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Home My WebLink About2011-00089 - windows and siding . CITY OF ORONO PERM[T NO.: 2011-00089 , 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUE�: 02/09/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2635 COUNTRYSIDE DR W PIN : O�l-1 17-23-I 3-0007 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 007 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY �'� O/S BUILDING - UNDEFINED VALUATION : $ 11,250.00 NO�I�G: WINDOWS AND SIDING T FINISH APPLICANT PERMIT FEE SCHEDULE 221.25 JLF HOMES, LLC 1452 INDUSTR[AL BLVD. - SUITE STATE SURCHARGE(VALUAT[ON) 5.63 Mr�PLI: PI.AIN, ��N »;�9 TOTAL 226.88 (763)479-0795 Minnesota State License#: 20521437 OWNER GROSS, DAVID c� TERESA 2635 COUNTRYS[DE DR W LONG LAKE, MN 55356 AGREEMGNT AND SWORN STATEMGNT Che�vork for��hich this pcnnit is issued shall be performed according to the approved plans and specitications.anplicable City approvals,and the State[3uildin�Code. 'I�his permit is Ibr only the��ork described and dues not erant pennission ibr additional or related��ork which requires separatc permits. All provisions of la��s.�nd ordinanccs governin�this type of work shall be compied with whether or not speciticd herein.This pennit��ill expire and hccomc null and void if conslruction authorized is not commenced�vithin 180 davs uf�lhe date of issuance.or if construction is suspended ibr a period of 180 days at any tin after work has commenced. The app,[�• sponsible for assuring al 'equired inspections are ro sted in conf mance��ith the State �ilding Code."I'his permit may bc re oked at any 5�nc for due cause. � �� / � / o?�!r � % / Applic nt Pcrmitce Signat re Datc Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AE30VE. � � City of Orono ' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ��r"�� O�i,�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: a ��`�'�— Received by: a '- :��;� �, StreetAddress: �'�,c, '� ''�� ti 2750 Kelley Parkway Plan review fee: L�kESHO�`� 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: � �3�S`" Ca�,�fr,� .� �f�t' c �c, v-�J � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �`No /f yes, a specia/event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shuttle bus service wi!)'be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �"G F Ko,..t� �� . State License# Expiration Date: Phone: 2 - a.�lo- ly,f�- (office) 76� -y�T- o74r (cell) Mailing Address: /c ,�- „ ✓rEr,�.,( ,fl. Cit : tt p[s.� ZIP: .�sJ� �- Contact Person: �'a.c Applicant is: ractor / Homeowner (Circle One) Email and/or Fax: ,/ac[J�L�'ha..,es. cd,., PROPERTY OWNER INFORMATION: Name: r�c�,.,;v� �- y"-cr k G"t a f� Phone (day): Address: 2G j,� Cvv�1,r��•d'-� r C,i-•'i� Cit : dre�,�,. � ZIP: '��.�G Email and/or Fax t.�rti G�o J s /Yy (� �.r,�, . ca.�. PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�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 Project Description: Estimated Construction Valuation of Project(excluding land) $ j ; _;.. �, �-- - - , 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 informatio , the a lication ma not be issued. ApplicanYs Signature: G�-- '�— Date: � " 7 �� LastUpdated: 05-04-2009 � � C� TIME � CITY OF ORONO �^��FD IN � � �` INSPECTION N TIC SCHEDULED �� PERMIT NO.�� U��I co PLETED !l �� ADDRESS � �� `�r- OWNER TELEPHONE NO. �y'� - �7� CONTRACTOR >; DESCRIPTION �Q� ��— � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YO/U:,�YES_NO � � COMMENTS: � W � j �j - � O �. � O � W � Q � Z W � W � � /�d ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �I ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 � r OwnerlContractor o i Inspector. White Copyllnspector's File Canary CopylSite Notice