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Home My WebLink About2013-00010 - windows r ....._-, CITY OF ORONO * 2 0 1 3 - 0 0 0 1 0 * 2750 KELLEY PARKWAY DATE ISSUED: OU07/2013 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 : $ 107,077.00 NOTE: REPLACE(49)WINDOWS AND(6)DOORS WITHIN EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 1,104.75 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 53.54 1920 COUNTY RD C. WEST ROSEVILLE,MN 55113 MISC FEE 0.00 (612)502-4777 MAIL-IN FEE 2.00 Minnesota State License#: BC130983 TOTAL 1,160.29 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 separate permits. All provisions of laws and ordinances goveming 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due ca e. ��'l�c.�'C,(,�ce'� � l 7 /Za� Z / / / Applicant Permitee Signature Date Issu By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � � City of Orono � � ��:�j ::_� __ ,. .._. __. . Building Permit Application for Maintenance ! Renovation ; �, . , , ... � �.�_._ (w�ndows, doors, sid�n , re-roof, etc: , � �:. �O� Mall/ng Addross. 1 , PO Box 86 Permit n umber: � 0�0/.�=D t�0/I� � Q Crystai Bay, MN 553Z3-0068 d�e��: /-.�,�y�. � g Street Addnass: eoefved by: -a,.. '� �' 275p Kelley Parkway � 044' Oronc,MN 55356 lan review.fee: _.. . .... _......., .a - Me(n: 952-249-4800 Fax: 952-249�616 w�av_ci.orono mn us !Fee: �/,�� a 9 _.... 'This application fortn must be completed in full and al!required inform �on must-be submitted: --�... Incomplote applications wtll ba rotumed. (Pleas�pr�nt) GENERAL INFORMATION: Job Sibe Address: p��9 'S(A S♦J�. I � - _ _._._ .___. ;MUfll thls be a Parade of Homes� Remodelers Showcase Home or ather Dla j� € Ks�.a speda�e,rem�m,n rs requ�r�d wrn��a►�ne P�aY Home? � Yea _No uired unlesa �rt�and City CouncYl approvel 60 dsya priorto the eNant �ulMe bua senn�Ce Wql be ' �9 aPpl'�carM demonshates auMclem on-mi�e perkfng/s eveNabie. Nonyoermitted eye►rta wip no be allowied. � �CONTRACTOR/AP��PLICANT INFORMATION; I -�Name: A rS�e�V .�tate Lioense# . '$C130q$ Expira�on , t�: 3 3 �Lead Certlfication Number. �j,�-`_ a�.a83 - � Expiration Date: y _ _. . .. (Ibr work on hon►as �hat wsre conatructrd " P��[01978 ._ �Phone: �05 I- a�-��-�-� �off�, .� , __. _.. .�oeu}._.. Mailing Address: ,• •• We City: Cpr�tact Person: ; C ZIP: c Email and/or Fax; Applicant is: nt /- Homeowner �ci�.o,,.� - PROPERTY OWNER INFORMATION: �+ — � � � � _ a�r•r, ,k, Name: �'e. �.C�.t In�, PRone(day): „ �� r' � Add�BBS: ��7:�C �, Ernail and/or Fax City: , � Z�p; � __... .. . . )f . �i 21t�t i .. . . -. .. . :. - -- -` . ,y . � PROJECT INFORMATION: _ _ _.___ . ... . TYPs of ProlaCt: , _� ❑ Door(s) Ahy�artl� ei�t may requlre ❑ Remodel ❑ Fire Damage MCWD nevfow a psnnite; ❑ Re-roof,asphslt ❑Repair Minnehaha Creek Watershed District(MCWD) ❑ Sform Damage ,_ ❑ R�%roo`�, cadar �:� i:s ��._ . ._ _. _.�_:,� _.__ -_... .. �. ._. '� : 1$202 Mifu�eEonke Bl.vd�._ , _ tu ❑`!`testoralion ❑Watier Demage Deephe�ven, N 55391 ❑ Rc�roof,othar(.psePty) ❑3idi . P�e: 952 71-0580 �9 , ❑ Qlher. (specify) Fax� 952-4 1-0682 ❑Window(s) , n k. Overall P eat Description: t a� 9 w; w (Q d paS W 1 h Estimated Constructb�Valuati o n o f P ro ��5 . (excluding IancQ ; �(�� APPLICANT ACKNOWLEDGEMENT: • A9rees to provide all ir�ormaqan requiFed or�eq�ested by the Building Deparbnent; + • Certifies that the infortnatfon supplied is true and correct to the best of hieJher knowle are solely respunsible for subrnttting a complete aPplication being aware ihat upon failu�bo do so,pthe stafF�h�asnno al�temai e but to reject it undl it is complete; � � Some or ali of the information that you are asked to provide on this � coriflldential. Private data is irYformation which pp�bO� �Sf��d by 5tate law as either private r data. Confidentisl data ia information wh�h ��y �� be ven to the p�lblic but can be g(ve� td'the subject of t e generally cannot be given to either the p blic or the subject of the daha. r purpose and irrtended use of this infom�a�ion is to annually updarte our necords and s pf oth�� po�,,emme�ta� age�p g re uired b law. !f u refuse to su I Ihe information the a �abo�ma not be Issued AonlicanYs sianature:��,,p� ��,p�,�� y�� 1 , Date: � z 'd 06i9�G9TS9 3�IA213S lIWa3d Q '8I S M 9E Ei ETOz t+0 UeC � C —� D TE TIME �/ CITY OF ORONO CALLED IN — —� INSPECTION NOTICE SCHEDULED — l� —�3 PERMIT NO.��d COMPLETED ADDRESS ��?Gl� ��S S��(L ��'�— OWNER TELEPHONE NO.��-��`- g� CONTRACTOR ��W� � '�L��IiL�� Ji�`L C�� r �; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �pROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAII INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on ite: Inspector. � White Copyllnspector's File Canary CopylSite Notice