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Home My WebLink About2013-00791 - windows � `� CITY OF ORONO * 2 PJ 1 3 — 0 0 7 9 1 * 2750 KELLEY PARKWAY DATE isSUEn: 08/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1937 FAGERNESS POIN'I' RD PIN : 17-117-23-23-0012 LEGAL DESC : FAGERNESS : LOT 020 BLOCK 000 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING - UNDEFINED VALUATION : $ 20,000.00 NOT�: WINDOW Ri:PI,ACI�MI?N"I�, PnINTING, REPLACING DECKING/RAILING, SIDING RI:PA[RS, SOPPIT,PASCIA APPLICANT PERMIT FEE SCHEDULE 339.25 M&M PAINTING& CONSTRUCTION STATE SURCHARGE(VALUATION) 10.00 3104 EAGLE RIDGE DRIVE E WILLMAR, MN 56201- TOTAL 34925 (320) 841-0642 PAID WITH CC# 5595 Minnesota State License#: 20383047 OWNER BOLD�NOW, ELLIE 1937 FAGERNESS PT RD WAY7_ATA, MN 55391- AGREEMENT AND SWORN STATEMENT l�he 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 permi[s. All provisions of laws and ordinanccs govcrning this typc of work shall be compied with whether or no[specified herein."I�his permit will expire and become null and void if construction authorized is no[ commenced within 180 days of the date of issuance,or iY 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 conYorm ce �h the State[3uilding Code.This permit may be revoked at me fo u se. �i /s i �3 �� J li mitee Signature Date ssued y S�gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t C i ty of O ro n o Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O • O Mailing Address: Permit number: -!�O � 1�T PO Box 66 Crystal Bay, MN 55323-0066 Date received: 8 3-!3 Street Address: Received by: y� G� 2750 Kelley Parkway Plan review fee: t �, Orono, MN 55356 q'�ESHO� ��Q� p�� 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: ' � 3� ��' ✓ �� 5 S �o �� ;�-�� j�� Will this be a Parade of Homes, Remodelers owcase Home 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: ma-� ��,v�-1�� L��s�v-uc��v� State License# Zv 3 Fl3�,y 7 Expiration Date: ,20/ � Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 - �� Phone: (cell) Z� - $ ( -O(o�2 (office) Mailing Address: 3�o`f ��z �; �� r. � City: W ; \�,�.� ZIP: ��Zc�� Contact Person: � „ , � ��,�� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: � � �,��; S �✓�� ` � � c�✓f PROPERTY OWNER INFORMATION: Name: �l �i � �� '- n o �-t/ Phone(day): 9 S- 2 - a So�-7S3 c� Address: � 3 7 �t�ry��5�' �� City: �r�y 2 k.�� ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: �01�`'��^ �Q (��'^` .Pc:rir� V�� 1�rt� ic�ir ve i✓s Type of Project: Any rth mov ment may Iso req re ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof, asphalt � Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar �Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) [�Siding-��r) � Other: (specify) Phone: 952-471-0590 /� Fax: 952-471-0682 � �Window(s) �i-i� C�c., www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ �D, C.�CX� �� 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 annuall update our records and records of other governmental agencies required by law. If ou refuse to su I matio I' ation ma not be i ed. Applicant's Sign . �� Date: �-t�� «3 Owner's Signature: Date: Last Updated: 03/06/2013 ✓ DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO..��9� COMPLETED '�'� ADDRESS ��13��er.�rsSs/�- �� OWNER TELEPHONE NO. CONTRACTOR ,��`� '°♦ ��''�..<�� ; DESCRIPTION w�/�bd� ��s�'�!� � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WA�L ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �_F�pIA� ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP _ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ H RD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEEf YOU:_YES_NO � COMMENTS: � �y �-+ a ��k• � �li5�cr �•!@,� 7� C'fL� T6✓ � O �NGG /��Cc�K � 1�l� �lij P `1G wl� � ��sr G•� !{' D�G�Ia C�� .�/GG� lJcfif�•., /�s � �.lG�/S �' ��f��cfl? f 't-tKt� !vc S�-oG��ti Q � 2 W � W � j GW ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR �PECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952 j 249-4600 OwnedContractor on site: � Inspector. ��r i r-� -- White Copyllnspector's File Canary CopyiSite Notice � � �� 3 ��j DATE TIME �•r �o1-ra��T CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED /��/s"j'S�/`� PERMIT NO. l -OL`� � COMPLETED ADDRESS �� r OWNER fiELEPHONE NO. �s ��1 CONTRACTOR r�� ; DESCRIPTION / '��`5 � � ❑ FOOTING ❑ PLUM8ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfIANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ SULATION ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERI TRACTOR TO MEET YOU�YES_NO � C MENTS:- � W � "...� �(��j�,, "Hb a � ll - � � � � f � . _ --- -- W � Q � � � 2 — W � ,�_ W �_ ' � ,-. . j GW O WORKSATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PEfiMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 4 hours in advance. 2� 24J-46�� OwnerlContractor on site: , Inspector. White Copyllnspector's Ffle Canary CopylSite Notice �I�� D E TIME I / CITY OF ORONO CALLED IN �� 2- V INSPECTION NOTITCE DD�/ SCHEDULED �S� � PERMIT NO.��✓ COMPLETED ADDRESS i93 7 �Q�?'�i2.QS� /� /`rt� OWNER TELEPHONE NO. .� �`�`�� CONTRACTOR ,/`�, T � 7�J � ��C�� DESCRIPTION G�/l��/,US f �O�/� �,�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o -� 41 �� cha�S '' 1_ (��-�+-ru �ao,I- � 0 � W � Q � Z W � W � � O W �K SATISFACTORY:PROCEED � ❑CORRECT WORK 8�PROCEED L� ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOA REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice