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Home My WebLink About2013-01100 - windows CITY OF ORONO * 2 0 1 3 - 0 1 1 0 0 •,, 2750 KELLEY PARKWAY DATE ISSUED: 10/18/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS 3085 WATERTOWN RD PIN 04-117-23-22-0032 LEGAL DESC WALNUT CREEK LOT 001 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 9,000.00 NOTE: REPLACE 5 WINDOWS INEXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 177.00 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 4.50 1920 COUNTY RD C. WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 183.50 Minnesota State License#: BC 130983 PAID WITH CC# 8788 OWNER GERHART,RICHARD&JANICE 3085 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 cafe. 'ntA4� 14't l l Applicant Permitee Signature Date Issued By Vature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, d6ors, siding, re-roof, etc.) Mailing Address: Permit number: – Q�Q PO Sox 66 12 Crystal Day, MN 55323-0066 Date received: a, Suet Address:: Received by: 2750 Kelley Parkway Plan review fee: Orono, MN 55356 Q Total Fee: � 0 3 .�J D n+a.:.0 Main: 952-2.49-4600 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) -5o'6G r '� �( w� r�� Job Site Address: J V�J Will this be a parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No W yes,a special event permit is required with Police oepariment and City Council approval 60 days prior to the event Shuttle bus service will be required unless applicant demonstrates suti9clent on-alta parking is available. Nonperrnitted events"I not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ?Vpt \ A tr State.License# '$G1'30el$"3 Expiration Date: 3 31 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: Co51– 4,0��- �tyAr` (office) (cell) Mailing Address: 19 a0 C 1� " Wes+ City:'�a.tvtlle ZIP: 46511-2 Contact Person: Applicant is: LContraffox / Homeowner (ciraeone) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: in,T-, , Ge.i Vo,f Phone(day): 5 a. 'Z2-0—RU Address: [5 j City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require D Door(s) ❑ Remodel ❑Fire Damage MCWD review&permits: Mlnnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt (] Repair ❑Storm Damage 16202 Minnetonka Blvd ❑Re-roof,cedar ElRestoration ElWater Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Fax: 952-471-0662 Window(s) www.minnehah%cWsk ora Overall Project Description: C a Y\ LAn; �t A61 Estimated Construction Valuatlon of Project excluding land) $ q QOO 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 govemmental agencies required by law_ If You refuse to supply the information the application may not be issued. ADolicanfs 5ionature: G'� Date: 17 �� 13 DATE TIME V CITY OF ORONO CALLED IN - /3 INSPECTION NOTICE SCHEDULED //- 4,/3 PERMIT NO. L -61100 COMPLETED ADDRESS 360 L6g?.4 OWNER TELEE NO?✓�-� gk CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ZA v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS:s�C`�LS 77ce ijvW G(/l gd1-,ZtS(S) - a j �O O W Q W j W ❑WORK SATISFACTORY:PROCEED *4MECT COMPLETE ac ❑CORRECT WORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci 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 OwnedContractor on site: Inspector. ( / do�-,12dc White Copyllnspectoes File Canary Copy/She Notice