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Home My WebLink About2013-01227 - windows � � - CITY OF ORONO * z 0 1 3 - P1 1 2 2 7 * 2750 KELLEY PARKWAY DATE ISSUED: 1U18/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 315 SILVER MEADOW DR PIN : 33-118-23-42-0003 LEGAL DESC : MEYER DAIRY ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 10,406.00 NOTE: RGPLACE(5)WINDOWS WITHIN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 206.50 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.20 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 �612�so2-4�� TOTaL zl�.�o Minnesota State License#: BC130983 PAID WITH CC# 8788 OWNER BRUNING, WILLIAM& ELIZABETH 315 SILVER MEADOW DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I'he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. This permit is for only the work described and does not grant permission Yor 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 pennit 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 � /�� 3 �__��` ��:� i �� i �� Applicant Permitee Signat Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . City of Orono Building �ermit /�lpplication for IVlaintenance / �t�novatian {windows, dpors, siding, rewroaf, etc.) lvlailing Add�ss; Permit number: � "��'� ��y,a�.� F'O Box 66 l Crystal Bay, MN 55323-0066 Date received' ��—�8�� Strset Address= Received by: ��.� 2750 Kelfey Parkway Pl�n revlew fee�_ ��{�y� Q$�e Orono, MN 55356 �� !3. �C Tofal�ee: Main; 952-243-4B00 Fax: 952-249-4616 ww1H cj.grono.mn.us This applicatibn form must be completed in full and all required information must be submit�ed. Incomplete appllc�tions will be returned. (�'/ease print) GENERAL IIdFORMATION: ,, _ I Job Site Address: � �� 11�t �L��W �C►U`� Will thls be a Parade of Hornes, Rempdelers Showc�se Home or other Display Homp7 Yes ❑ No ff y�s,a special event permi'�Is repulred w/th Police Departm�nt and Clty Council approva160 d&ys prlRr[o the event. ShuPUe Bus ssrvlce will be required un/ess applicant demonstrafes sufl7clen't onsite parking is availablg. lVon-pemtitfed events w!/!not be allowed. CONI"RACTOR 1 APPLICANT INF�FtMATION: Name� t�txl�o�\ ��Av�i�,Cs�r� State Licetlse# $�13oq$ N �Xp��t�on �ate: 3�3 f Lead Certification Number_ (�j�?� �"�-a g3 �� _ EXpiration Date: Lf f J� (for work on homes that were construoi�ed prior M�978 cefl Phone: (QS�� oZ(p�{--4•0�'$'" ,� (office) ( ) Mailing Address: , . � " " ��s,} C�YY� � �. �IP: SS 11 Gontact Person: Applicant is: ontract / Homeowner tc��ie one) Emall andlor Fax: PROPERTY OWNER iNF012MATiON: Name: i �\ � r U.Y`i� Phone(day): �.� S� Address: Ciiy: ZIP� Email and/ar Fax PR�JECT INFORMATIQN: Type of Project� Any earth movement may require ❑apo�(s) MCWD review 8�p�rmits: Q Remodel ❑Fire Damage Minnehaha Creek Watershed District{M�WD) ❑ Re-roof,asphalt [1 Repair []Storm Damage 18202 Minnetonka B�vd Deephaven, MN 5539� 0 F2e-roof,cedar ❑ Restoration �Water Damage Phone: 952�71-Q590 �.]R�roof,4ther(specity) �]Sidfng ❑Other: (specify) F�x: 952-471-U682 �Wlndow(s) www minnehahacreek.orp Overall Project Description: p� W;�{.OWS l.v ' r� �CJ1C� � Estimat�d Gonstcuctlon Valuation of Project(excluding land) $ /Q .� APPLICANT ACICNdWLEDGEMENT: . Agrees to provide all information required or requested by the�uilding Depgrtment; • Certifies that the information supplied is trus and correct to ihe best of his/her knowledge. The applicant reoognizes that they are solely responsibl�for submitting a compleie application being�ware that upon failure ta da so, the staff has no alternative but to rejeCt it until it is complete; . Some or aH af the information that you are asked to provide an this appiic�tion is classified by State law as either private ar confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data_ Confidential ciata is Information which genersAy cannot be given to either the publie or the su4ject of the data. Our purpose and sntended use of this information is to annual{y update our �ecords and records of other governmental agencles re uired b 1aw. If ou refuse to su I the fnfnrrnation,the a lication ma not be issued. /aoolicani's Sianature:� �� Dafe: �(7�� ^ TIME V CITY OF ORONO C LIED IN INSPECTION N T E SCHEDULED � "" � PERMfT NO. '��aa� COMPLETED ADDRESS •3f S ��Z�"u� OWNER TELEPHONE N . � Z� CONTRACTOR '( � DESCRIPTION ` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GFlADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ IN ULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP p COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPT�C FINAL O FOUNDATION/REMOVAL 2 OWNERKANTRACTOR TO MEET 11�U:_YES_NO c�.� COMMENTS: a� W � � � O � O W � l Q � W W � J d W� �WORKSATISFACTORIF PROCEED ROJECT COMPLEfE W ❑CORRECT NfORK&PROCEED ❑I E CERTIFICATE OF OCCUPANCY 0 ❑CORRECTNfORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site: Inspector: White Copyllnspecto�'s File Canary CopylSfte Notice