The URL can be used to link to this page

Home My WebLink About2015-00568 - windows CITY OF ORONO * 2 0 1 5 - 0 0 5 6 B * � � . 2750 KELLEY PARKWAY DATE ISSUED: OS/1 U2015 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDT�ESS : 700 SIXTH AVE N PIN : 25-118-23-32-0003 LEGAL DESC : LJNPLATTED 25 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNTTY : O/S BUILDING-UNDEFINED VALUATION : $ 33,000.00 NOTE: (3)WINDOWS AND(6)DOORS BEING REPLACED IN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 523.97 PEARSON RESTORATIONS STATE SURCHARGE(VALUATION) 16.50 1663 VANBUREN AVENUE TOTAL 540.47 ST.PAUL,MN 55104 Payment(s) (612)750-4848 CREDIT CARD 1615 540.47 OWNER BOLGAR,DANIEL 700 SIXTH AVE N 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 onty the work described and dces not grant permission for additional or related work which requires separate pertnits. All provisions of laws and ordin ces goveming this type of work shall be compied with wh er or not spe �ed herein.This permit will expire and become null d void if cons ction authorized is not commenced within 18 days of th da f issuance,or if construction is suspended for a peri of 180 d s a y time after work has commenced. The applicant is nsible fo s r' g all required inspections are requested in c f ance wi th te Building Code.'I'his pertnit may be revoked at t e for d u . �// -� Appl' ant Permitee Signature Date Issued B ignature Date ��y u� vr u��v � �uilding Permit Appiication for Maintenance / Replacement / Remodel �(i.e. windows, door�, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O A,O MailiPO Bo�r66 � Permit number: � �J' � �V / Crystal Bay, MN 55323-0066 Date received: �// / �, ,� , Street Address: Received by: � ti � 2750 Kelley Parkway Plan review fee: F� �� Orono, MN 55356 �Kf ti HO� �.//" '�� 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 mus be submitted. Incomplete applications will be returned. (Please printJ GENERAL INFORMATION: Job Site Address: �1' �p . 55 3�j I Will this be a Parade of Homes, Remodelers Showca Home or other isplay Home? Yes No /f yes,a special event permit is�equired with Police Department and City Council approva/60 days prior to the event Shutt/e bus serviae will be required unless applicarn demonsirates sufflcient on-site parking is available. Non permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATI N: Name: C'q,(SO I` �Cd� 1-.1-"'G State License# Expiration Date: 3 3 � I Lead Certification Number. �} �. � �5 � �� - � Expiration Date: 2,,, (for work on homes fhat were constructed prior to 97 Phone: (cell) b (office) S vh�, Mailing Address: �,�, � City: �K� Q ZIP: Contact Person: � Applicant is: on rac or / Homeowner �a�cMeo�� Email and/or Fax: v �G �Y►'�, PROPERTY OWNER INFORMATION: Name: - _��R�G� g'D L-�� Phone(day): �S2 -�-�-16 - D(�-7� Address: �00, C�G Vt r�Y T 4 �i� (�� C�tY� w �y Z/�-T�} ZI P: �5 3 Gl � Emait and/or Fax: ��b�I�,r1vS v h.^S � • ��^ PROJECT INFORMATION: Overall ro'ect descri tion: Type of Project: Any earth movement may also require �Door(s) ❑ Remodet ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven,MN 55391 ❑ Re-roof,other(specify) ❑Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ C 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 given to either the public or the subject of the data. Our purpose and intended use of this information is to annually up re ds and records of other governmental agencies required by law. If ou refuse to su I the information the a lica no issued. Applicant's Signature: �Date: ` �� i � Owner's Signature: � •�1 G,v Date: S �� (�J . �/ C� � � �� TIME CITY OF ORONO caLLED IN � INSPECTION NOTIC .� r/ SCHEDULED /d-�1--�5 02'd� PERMIT NO..� � COMP�ETED ADDRESS OWNER TE E N �7�� CONTRACTOR � DESCRIPTION i��"-�' `3 �l�G� � ��5 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERfCONTRACTOp TO MEET Y�OU:_YES_NO y COMMENTS: � � j �O � O W � Q � � W aC , W ❑WORKSATISFACTOHY:PROCEED OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑I E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT Y1fORK��R REINSPECTION TEMPOFtARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca8 for the next inspection 24 hours in advance. 249-4600 OwnerrCoMractor on site: Inspector: Whib CopYAnapsctor's Flle Gnary CopylSits Notice