HomeMy WebLinkAbout2015-00926 - windows CITY OF ORONO Fl 1 1 1 L IL I4 H
00926 *
2750 KELLEY PARKWAY DATE ISSUED: 07/23/2015
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 180 ORONO ORCHARD RD S
PIN : 02-117-23-21-0010
LEGAL DESC : ORONO ORCHARDS
: LOT 050 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES
VALUATION : $ 5,817.00
NOTE: REPLACE(4)WINDOWS IN EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 139.40
STATE SURCHARGE(VALUATION) 2.91
SCHERER BROS LUMBER MAIL-IN FEE 2.00
10751 EXCELSIOR BLVD
HOPKINS,MN 55343 TOTAL 144.31
(952)277-1600 Payment(s)
Minnesota State License#: BUIL-BC239369 CREDIT CARD 9036 144.31
OWNER
ROKKE,JOSEPH&MARSHA
180 ORONO ORCHARD RD S
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.
11A-A-Aecej -ems -7a3..11 6
Applicant Permitee Signature Date Issued Signature l Date
PP � �
• • •
City of Orono
Building Permit Application for Maintenance I Replacement / Remodel
(i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
Mailing Address: Permit number
PO Box 66
Crystal Bay,MN 55323-0066 Date received - -
Street Address: Received by:
2750 Kelley ParkwayPlan review fee:
114SH041 Orono, MN 55356
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:
S
Job Site Address: Igo Orono 2rckara Rd -
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes JNo
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: .5 cher-R.4, to MS.L(,t yr b -4, Co .
State License# Bc.023q 31p Expiration Date: 3 S3/ /to
Lead Certification Number: Nici--1 a '3 05.a Expiration Date: S ? olpa p
(for work on homes that were constructed prior to 1978
Phone: (cell) (office) q5.1- ?77 -/6.6s)
Mailing Address: 1�5 £xce(stor Rivo( City: f�-d�kil s ZIP: .$53q'3
Contact Person: r (i,,f h Applicant is: Con{ractor / Homeowner (Circle One)
Email and/or Fax: ca't flc rvso r.a SCk ere.r lr'o5 ,
PROPERTY OWNER INFORMA IO
Name: 3-0e-
Phone(day): - , - . . /
Address: IgD Guava l'/cl ( / City: N1la-412A-4"-GL--ZlP: 5539/
Email and/or Fax:
•
PROJECT INFORMATION: Overall project description: izeplac' 4- VJ to.oko S 6h •^7(,9-10ir jr0 orvifcf' S.
Type of Project: Any earth movement may also requir
❑Door(s) 0 Remodel 0 Fire Damage MCWD review&permits:
ElRe-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑Re-roof,cedar El Restoration 0 Water Damage Deephaven,MN 55391
0 Re-roof,other(specify) 0 Siding ❑Other:(specify) Phone: 952-471-0590
Fax: 952471-0682
9 Window(s) w/ww.minnehahacreek.orq
Estimated Construction Valuation of Project(excluding land) $ .67/ 7# tv0
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 th information,the ap lication may not be issued.
Applicant's Signature: ifowr ' Date: 41/0V-I1 b
Owner's Signature: Date:
Last Updated:January 2015
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. -CO-cO96 COMPLETED -3T-777.
ADDRESS Sro� o'LAa.r' ,2 5.
OWNER TELEPHONE NO.
CONTRACTOR .... ..„{ere r- 8 cos• L w,..4ye r
DESCRIPTION W int' /Cep 1.
W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
Q 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
is ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
NAL 0 WATER HOOK-UP .FOLLOW-UP
ZIT ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
J ❑ DEMO-SITE 0 SEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU: YES_NO
eCei COMMENTS: 4rme Aci6Pa✓ f4•led, .SES c4/( {o.- 4
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gt LA//660(..0 rept. - ,iti(e Sete 4..4- S67/e
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W
Q •- S •O. c+ G. 0 2 e &ors 400/Y)riLel, -,e'l
W
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cc term.. --• 4-stie-e..efee..„0
W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
a
El CORRECT WORK&PROCEED ❑CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. ()/M.
White Copy/inspector's File Canary Copy/Site Notice