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Home My WebLink About2011-00285 (windows) CITY OF ORONO PERMIT NO.: 2011-00285 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: OS/03/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1513 BAY RIDGE RD PIN : 10-117-23-34-0008 LEGAL DESC : REG. LAND SURVEY NO. 0192 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS , PROPERTY TYPE : RESIDENTIAL � ; CONSTRUCTION TYPE : WINDOWS ' ACT[VITY : O/S BUILDING -UNDEFINED • VALUATION : $ 5,800.00 ! N01�E: 1 [3AY WINDOW � I APPLICANT PERMIT FEE SCHEDULE 132.75 TYTHER CONTRACTING INC. STATE SURCHARGE(VALUATION) 2.90 10159 JAMES AVE. NE TOTAL 135.65 MONTICELLO, MN 55362- Minnesota State License#: 20481121 OWNER SNYDER, ROBERT 1513 BAY RIDGE RD WAYZATA, MN 55391- i AGREEMENT AND SWORN STATEMENT f The work for which this pennit is issucd shall be performed according to � the approved plans and specifications,applicable City approvals,and the � State[3uildinQ 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��ork shall be compied with whether or not specitied 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 coi�struction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible(or assuring all required inspections are requested�n conformance with the S�ate[3uilding Code.This pennit may bc revokcd at�ny lin�e-fac�du,��ause. ; % �\ ( . / / �- / / Ap �cant Permitee Signa re � Date Issued B ignature a " SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV City of Orono � Building Permit Application for Internal Work � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �L,�,� PO Box 66 Q \ 0 Crystal Bay, MN 55323-0066 Date received: a ��s } � i `�'. :�,:�q �, Street Address: Received by: ��'��G~F Oron�o MNy Parkway Plan review fee: kESH��' , 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. (Please print) GENERAL INFORMATION: Job Site Address: � -; ' � �. � `� ' �� 2 . Will this be a Parade of Homes, Remo elers owcase me or other Display Home? ❑ Yes " No If 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: -��,1 �,,� �% C c �� y c,c-� �l� C� State License# � �•.� l� l l 2_� Expiration Date: Z �;�� g �� 2� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �j'�� t 2 S 2 � ��,� (� � (office) (cell) Mailing Address: �s,� ��-j �.` � � ;.c�-V� ,� C City: ��}� �f �.; ZIP: � � 3 � Z Contact Person: �� v� Applicant is: �"ontractor �/ Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: _ /`� r --� M��f�r ��.., c�� '� Phone (day): �.�� y�,�� j Address: c�. 1,�c�,�. City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �Window(s) � Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq P Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �;y-��.. 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 su I the information,the a lication ma not be issued. x ApplicanYs Signature: ��SJ � `- �- Date: � � � �— I ` Last Updated: 03-01-2011 0�� / / L��/ ` � �Aj TIME V CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED �' - _�'�� PERMIT NO. oZ��a�s COMPLETED ADDRESS /5i 3 �Q� �C�Sl„Q� OWNER TELEPHONE NO. ��a 3a0 �O 7�0,f CONTRACTOR ��1�/��i'� �� ; 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q ti Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �"PROJECT COMPLETE � � W O CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. L, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�0 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice