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Home My WebLink About2010-01004 - windows , � CITY OF ORONO PERMIT NO.: 2010-01004 2750 KELLEY PARKWAY , ORONO, MN 55356- DATE ISSUED: 10/14/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 99 SIXTH AVE N P1N : 25-118-23-44-0012 LEGAL DESC : HOLLY ACRES 2ND ADDN : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING - UNDEFINED VALUATION : $ 78,900.00 NO"1'F,: REPLACE SIDING AND WINDOWS APPLICANT PERMIT FEE SCHEDULE 899.25 CHOICE WOOD COMPANY 3300 GORHAM STATE SURCHARGE(VALUATION) 39.45 ST. LOUIS PARK, MN 55426 TOTAL 938.70 (612)924-0043 Minnesota State License#: 1532 OWNER BRISCOE,MR. & MRS. 99 SIXTH AVE N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for whidi this permit is issucd 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[he date of issuance,or if cons[ruction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all equired inspections are requested in conformance with the St ilding Code.This permit may be rcvoked at any ti r du us . - /o i / l�t i l Applicant P ignature Date Issue B gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. .�f► City of Orono ' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) ' Mai/ing Address: Perrnit number: O.¢,�,�.0 PO Box 66 Crystal Bay,MN 55323-0066 Date received: a �� , Street Address: Received by: ' ��, �ti�' 2750 Kelley Parkway Plan review fee`. l *v Orono,MN 55356 �EsH�fi' � 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�eturned. (Please prinf) GENERAL INFORMATION: Job Site Address: �� Cowv1 V► o w �P , r o r�o , I�n Will this be a Parade of Homes, Remodelers howcase Home or 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 6us service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFOR ATIO Name: 00 . �0 � °� State License# Expiration Date: � Phone: ; q p�! office — - 3 cell Mailing Address: p0 e� Cit :51�.Lo �s ZIP: SS Contact Person: F r�� }� n ow Applicant is: ontractor / Homeowner (CircleOne) Email and/or Fax: . q - �1.1�� (v9 PROPERTY OWNER INFORMATIO • ' Name: �,�, o�.�!G -� a, r' S CC.�L, Phone(day): - - b1 /�� Address: �1�i C.o��✓n�r.� QjoL. �¢ City:VY'OY10 ZIP: �� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven,MN 55391 �Siding ❑ Restoration ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: � 1C�.�r� W 4 O��+S Estimated Construction Valuation f Project(excluding lan $ 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 altemative 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 re uired b law. If ou refuse to su I the information a lication ma not be issued. ApplicanYs Signature: ��- Date: � �< � Last Updated: 05-04-2009 CC� DATE TIME ✓ CITY OF ORONO CALLED IN ��-3� '�� INSPECTION NOTICE SCHEDULED /Z-2—/D - PERMIT NO.�D/O�D/OO� COMPLETED ADDRESS_ 99 �C� lTUY /v OWNER TELEPHONE NO. ` Z 2�✓� 7J'�'L1.3 CONTRACTOR �DZ!'�- GCJD D/Y _ � DESCRIPTION ��5 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/�G ING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKE3HORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOFi TO MEEi YOU:_YES_NO � COMMENTS: W � ^/ C 7�` oG�r.�L� .�r' � �. � 0 � W � Q � z W � W � � O W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPIETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � � � White Copyllnspector's File Canary CopylSite Notice