1y TIME \/ CITY OF ORONO CALLED IN V v '/ INSPECTION NONE,, SCHEDULED 43-5— /7 O J PERMIT NO.426tJ fd8i COMPLETED �7 ADDRESS /535 Urd - all ` OWNER T EPHONE NO. tW/2 it CONTRACTO�14eZelJCt DESCRIPTION «di — PLderZj • ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG 4. Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS v/ ❑ 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 0 SEPTIC MAINT. 0 FOLLOW-UP Z 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL IC Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: cc a Wee, Ae55 764-f r ,e i&y cc 44.-- irtveGi/e %N., o ac o /0/ewe Ce// I'Q,SG4,._.an CC Q /I/V n 1"6 r hl♦,i# e.) /50l4Cdroirr V r LU._ J 0 41 0 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING 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 inspection 24 hours in advance. (952) 249-4600 Owner Contractor on site: Inspector. (...?4,'"--------.6 White Copy/Inspector's File Canary Copy/SIte Notice ` `' ()per) DATE TIME I/ CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED '— / 'Jct PERMIT N0 /3-0/ag,3 COMPLETED ' ADDRESS /S3 5 O rcGcay OWNERi ,_iPl' 1 _ / TELEPHONE NOGI5 -SF-7a-3(o CONTRACTOR '(---I/l-Q. / / 4 Aftc efrovC, DESCRIPTION Wbiti' a-'' _,v`-+' Is ill O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION = ADON SLAB 0 WATER HOOK-UP ❑ PROGRESS FINAL 0 SEWER HOOK-UP 0 COMPLAINT DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP It tal ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL v VIE Rf NTRACTOR TO MEET YOU:_YE<NO cc.) COMMENTS: cc W C I O �� IQ CC Q 2 W Z W CC d IQ ❑WORK SATISFACTORY:PROCEED ;PROJECT COMPLETE W 0 CORRECT WORK&PROCEED //0 UE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C 1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR LI INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours iriadvance. (952) 249-4600 Owner/Contractor on site: _,s, ,,,_ - 4") Inspector. . �- White Copy/Inspector's File Canary Copy/Site Notice