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Home My WebLink About2010-01183 - windows CITY OF ORONO PERMIT NO.: 2010-01183 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/28/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 2165 WATERTOWN RD PIN 03-117-23-21-0025 LEGAL DESC N/A LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 11,764.00 NOTE: REPLACE(5)WINDOWS WITHIN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 221.25 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.88 1920 COUNTY RD C. WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 229.13 Minnesota State License#: 20130983 OWNER KANTOR, ROBERT&MONIQUE 2165 WATERTOWN 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 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. 4. Applicant Permitee Signature Date Issued By Si ture /Xpate SEPARATE PERMITS REQUIRED FOR WORK OTHER TAAN DESCRIBED ABO Dec-09-2010 01:59pe From-CITY OF ORONO +9522494616 T-669 P.002/003 F-160 Building Permit Application-for Internal Work I windows, doors, siding, re-roof, etc.) MelNe PO BoxPam*number D/O PO Box 98e Q Crystal Say,MN 55323-0096 Date received: /d I r Sheat Address Received by: , 2750 Kelley Parkway Plan review tee: Orono, MN 55358 Main: 952-24S-4800 Fax, 952-248819 Total Fee: e oZ�• 1.3 This application form must be completed in full and all required inforrnetion must be submitted. GENERAL INFORMATION: Incomplete appikations will be ratumed. (urease print) Job Site Address: Will this be a Parade of Hornets, Remodelers Showcase Home or other Display Home? Yee No NY"i+ arm spsda/amientpsr»mit k ro�rhed with Polios Deparb»ent enol City Cexale//egarew/QO days pilot Oe tr+e swShUW6 bus xvn** N be ftWuNm►d up*"appricOnt dirmondietes suA C'"t on-el►s P"09 is aveula". Non-psrmifted awMa WX not be arorwd CONTRACTOR/APPLICANT INFORMATION; Name: Renewal By Andersen State License 0 1920 Count Road"C" West Expiration bate: Phone: Y Mailing Address: Roseville,MN 55113 cell Contact Parson: License#20130983 — City; it is; / owner ictrois one) Erman and/or Fax: 651-264-4777 Contractor Home PROPERTY OWNIE F RIMA Name; Eta Phone(day): - Email and/or Fax City: ZIP: PROJECT INFORMATION: Type of Project. Any earth move mo ay quip ❑Door(s) ❑ RemodelMCWD review&permits O Water Damage J C3Wlndow(s) Repair Minneheha Crack Watched District(MCV ❑storm Damage 18202 Minnetonka Blvd i ❑Siding ❑Rastoratkxm Deephaven,MN 55391 ❑Other:(specify) Phare: -471-0600 ❑Re-roof [)Fire Damage Fax, 852 71-06M2 M, Mek.ora _Overall Project Description: ' Estimated Construction Valuation of Pr0GCt excluding WWI 8 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; I • Certifies that the Information supplied Is true and correct to the best of his/her knowledge_ 'The appilcant recagnixes that they are solely responsible for submitting a complete application being aware that upon failure to d0 so, the staff has no sitemalive but to rejed It until It is compieta; • Sorne or all of the infommetion that you are asked to provide on this apdication is classified t7y State law as either private or confidential. Private data Is information which generally cannot be given to the public but,oen Cs elven to the subject Ot the data. Confidential data is Information which generally cannot be Oven to either the public; or the subject d►the data. Our Purpose and intended use of this information is to annually update our records and records, of other govern'reqental agencies aired by low, If you refuse to 84DO&the Infflrmatloajoallication may not be issued. Applicant's Signature: Date: Last updated: o6-04-2009 6 'd 08 !3- 09199 30IAN31S lIWH3d a R S P bZ ;CT 0703 a 000 DAT TIME CITY OF ORONO CALLED IN °��a INSPECTION IJOTIC,,� SCHEDULED PERMIT NO. S? COMPLETED ADDRESS o�llOs '000& OWNERT EPHONE NO. �`Z'f' � CONTRACTOR 44' DESCRIPTION tw El FOOTING El PLUMBING FINAL ElEXCAV/GRADING/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 v ❑ 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 Zt vOi COMMENTS: W a O O cc O LL W cc Q f2 2 W W CC W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE WEICORRECT WORK&PROCEED -h-11 SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site• Inspector. � z L- i 4 a White CopylInspector's File Canary Copy/Site Notice