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Home My WebLink About2011-00029 (Windows) CITY OF ORONO PERMIT NO.: 2011-00029 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEu: OU12/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1425 BAY RIDGE RD PIN : 10-] 17-23-34-0017 LEGAL DESC : REG. LAND SURVEY NO. 0192 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDWG -UNDEFINED VALUATION : $ 25,886.00 NOTE: I21?PLACE WINDOWS [N L'XISTING OPL'NINGS APPLICANT PERMIT FEE SCHEDULE 423.75 NIEMELA CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 12.94 10500 TRAIL HAVEN ROAD TOTAL 436.69 ROGERS, MN 55374 (612)280-8205 Minnesota State License#: 20002194 OWNER W[ENS, ROBERT&JULIE 1425 BAY R[DGE RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work ibr which this permit is issucd shall be perlormed according to the approved plans and specitications,applicable City approvals,and the State Building Codc. This permit is for only the work described and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances goveming Uiis type of work shall be compied with whether or not specif ied herein.'l�his permit will cxpire and become i�ull 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 timc after work has commenccd. Che applicant is responsible for assuring all rcquired inspections are requested in conl;c�ance with the State F3uild�ig Code.This permit may be �ked at any timG�for due ��se. � �� I �{ �1`.�� -L�f r:G'L`� l l — l t6 Applicant Pcrnvtee Signature Dale Issued By Si �i urc atc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB City of Orono Building Permit Application for Internal Work ' (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: � ��'��;� s, Streef Address: Received by: �,c, " ° Gti�' 2750 Kelley Parkway Plan review fee: ��k'Es80�`'� Orono, MN 55356 Total Fee: 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. (P/ease print) GENERAL INFORMATION: ' Job Site Address: ��i ,��y��j(' ��'�� Will this be a Parade of Homes Remodelers Showcase Home or other Display Home? ❑ Yes f`� No lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: > Name: �,;,.�;;�.,r�° �' ��a'�-� 'r'� �� c State License# CG� I y� E piration Date: �'�, 3 �% Phone: 7�-�, ��- yy$� office !��/� ) ��"- �:��='S cell Mailing Address: �e 'ac Yzn e�,� Cit : �� rrs ZIP: 5 S37 Contact Person: � �•%n o /`�; �,»�%(g Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: r�,%,��`�j��p n'►r�p C a�15 �c"��dh. �o i�-� " PROPERTY OWNER INFORMATION: Name: ,��1� �'�:��a5 Phone (day): y :' . 5 y�� , ; Address: j¢,�,S 1��,y ,� �i� ��a� City: �� i: ,i� ZIP: g� ; y � Email and/or Fax ,2,;�^, � L�.��,�f;".s, c�`.ti� pROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Pro'ect Descri tion. � ' � ' J p , c>�. � k at;>f K�p144. � �::) �r;r�i'�%'�� , n ��r'�5'��r5 ��}�'�sa�n�i, ��z+r�� %,� �;ndc�v� ��yi�<° Estimated Construction Valuation of Project(excluding land) $ �5, g'y(� �jJrs��ajS �h<% �ns. ��/ /5� �.'ny o�� 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 re uired b law. If ou refuse to s. I the information,the a lication ma not be issued. ,� , f �� „i�7�l/ ,''// '!�/'/j� � >) ApplicanYs Signature: ; 4 ,�' <��L- Date: �: i` i�- � // � r,��L �; <� Last Updated: 05-04-2009 � � ATE TIME " CITY OF ORONO CALLED IN �� INSPECTION N TICE �CHEDULED � PERMIT NO. l��%�=Yr/ cOMP}ETED � ADDRESS � � � ' ° � ` � ' � OWNER TEL ONE NO. - 3� CONTRACTOR 'Y��-- S >; DESCRIPTION � s'1-l�-1 C- C-'��l(�C/�.- � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTO TO MEET YOU:_YES_NO � COMMENTS: �- �� W C � � O • . � �� L�( �� c O � ��J �" �}- �J t �� W � Q ti Z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE �RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on si : Inspector. White Copyllnspector's File I Canary CopylSite Notice