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Home My WebLink About2012-01017 - windows , .1� CITY OF ORONO * 2 0 1 z - 0 1 0 1 7 * 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2730 SILVER VIEW DR PIN : 33-118-23-42-0007 LEGAL DESC : MEYER DAIRY ADDN : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CO1vSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,016.00 NOTE: REPLACE(4)WINDOWS INTO EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 177.00 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 4.01 1920 COUNTY RD C.WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 183.01 Minnesota State License#: BC130983 PAID WITH CC# 9627 OWNER MONSON,DALE&CAROL 2730 SILVER VIEW DR LONG LAKE,MN 55356- 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 rype 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. �V1 •,(�� / /('/ /�� Applicant Permit e Signature Date ss By �gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. f �� City of Orono Building Perrnit Application for Maintenance / Renovation , (windows, doors� sidin , re-roof, etc. MaUing Address: �0� PO Box 66 Permit number: / �d�d/ ' Q � Crystal 6ay,MN 55323-0066 p�e��: �- � - � � Street.4d�digas: Received by. 2750 Kelley Parkway Plan review fee: �' tta�t' Orono,MN 55356 Main: 8b2-249-4600 Fsu 952-249-4618 w�vw.ci orono mn us Total Fee: � / S3,O I I � Thls application form rnust be oompleted in tu►I and all required infomiation must be submitted. Incomplete applicatlons will b4 roturnod. (Please print) �iENERAL INFORMATION: Job 3ite Address: � U� �('±� WIII this ba a Parade of Homes, Remodelers Showcaso Home or atl�er Display Homf? Yea No �Y�,e speclel eventpermif!a requiied wlfh PoNce DeperhneM and C!ty Coundl epprove/BO dslm P►la'to the eNent Shutlfe bua service wiY be ►eqWred unlesa epplkant demonstrsies aulRclent on-slte AarklnD la avaNable. Non�oermHf�d evenle w!N not ba a/lowsd. CONTRACT�R/APPLICANT INFORMATION: � Name: t�trlt�'�a.\ �+l A�{rSer� State�icense# �G13o9 83 Expiration Date: �y �31 Lead Cefification Number. N�pT- a�.a S 3 -� Expirativn Dete: y�15 (fbr worir on Aomes bhai rv�re construct�ad pnio,r to 19�8 Phone: (p51- o� -4� � (office) (ceU) Mailing Addr�ess: � •• •� Wey,�. City: ; � ZIP: s Contect Person: Applicerrt is: / Homeowner �ci�sone� Emall andlor Fax, PROPERTY OWNER INFORMATiON: Name: �.e. SO � Phone(day): a — �, Address: rj� City ZIP• Email and/or Fax PROJECT INF4RMATION: - - . __.. T��P�O��' Any sarth mowmeM may requin � �OOKg) ❑Remodel ❑ Flre Damage MCWD nWew d�permits: ❑ Re-roof,asphal! ❑ Re air Minnehaha Geek Watershed District(MCWD) P ❑SG�rm Damage 18202 Minnebonka Bivd ,._ _ ___ ._. ._ _.._ _ _ _,_ _ []Re-roof,cadar ❑ Res3oi�ation ❑ Water Damage Deephaven, MN 55391 ❑Re-roof,other(spsclry) ❑Si�ng ❑p�er. s Phone: 952-471-0590 � Pe�Y) Fax: 952-471-0682 [�Window(s) � �� www.mi�nehahecreek or�a Overall Pro Descri iom �; O ; Estimated Construclion Valuatlon of Project(excludln land � $ — APPLICANT ACKNOWLEDGEMENT: • A�rees to provide all informetlon requlred or rBquested by the Building Depatlmen� • Ce�tifies tha!the infi�rmaUon supplled is true and c�rect to the beat of his/her kno�wledg�s, The applicant recognitea fhat they are solely responsible for submitting a canplete �pplicafi�n being aware thst upon fsilure to do so,the stafF has no altemative but ta r�eject ft untll it is c;omplete; • Some or all oi ihe iriformetion that you are asked to provide a� this appl(cation Is clessified by State law as efther private or conlirdentlal. Private data Is inFormation which generslly cenrwt be ghren bo the public but can be given to 1he subject of the deta. Confidential data Is informaGon which generally cannot be given to either the publlC or the subJecl of the data. Our purpoBe and intended use of this Information is to annually update our records and recoba of other govemrt�t�l agendes re uired b law. If refuse to su I the(nformatlon the a lication ma not be issued. AoolicanYs Sianature� �� Date: Q(�' �� I Z 'd 06T94G9TS9 3�IA213S 1IW�13d Q '8 S �1 OS ��T zTOZ 60 ��0 DATE TIME � CITY OF ORONO CALLED IN / � — i INSPECTION TICE SCHEDULED //— /!�/� 1� ,' PERMIT NO. �`a -��a�7 COMP Ef€D ADDRESS (�� cJ/ //`PJz ��/�P/ �' OWNER T LEP O E NO. 5�y �� CONTRACTO ��5� � DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAI ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO h COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECT�ON REQUtRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on�ite: Inspector. r1 L White Copyllnspector's File Canary CopylSite Notice