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Home My WebLink About2012-00759 - windows � •� CITY OF ORONO * 2 0 1 2 - 0 0 7 5 9 * 2750 KELLEY PARKWAY DATE ISSUED: 08/06/2012 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2990 SUSSEX RD PIN : 04-117-23-31-0020 LEGAL DESC : FOX BEND : LOT 3 BLOCK 4 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,731.00 NOTE: REPLACE(4)WINDOWS INTO EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 162.25 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.87 1920 COUNTY RD C. WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 168.12 Minnesota State License#: BC130983 PAID WITH CC# 8788 OWNER KELLY,JUSTIN&SUSAN 2990 SUSSEX RD 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 sepazate 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 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 d ause. • �� / � / �O''� App icant ermitee ature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono y �- Building Permit A lication f ' � , pp or Maintenance / Renovation (windows, doors, sidin , re-roof, etc.) O Melllnq Add�sss: O'�" � PO Box 68 Permit number: 020/cy�-�7 � Crystal Bey,MN 55323-0066 Date teoetved: �- -/,� � � Streer Address; Reoeived by: 2750 Kelley Parkway Plan revtew fee: � arono,MN 58356 Main: 952-249-46pp Fax: 952-249-4616 www.ci.orono mn us Total Fse: �//�qr�/ This appiication form must be completed in full and all required irrformation must be submltted. U QENERAL 1NFORApATION: ��m��plications wlll bo retu�ned. (Please prrntJ Job Site Add�ss: p�q 9 Q S(��js.�� Wiil this be a Parado cf Homss, Remodslsrs Showcase Home or other Display Homa? y� �r�s.a s�c�a�e�r�►n rs►�r�,ad wnrn�oe�.n,�eM e,►�r c�y co�„di No reqWivd uNess a�csnt demonstredes sulRcleM on-slte °p��e0 dal�Arior to Nie evgr�t. Shutde bva seMce wiU 6e Aar�n9 fs eveNeb/e. Mon-permfKeal eHents w!N not be sl/ow�ed. CONTRACTOR/A�CANT iNFORMATION: Name: � t f�� State�icense# G13o9 Lead Certification Number: �P�ration Oate: 3 f 3t �'AT- oZ�-o?83 - 1 Expira�on Date: - y J� (lor w�ork an ho�mes tliat waro cor►structad pr0or i�f978 Phone: f�S1– o� 04—y��.'} (offive) Mailing Address: � � �� •• Wc Ci �� Contact Person: ry� ► G 21P: S Erna(I and/or Fax: APP►icant is: n / Horneowner tarci.on.� PROPERTY OWNER INFORMqTIpN: Name: • ��,� Phone (day): — Address: — -' Email and/or Fax C�y� ZIP; PROJECT INFORINATION: Type of Projsct: ❑�oor(s) My esrtb movemsM may roquire ❑Remodel ❑ Fire Damage MCWD roWsw$psrmlts: ❑Re-�oof,aspha�t ❑Repair ❑Storm Dama Minnehaha Creek Watershed District(MCWD) � 18202 Mlnnetonka Blvd ❑Re-roof,cedar ❑Restoratlon ❑Water Damage �eephaven.MN 55391 ❑Re-ro�f,other(spscN:t�) ❑Siding ❑Oth�:(specify) Phone: 952�71-0590 � Fax: 952-471-0682 _ �Window(s) w�v.minnehahacreekoro Ovarall ProJ�ct D�scription: W� Estimated Con�truction Valuation of Proj�ct .xcludln land) S s '} t� � �S . � APPLICANT ACKNC�WLED�3EMENT: • Agrees to provid�all intomiatbn required or requested by the Building Departrnent; • Cerdtiea thet the informatlon supplied is true and correct t�the best oi hfNher knowle e. The are solsly responaN�le fo�aubmieinp a camplete application being aware that upon fail re to do so�the staft as�o�eltomefive but to reject it until�ts complete; • Some or all of the infomiation that you are asked tC oonRdentiel. Private deta Is inf�rmadon whlch generalply cadnrqt be ghrenllE�o tl�is pubf�b��y�i�� e�� a�e date• ConfidentiFal data is iMortnation which genera��y ca�rqt be 9iven � e�e� the public or ihe subject of the data. Our P�rPose and intended uge of this fnfortna��on is to annually update our reconis end record8 �� py�� a�� __ required by law If ou rafuse to su I the intormetbn the a licatlon not be issued. �nolicanYs Sianature: (,�"7 �'� ,��.(,�.. �� te: � {�� lc� Z 'd 06T94L9TS9 3�IA213S 1IW213d Q R S I� �i �9T ZTOZ EO `��ki CU_ " � �' T TIME ✓ CITY OF ORONO CALLED IN ��a INSPECTION OTICE SCHEDULED PERMIT NO. a -�-��5g COMPLETED � ADDRESS �e/�� (-�� CL OWNER TELEPHONE NO. ��—aCO�yO� CONTRACTOR D�IOf.�'1� � �(�' �id.c�iGtA? � DESCRIPTION �L`��/�i-fLl� � >'/`�L� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO ��., COMMENTS: � W a o � �S QJ/�- � � 0 � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP OfiDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � S White Copyllnspector's File Canary CopylSite Notice