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Home My WebLink About2015-01509 - windows � �� CITY OF ORONO * Z 0 1 S - 0 1 5 0 9 * 2750 KELLEY PARKWAY DATE ISSUED: 11/30/2015 , ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 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 ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: REPLACE(5)WINDOWS AND REPAIR BRICK AND MORTAR. PROVIDE PICTURES OF BRICK TIES. APPLICANT PERMIT FEE SCHEDULE 23230 STATE SURCHARGE(VALUATION) 6.00 PEARSON RESTORATIONS TOTAL 238.30 1663 VANBUREN AVENUE ST. PAUL, MN 55104- Payment(s) (612)750-4848 CREDIT CARD 1615 238.30 Minnesota State License#: BUIL-BC691904 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 only the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances governing this type of work shall be compied with whether or n t specified herein.This permit will expire and become nu d void' construction authorized is not commenced within 0 days of e date of issuan e or if construction is suspended for a pe od of 180 ys at any tim e work has commenced. The applica �s r sponsible assuring all r ui d inspections are requested� q`o ormance the State Bu� i Code.This permit may be revoked af time for cause. �' _ "�;' � /l � �� , � Appli nt Pe ee Signa re Date Issued By i ature Date . �.��y vi vr v��u Bu� ing Permit Application for Maintenance/ Replacement / Remodel ,.. t_ �, . . . ... , . .. ,. • , . , C �: ._,�._ . . . ; ;. ;�'. .,, _. . ,; . ..�. . ,. ,� �. ,�� I Maiting Address: Permit number. ,5� � a �O,YO` PO Box 66 Crystat Bay, MN 55323-0066 Date received: — � ' � � � � Sireet Address: Received by: : + � 2750 Kelley Parlcway plan review f .l�,��,��'��` Orono, MN 55356 �. � --. __.._ . Total Fee: �3(�� Main: 952-249�600 Fax: 952-249-4616 This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please prinf) GENERAL INFORMATION: / Job Site Address: 7�� , (,0 U N T y �� p. w pt'y Z.�T�'. M N S�J 3� � Will this be a Parade of Homes, Remodelers Sh case Home or other Display Home? Yes No If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event Shuttle bus service wi//be required unless appticant demonslrates su/f'rcient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP ICANT INFORM�10 . ' Name: " SC) �C�L 1, State License# �� 'ctl�'p�-- �.y� ✓ � Expiration Date: '�/3� �� Lead Certification Number: _ —�T Expiration Date: Z t7�� (for work on homes that were s ructed rf 8 Phone: (cel� �� Q' �f (office) , (� � �jG Mailing Address: r,.� City: ZIP: Contact Person: x w�� ,�s/S pi,� Applicant is: Co actor Homeowner �c��ie or,e> Email and/or Fax: 1. �;�� .� � PROPERTY OWNER INFORMATION: Name: �!�'N -f- ��g E'CGF� $OLG PF'!Z Phone (day): q 52 � �}7b — Ob7(o Address: p City:w�}y ZIP: S53 Email and/or Fax: VS PROJECT INFORMATION: Overall project description: Type of Project: Any eerth movement may also require ❑ Door(s) ❑ Remodel ❑Fire Damage MCWD review& permits: ❑Re-roof,asphalt �epair ❑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: 9521}71-0590 Fax 952-471-0682 �Window(s 5� ,�.��r�v��u�� r_ . Estimated Construction Valuation of Project(excluding land) $ 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 aftemative 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 info ati hich neratly cannot be given to the public but can be given to the subject of the data. Confidential data is informatio whi ener I cannot be given to either the public or the subject of the data. Our purpose and intended use of this inform n nu pdate our records and records of other govemmental agencies required by law. If ou refuse to su I the � rma � ,the a ication ma not be issued. ApplicanYs Signature: � Date: �� Owner's Signature: � �/ Date: � �• 3 0 • (5 DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED PERMR NO. �� "0/��4 COMPLETED ' ADDRESS �00 S.�i`�. f�d c. OWNER TELEPHONE NO. CONTRACTOR l��arr�.� iQe��br4��a�t � DESCRIPTION W��'� �'�/� �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ 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 � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT r INAL ❑ WATER HOOK-UP �Fp�LOW-UP W ❑ S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O�WNERICODfTRAt1TOR TO MEET YOU:_YES_NO � COMMENT'� f�i vn•� `ia/�/e.� �o•%� �' C41��r �r � �.naL irisr��.�.. — j o _ � Nr��troo J r�ol. - � 5$,a,c e �•�t.,�- ° c��!'C .ri. Q��s��.cc OP�,S. — � �- s. �. .r Ca •oi��-�.ois ,p lol��d�n Q � � �� G��K cd,A.��.�� — O��C ,.��,,.._� �'�� O WORK SATiSFACTORY:PROCEED �OJECT COMPLETE W ❑OORRECT WORK 3 PROCEED ❑ISSUE CEFiTIFIC/1TE OF OOCUPIINCY O O CORRECT WORK,CALL FOR REINSPECTION TEMPOFiARY V BEFORE(�VEFtlNf3 PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRAN(iE ACCESS. csN ror a�e next inspection 2a nours in aa�►a�e. (952) 249-4600 Ov�rr�rlContractor on site: inspector: ` YYhite CaPYnnspsctor's Fil� C�nary CopylBfb Notle� DATE TIME CITY OF ORONO cnLLED IN �`� - INSPECTION�Q�I� O�� scH�ULED � �•��_ PERMR NO. v� P COMPLETED ADDRESS �T UC� SI°�'''�^ �-u-C �J� OWNER TELEPHONE NO. � �b, �� CONTRACTAR n� �`SCJ� ��c.1� � DESCRIPTION �1 �-N��S f ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �Y ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ � ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O'WNERICOI�TMCTOR TO MEET YiOU:_YES_NO y COMMENTS: a� � o �(, fi`��n.�o�..s �Jt�oo� b 1e� e . �. � ° l s ar W � � G G Q Z \ / 1� ) � .(. .SNL a k� TCG / /' d i"e G 1/�, rL��n J'_ � s. L, v � c �d.�c� c,v� '.. l � � � D � o�i�-� J W O WORK SATISFACTOHY:PROCEED r ECT COMPLETE � ❑CORRECT YYORK 8 PROCEED ❑ E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK�LL FOR REINSPEC710N TEMPORARY V BEFORE CdNERING PERMANENT ❑CORRECT UNSAFE COND�TION WRHIN HOURS. p pHpTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for U�e next inspection 24 hours in advanoe. (g52) 249-4600 OwnerlContractor on it • Inspectoe c - White CopyAnapsctor's Fib Canary CopylSfN Notice