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Home My WebLink About2014 - 01058 - windows CITY OF ORONO III 1111111 II II 1101111 II 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1900 WEST FARM RD PIN : 27-118-23-43-0019 LEGAL DESC : THE FARM AT LONG LAKE : LOT 020 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 26,000.00 NOTE: REPLACE(25)WINDOWS AND RESIDE(3)SIDES OF HOUSE. APPLICANT PERMIT FEE SCHEDULE 423.75 STATE SURCHARGE(VALUATION) 13.00 SELA ROOFING&REMODELING, INC. TOTAL 436.75 4100 EXCESIOR BLVD Payment(s) ST. LOUIS PARK,MN 55416- (952)915-7227 CHECK 35053 436.75 Minnesota State License#: BUIL-BC1050 OWNER WILLITS, MR.&MRS. 1900 WEST FARM 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 revok-d at any t' e f• ..e cause. 041111.0 CV u 9 / 8� /y rant Permitee Signature Date Issu By Signature Date k_ . 505 City of Orono `J Building Permit Application for Maintenance / Replacement / Renovation ovation (No structural expansion. Only windows, doors, siding, etc.) Mailing Address: Permit number: QA, PO Box 66 W Crystal Bay, MN 55323-0066 Date received: Received by: Street Address: ''S 2750 Kelley Parkway Plan review fee: �j Orono,MN 55356 �'✓kESHOTotal Fee: 1. 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. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: I op w Qs t aryi.) a Job Site Address: I iii Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? r]Yes Afillo epartment and City il approval 60 days prior to the event. If yes,a speraunless applicant demonstrates Dsufficient on-site parking iscShuttle avai able. Non-permitted events will not beallowed requiredservice will be CONTRACTOR 1 APPLICANT INFQRMATION: Name: 1 O'fnlj Expiration Date: 0State License# 1 I i.1 P Expiration Date: Lead Certification Number: Ni .. rim, A "` , (for work on homes that were cons ructed prior to 1978 (office) Ci�/f x I '1�2 AP Phone: (cell) Mailing Address: DO y St- It plc, ZIP: �jt7f�LO (�(� 0, , , it«tVy Elva Cit Contact Person: A A Applicant is: ontracto / Homeowner (circle Email and/or Fax: Q,Yti'PS� la von ;1 yj • (A ai • q2� PROPERTY OWNER,�t)IOV ATIONj .1 l i �� Name: 'JJ . VVI Phone(day): a ' -! • _ . City: 1/01/10 �,�j��.ZIP: 1- -- -,0q.10 ✓ ,0"� '-" Address: MO W' /. #'' Email and/or Fax: .r W ipi a m 2 V�ckO00 PROJECT INFORMATION: Overall pro'ect description: r. 4 A / i W•' v 'ea 'wmov• ent may also require Type of Project: MCWD review&permits: ❑Door(s) 0 Remodel 0 Fire Damage Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt 0 Repair 0 Storm Damage 18202 Minnetonka Blvd 0 Water Damage Deephaven,MN 55391 ❑Re-roof,cedar 0 RestorationPhone: 952-471-0590 ❑Re-roof,other(specify) Siding 0 Other: (specify) Fax: 952-471-0682 dow(s) www.mi neha ac ek.orq Project(excluding land) $ LU9 V 0 V . Estimated Construction Valuation of 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 iven to the the subject of the data. conl Privdata ase data is information which genrmation erally cannot be given toch generally cannot be gether the public orc but can be the subjectven ofthe data. Our purpose and Confidentialn intended use of this information is to annually u•date our records and records of other governmental agencies required by law. If you refuse to supplyation,th- .plic• on - ay not be issued. Illir Applicant's Signature: mow A•- �A_ _ Owner's Signature: A.II Date: 1 • Date: Last Updated:03/06/2013 IA—, , i l4f DATE TIME V CITY OF ORON CALLED IN ,� INSPECTION OT SCHEDULED o1-'l 1 1 L/ /0.3c, PERMIT NO. OMPLETED ADDRESS f S+' Forth-4a— OWNER r( TELEPHONE NO. " �'n. CONTRACTOR eGittV 4 Reif `�'h i DESCRIPTION . W 1 , `Ja4.) -+-3; A: ,....., t ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/G AD G/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ' ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION 'IT 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS NAL ❑ SEWER HOOK-UP 0 COMPLAINT ✓ ❑ DEMO-SITE ❑ SEPTIC MAINT 0 FOLLOW-UP I 11 ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO 1 COMMEN,,J� // a d'i .t✓mss o-F /10 ct$a G•�oaf? DbSe✓��cQ /0o O "c�� St, 4• 4![ .42.6✓A��cc CC 0 eglG 1 O 4. W / Q 1A)/ti(0[)(.-✓S a'/ ex-ee✓to✓ c, 6y'Q._ z 5 e47.,0 Lu cc j�orlL l' T / e-�- Ay-44, - 's- 0 IQ LI �� WORK SATISFACTORY:PROCEED RO ' JECT COMPLETE CC ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY IQ OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN f=1 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 OwnerlContrac r on site:�/� Inspector. i h^' 7'�"— White Copyllnspector's File Canary CopylSite Notice