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Home My WebLink About2015-00615 (window replacement) CITY OF ORONO * Z 0 1 5 - 0 PJ 6 1 5 * ! � � 2750 KELLEY PARKWAY DATE ISSUED: OS/26/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 2469 CARMAN ST PIN : 20-117-23-12-0016 LEGAL DESC : NAVARRE : LOT 000 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 1,000.00 NOTE: REPLACE(6)WINDOWS-SOUTH AND EAST SIDES APPLICANT PERMIT FEE SCHEDULE 43.30 STATE SURCHARGE(VALUATION) 0.50 MALIK,MICHEAL&JANET TOTAL 43.80 2469 CARMAN ST Payment(s) WAYZATA,MN 55391- CHECK 962 43.80 OWNER MALIK,MICHEAL&JANET 2469 CARMAN ST WAYZATA,MN 55391- 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 sepazate permits. All provisions of laws and ordinances goveming this rype 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 aze requested in conformance with the State Building Code.This permit may be revoked at ny time for due cause. ( � i��j /.5 Applicant Permitee Signature Date Iss By Signature Date 16122045430 ��a. - �L ��lJ _ • • City of Orono Building Permit Applicafiion for Maintenance / Replacement / Remodel C� (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSIQN) � � Z �O� MailingAddrass: Petmitnumber: ��J - �jJl O PO Box 66 Crystal Bay,MN 55323-0066 Date received: ��J'-1 J 5treetAddress� Received by: � � �, G� 275fl Kelley Parkway Plan review fee: ��KESN�� Orono,MN 55356 � ��`��'�� Total Fee; � Main: 952-249-46D0 Fax: 952-249-4b16 www.ci.orono.mn.us Thls application form must be completed in full and all required information must be submitted. �� v� e- Incomplete applications will be returned. (Please print) ,� GENERAL INFORMATI�N: ( Job Site Address: a�-�-(oq Car rn Q� 5`�.r�e�, �r0 n Will this be a Parade of Homes,Remodelers Showcase Home or other Dis ay Home? Yes �No Jf yes,a special event permit is required with Polrce pepartment and City Councrl approva!60 days priar to the event. Shutt/e 6us service will be required unless epplicant demonstrates su�cient an-site parkinq is availab/e. Non-permitted events will not be alfowed. CpNTRACTOR 1 APPLICANT INFORMATiON: Name: �p�,h,��}- V1n0.�.! k— State License# -- Explration Date: Lead Certification Number: - Expiration Date: (tor work on homes that were constructed prlor to 1978 Phone: (cell) �$Z- - $ (office) 6 l o��2A4-SS 7 9 � r��„y�y+�Q Mailing Address: �.}� C r �,.� S{.Y, City: brpho ZIP: S 3 Contact Person: 5��2 Applicant is: Contractor / omeowne �cir�ia o�o� Email and/or Fax: � ��. y,��(��'��r�• �..� PROPERTY OWNER INFORMATION: Name: �ur�rt�� ' �(1yL�- �0.�.i �G.. Phone(day): �o�a-ao�4- s�L��- - �a� !. Address: Sa�� a.S �.Mpo�.2. City: ZIP: Email and/or Fax: �"� PROJECT INFORMATION: Overall roectdescri tion: �4C-Q (o t,�►r.c�eWS-56u� 0.t�G�+ �Q�S'� 5��5 Type of ProJect: Any earth movement may also require MCWR revlew& ermits: ❑Qoor(s) ❑Remodel ❑Fire Damage P ❑Re-roof,asphalt ❑Repair ❑5torm Damage Minnehaha Creek Watershed DisUict(MCWD) ❑Re-roof,cedar 18202 Mfnnetonka 81vd ❑Restoration ❑Water Damage Qeephaven,MN 55391 ❑Re-roof,other(speclfy) ❑Slding ❑Other.{speciFy) Phone: 952-471-0590 Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all informaGon required or requested hy the Buildfng Department; • Certifies that the information supplied is true and correct to the besl of hislher knowledge. The applicant recognizes thal lhey are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no altemative but lo reject Il until it fs complste; • Some or all of the Information that you are asked to provide on this application (s classified by 5tate 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 whlch generally cannot be glven to elther the public or the subject of the data, Our purpose and intended use of this information is to annually updale our records and records of other govemmental agencles required by law. IF ou refuse to su I the In ormatlon,th a Ilcatlom m �ot be lssued. Applicant's Signature: Date: J� �� J Owner's Signature: Y �'�-� aate: 5��`� IS Last Updated:January 2015 � �� -� �' � DATE TIME CITY OF ORONO C LLED IN ��/� INSPECTION NOTIC scHE�u�E� � PERMIT NO. '�I COMPLETED ADDRESS � � OWNER ' � �,KTELEPHONE NO. f, • � �5�� CONTRACTOR �^ ' �� Jl��1 � DESCRIPTION �'��,'I ��,1�-�-��-^'J W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP = AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v - ITE ❑ S IC INSTALL , WNERIC NTRACTOR TO MEET YOU: YES_NO �., MENTS: o� a � W� ti.11�vr� l��4�4E,��-�ZG.�c$c ' o - 54.wtG 512.e �ai .3 � � OZ � /�+�4�� S r�a//t f" O � ' c�jr �55 ' �l� Q � 5 ,w�v,l�� .�E. � �� oP�t_ - �� [N�gI� /M�j4.�GttKc'j Lt'�d4.t� Lt�IJN1�Cc�s �' � � ��S�� W �f �` � � / �!�vt.�i T l it��C� J W ❑WORKSATISFACTORY:PROCEED �R6dE�COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑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 OwnerlContractor on site: Inspector. � White Copyllnspector's Ffle Canary CopylSite Notiee