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Home My WebLink About2017-01444 - windows I CITY OF ORONO * 2 0 1 7 — 0 1 4 4 4 2750 KELLEY PARKWAY DATE ISSUED: 11/06/2017 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 2420 WATERTOWN RD PIN 33-118-23-44-0029 LEGAL DESC DANIELS LONG LAKE HEIGHTS LOT 000 BLOCK 003 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,800.00 NOTE: REPLACE(7)WINDOWS WITHIN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 92.89 GREAT LAKES WINDOW&SIDING STATE SURCHARGE(VALUATION) 1.40 14690 GALAZIE AVE#100 MAIL-IN FEE 2.00 APPLE VALLEY,MN 55124 TOTAL 96.29 (952)891-3400 Payment(s) Minnesota State License#:BUIL-20060427 CHECK 35334 96.29 OWNER KENWORTHY,GEORGE&TERRI 2420 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. I/7 Applicant Permitee Signature Date Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement/ Remodel - Residential ONLY (i.e. windows, doors, siding, re-roof, etc.— NO STRUCTURAL EXPANSION) Mailing Address: Permit number: PO Box 66 �.,,,,�,,�.rr� 22 v Crystal Bay,MN 55326�(l99f3 EIV Date received: —J Street Address: Z��1 Received by: 2750 Kelley Parkway NOV O Plan review fee: Orono, MN 55356 'rESH�� CITY OF OP6N0 Total Fee: (fJ 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. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: aLj'�_ (7 2-,CQ— Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No ff fres,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle buss ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT I FORMATION: Name: State License# q Expiration ate: a)l 11f Lead Certification Number: _ a _ Expiration ate: (for work on homes that were constructed pr/or to 1978 Phone: (cell) —� (office) g5cl— _ Mailing Address: Cjp� City: ZIP: 2 Contact Person: �.L�r Applicant is: ntractor / H eowner (cirds one) Email and/or Fax: PROPERTY OWNER INFORMATION: '/ Name: `-1 Q�c �' fid' Il p�c�o r y Phone(day): _ S _ Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall pro'ect description: ertiAl ICZ Type of Project: Any earth movement may also require ❑Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345 ❑Re-roof,other(specify) ❑Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 9Windows) www.minnehahacreek.org Estimated Construction Valuation of Project(excluding land) ; Q 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 information,thqjapplication may W be issued. Applicant's Signature: - Date: Owner's Signature: Date: Last Updated:January 2016 AT f TIMkA CITY OF ORONO CALLED IN � u INSPECTION NQTICE SCHEDULED PERMIT NO. 7—PiWIMMPLETED ADDRESS D OWNER ELEPHONE NO. _ -3 a CONTRACTOR DESCRIPTION t~N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU: YES_NO y COMMENTS: a; Q. 7A w/Kroo� Z.Z. - 0 �`zff'�l �'rN'J N d�Z�• /rw ceJ«L�1 pis ®/M�DkS o G'��Crrais i'� W ac Q UjO WORK SATISFACTORY`.PROCEED 'P OJECT COMPLETE W O CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN 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 OwnerlContractor on site: Inspector. �/�^' White CopylInspectoes File Canary Copy1Site Notice