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Home My WebLink About2012-00861 - windows 1 ' CITY OF ORONO * 2012 - 00861 * 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2012 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 4640 TONKAVIEW LA PIN 07-117-23-32-0043 LEGAL DESC TONKAVIEW GARDENS LOT 047 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 4,300.00 NOTE: REPLACE 5 WINDOWS WITHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 118.00 MINNESOTA EXTERIORS INC. STATE SURCHARGE(VALUATION) 2.15 8600 JEFFERSON HIGHWAY OSSEO,MN 55369 MAIL-IN FEE 2.00 (763)391-5508 TOTAL 122.15 Minnesota State License#:BC002877 OWNER HICKEY,KENNETH 4640 TONKAVIEW LA MOUND,MN 55364- 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 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 due cause. Applicant Permitee Signature Date Issued Xy Si ture 09 r6Vate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOWE. Aug. 3. •2012 2: 04PM 1634938980 MN EXTERIORS INC. -i/ No- 6851 P. 2 City of Orono 8'�n Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc. Mailing Address: Permit number: o? D jai — O (p Og,Q.�O PO Box 68 Crystal Bay,MN 55323-0066 Date received: � Street Address: Received by: 2750 Kelley Parkway Plan review fee: Orono,MN 55356 j as , Main: 952-2494600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: 1 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: lyk 41 f 67>ge e Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑yes UWQ M yes,a special event permit Is required with Police Department and City Council 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 will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: /JrloileSo� � r&S State License# (�LpCh��'7'7 Expiration Date: �. Lead Certification Number: �/, 36�C;S� / Expiration Date; ^; r _ (for work on homes that were constructed prior to 1976 Phone: 703. 3` /5��6 (office) 713 S3'�o (cell) Mailing Address: el,0,0 Te v—" Contact Person: L�.�� +�✓h a h r Applicantis' oc"E�r��l Homeowner (circis one Email and/or Fax: rccF r/sonOyA"a frra }� � d -3 S 9 O PROPERTY OWNER INFORMATION: Name: l% tit /��-., ��rc,�ut•�' Phone(day): i��I Address: �6 fd �� r1ie e City:ll10cct7 d ZIP, S c� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Door(s) ❑ Remodel ❑Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 Phone: 952-471-0590 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Fax: 952-471-0682 V4indow(s) www.minnehahacre9k.oro Overall Project Description: S� Estimated Construction Valuati n of Project(excluding land) o'p 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 required by law. If you refuse to supply the infornwtion,the application may not be issued. Date: Applicant's Signature: O, f DATE_ TIME V CITY OF ORONO 'YCALLED IN O( INSPECTION NOTICE SCHEDULED PERMIT NO. /� � CO�IopLETED ADDRESS OWNER TELEPHONE NO. - � CONTRACTOR 'rd/��✓,5, /l DESCRIPTIONw��C.�/W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W CL cc 0 W CC Q f2 Z_* W Z W CC W/SATISFACTORY:PROCEED -4%Qd"COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR (D CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52) 249-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice