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Home My WebLink About2014 - 01226 - windows CITY OF ORONO 11111110111311111111111 �� 111111111111 111111 2750 KELLEY PARKWAY DATE ISSUED: 10/22/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1025 WILLOW VIEW DR PIN : 28-118-23-41-0007 LEGAL DESC : WILLOW VIEW : LOT 012 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL 5 ill fJ CONSTRUCTION TYPE : WINDOWS VALUATION : $ 9,546.00 NOTE: REPLACE WINDOW&PATIO DOOR IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 191.75 STATE SURCHARGE(VALUATION) 4.77 RENEWAL BY ANDERSON MAIL-IN FEE 2.00 1920 COUNTY RD C. WEST TOTAL 198.52 ROSEVILLE, MN 55113 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 198.52 OWNER QUILTY,MR.&MRS. 1025 WILLOW VIEW DR 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. c�J � 1 -14 Applicant Permitee Signature Date Issued By Signature Date City of Orono Building Permit Application for Maintenance / Renovation • (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: • Z r • `t--'612Z-4° 60,a J�> Cr Box 86 Crystal Bay,MN 55323-0066 Date received: VD �t)�rq Street Address_ Received by: ito2750 KelleyParkway Plan review fee: Ono, MN 55356 laa Total Fee: � �g� .S Z Main: 952-249-4600 Fax: 952-249-4616 yokw.cLorono.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: , Job Site Address: II a 5 tom.\\o.�.� l.)e ,L,� a�c ;..� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? 0 Yes 0 No yes,a special event permit is required with Police Depanment end City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates aufriclent on-site perking is available. Non permitted events will not be allowed. CONTRACTOR!APPLICANT INFORMATION: Name: tNvlelu�4.\ 16y stZein t. Sere _- State License# '$G1'309$-6 Expiration Date: 31 31 Lead Certification Number: i\jA' '- aZ$3 -1 Expiration Date: 4115 (for work on homes that were constructed prior to 1978 Phone: (0S1- (pt)-4.0$�- sm.,. (office) (cell) Mailing Address: Icia C.Q d,"C" WeS4- Clty ,11� ZIP: 5511- Contact Person: Applicant is: TContra or / Homeowner (circle one) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: x\1.2. . Ctu:\\- Phone(day): 452.4'}io- 39 Address: 9.` City: ZIP: Email and/or Fax PROJECT INFORMATION: _ Type of Project: - - Any earth movement may require 0 Door(s) ❑Remodel 17Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt Q Repair ❑Storm Damage 16202 Minnetonka Blvd 0 Re-roof,cedar ❑Restoration Water Damage De®phaven, MN 55391 Phone: 952-471-0580 Q Re-roof,other(specify) 0 Siding ❑Other: (specify) Fax: 952-471-0682 Window(s) www-minnehahacreek.orq Overall Pro'ect Description: 7,.e J ' �. a _ : 1 •&` o ,• •i _CAA' s4- rw_40. Estimated Construction Valuation of Project(excluding land) $ r 54(0,0 0 • 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,the application may not be issued. Aoolicant's Sianature: C'r 2 Date: 2iUc_tI IU .r'w'� 7 1 Cr;:1 ainr fu W S&D Permit Service P.O. BOX 250 Scandia, MN 55073-0250 Phone: 651-433-4250 Fax: 651-433-3539 wsandd@frontier.com Orono, City of Attn: Bldg. Dept. 952-249-4616 - Fax Please issue these permits for Renewal by Andersen. Please Call 651-433-4250 for Credit Card Information. Please mail the permits back to me at the address above. If you have any questions please do not hesitate to call. girm.ri.ffie Thank You, ACE.A. \---6vvy\oc/1, • Kara Benson re6i�� iLrj �-��• 651-433-4250 \ S-e- Y1��, 7-U rn�} W S.&0 PERMIT SERVICE,INC. P.O.SOX 250 SCANDIA,MN 56073-0250 DATE TIME / CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.a0/11- 6/VV24 COMPLETED 6 — / -/5 ADDRESS /j a 5 w l/acJ kie� Ij/' OWNER TELEPHONE NO. CONTRACTOR GCeii,..a Nr.t 6y '�e.<Sen/j DESCRIPTION W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Lt. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING v) ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 PROGRESS ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q EJ IAL 0 WATER HOOK-UP `FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 HARD COVER REMOVAL J ❑ DEMO-SITE 0 SEPTIC INSTALL 0 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v vi COMMENTS: ac - Lai Pcr im.,C. A fI eV .�¢.tea/ £ C"q// of 41, CC 1• G /i'l. c eta, 0 , cc W - k/iq' uJ IQ�/ - ` cc - e 6;' , , .#(-e .gly�e' zF3X I tq5 ,On fs • - Im W CC N M r k e /f � ,, p7irt,/fir . './ ' Q /a`le 20Z2� CI LLi 0 WORK SATISFACTORY:PROCEED ip> fECT COMPLETE CC W ❑CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. LI PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractoron site: Inspector. / a --- 7,-.6----- White Copyllnspector's File Canary CopylSlte Notice / TE TIME CITY OF ORONO CALLED IN 112...__ 2� 7— INSPECTION OTI -J CHEDUL D / 7--! yj� PERMIT NO / Ol�,^/"'� P ED - y� ADDRESS /6 .35 iU,t E fie OWNER „' / ELE HONE N12 �" _ �d CONTRACTO•,�f"1 " G�X " _ LGt') . DESCRIPTION p WiAb2 n &.h�1r 2 r W▪ ❑ FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING U. ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS y Q ❑ FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q• 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS INAL 0 SEWER HOOK-UP ❑ COMPLAINT ✓ 0 DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO v) COMMENTS: • Li, / Ha1&r Giley SzlelrIe cc CC ✓�SafSiZ..t /H, chi , 0 u. Lu z W z Lu per IG c741 Lu ❑WORK SATISFACTORY:PROCEED AROJECT COMPLETE W El 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 ❑STOP ORDER POSTED.CALL INSPECTOR El 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. �/ --- 'f White Copyllnspector's File Canary Copy/Site Notice