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Home My WebLink About2013-00198 - windows � - CITY OF ORONO * 2 0 1 3 - 0 0 1 9 8 * 2750 KELLEY PARKWAY DATE ISSUED: 03/25/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4225 SIXTH AVE N PIN : 31-118-23-12-0012 LEGAL DESC : LJNPLATTED 31 ll 8 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 800.00 NOTE: REAPLCE WINDOWS INTO EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 34J5 DATTILA, GRANT STATE SURCHARGE(VALUATION) 0.40 4225 SIXTH AVE N LONG LAKE, MN 55356- TOTAL 35.15 PAID WITH CC# 3531 OWNER DATTILA, GRANT 4225 SIXTH AVE N 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 type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if cons[ruc[ion au[horized 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 conformanc�with the State Building Code.This permit may be revoked at any tim��'of due cause. �' � � � / 2 �/ � � � l� ,,( �3 / a�.� l�3 �A plicant Permitee ignature Date ssued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - , -� ' :: ,�, City of Orono � � � � . � Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: �Permit number. c�% 1j — GG�( '�f � O�,L,�,j�O PO Box 66 � Crystal Bay, MN 55323-0066 Date received: .� ��-_/� ; I a �� , '� Street Address: Received by: "� �`;';� �'.�c� �� ti 2750 Kelley Parkway Plan review fee: �� L�kESH��'� Orono, MN 55356 ,;+ � Total Fee: �� f'� ;� 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 returned. (Please print) � GENERAL INFORMATION: , �� Job Site Address: ` .�' - Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o � If yes,a specia/event permif is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed. � � CONTRACTOR/APPLICANT INFORMATION: � Name: �-..�t. \�_l-__�� '\ _ � State License# �l ii? Expiration Date: ��' ,J} � Lead Certification Number: i„',�'• Expiration Date: r�f �� (for work on homes t�t were constructed prior to 9978 '� Phone: C.%i� �' `!1 Li :'C,�_ _/ (office) (cell) � r Mailing Address: � 7(` � � ,�� City: ,�.�,:, � _ _ IP: ;� � >U� � Contact Persorr: ��,,,�� Applicant is: Contractor / Homeownel� (Circle One) Email and/or Fax: c��_{� �� ,� � �� c��.,�� „ ,,�,� `. � ,� PROPERTY OWNER INFORMATION: � Name: ,. . G ,1 ., , _. : ,__ � �_. . ;- _ ,`' Phone (day): �. �2- `� i� i G;. .7 .; Address: '7_ �71`Z- 5��,,-, "� City: i�� ,�,J' ZIP: `� � 3c; '� Email and/or Fax A-_ 11��- `��-,`�� C�- �i �--�ta�.i . c�� i PROJECT INFORMATION: Type of Project: Any earth movement may require { ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: ❑ Re-roof, asphalt ❑ Re air Minnehaha Creek Watershed District(MCWD) p ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof,other s eci Phone: 952-471-0590 ( p fy) ❑ Siding �Other: (specify) Fax: 952-471-0682 �l{1�lindow(s) �'1<� www.minnehahacreek.orq Overall Project Description: �- . ;� ,� , �. �,:; �, ,� � _ ; ; 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 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 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 info ation,the a lication ma not be issued. Applicant's Signature: � ( �� ' ''� �/2"�� -�� -'� Date: � � 1 3 Last Updated: 08-09-2011 DATE IME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�l�•ootQB' COMPLETED 9'�.Z��4 ADDRESS �a�� 6� �t/e. .�t6 OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION _ ��ti�� R�.4f• � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS O 0 FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��E1NAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. � 'FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTiC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTMCTOR TO MEET Y�OU:_YES_NO y COMMENTS: /10 � o� �.•t� � C.�it�c� I�c r.�'y tJ.f,c-.0 �J�eno d o r r.��S 0 �JB r Q ra�0,�� 1�a IJ�t�o� � .�b�s � 4f@ $ c� Qrt� Qwa!!t✓ d.L' O � � Q �rt4.L .Asir•�x � 2 � W � j � ❑4YORKSATISFACTOR�F.PROCEED ��OJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector:___�(�� -l./ White Copyllnspecto�'s File Canary CopylSite Notiee