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Home My WebLink About2014-0111 - windows �M'� � CITY OF ORONO * z 0 1 4 - 0 1 1 1 9 * 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 800 FOREST ARMS LA PIN : 07-117-23-12-0004 LEGAL DESC : FOREST ARMS : LO"T' 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 30,000.00 NO�I�E: RI;PI,�CI? WINDOWS INTO F,XIS'fING OPGNINGS. APPLICANT PERMIT FEE SCHEDULE 466.75 STATE SURCHARGE(VALUATION) 15.00 A 1 RESTORATION TOTAL 481J5 4720 XENE LN Payment(s) PLYMOUTH, MN 55446- CHECK 7501 481.75 Minnesota State License#: BUIL-BC680725 OWNER MAYES, CLIFFORD A& BRF.NDA L 800 FOREST ARMS LA MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT I'he�vork for which this pcnnit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State[3uilding Code. 'l�his 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 work shall be compied with whether or not speciYied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date ot�issuance,or if construclion is suspended for a period of 180 days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections are rcquested in conformance with thc State Building Code.This permit may be revoked at any time ti�r due cause. �. �> __ �� r� � � i� ____ - �,� ; , „ , -� _ .__ : �-- __ � � � pplicant Permitee Signature Datc Iss � I3y Signature Date �r� • City of Orono Building Permit Appiication for Maintenance I Rep�acement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) � Mailrng Address: Permit number: ��'' —�l�l � � �TO PO Box 66 - Crystal Bay, MN 55323-0066 Date received: '-�� Street Address: Received by: y � 2750 Kelley Parkway Plan review fee: `� L Orono, MN 55356 ��'rESN�� 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 appfications will be returned. (Please print) GENERAL INFORMATION: Job Site Address `�v;; c�_�- A�� t�.- �< (;.�...•�, f`� �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes, a special event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus servrce will be required unless appficant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: F�-� i;P>��--�� State License# �r� � �� LS Expiration Date: ,�;; ; 5 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (�� ? - ��;�; - S��T�, (office) ;�,K, � Mai(ing Address: �, ,L� ��, �� ti City: �� h G-✓-� ZIP: S-s�y�°�. Contact Person: �%�,h Applicant is:�:-�Contractor / Homeowner (Circle One) Email and/or Fax: � � z _ ��g_ y�,�s- �,�� ; ._,-( :�s�rr ��,-. PROPERTY OWNER INFORMATION: Name: �a,�,��:� h�✓,�s Phone (daY): �; Z- '�>`�- e'' `�� Address: ;.,,.,� �,� «�_> ><. City: ZIP: Email and/or Fax: N�� PROJECT INFORMATION: Overall project description: �`ype of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&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 ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq Estimated Construction Vafuation of Project(excluding land) $ �c,:;u,; :e� 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 altemative 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 faw 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 annualfy update our records and records of other governmental agencies required by law. If ou refuse to su I the informati ,the a lication ma not be issued. __.,..._ Applicant's Signature:! � � Date: ��1?�� 1 � Owner's Signature: Date: �ast Uodated: 03/06/2013 DATE TIME CITY OF ORONO CALLED IN ��"d� INSPECTION NDO�I'�j EO`�!� SCHEDULED //-oZS l� PERMIT N� `�"" COMPLETED ADDRESS �� S � OWNER T LEPHONE NO. �°7 75 - � CONTRACT�R/4� e S �- � � DESCRIPTION � � � �� ty � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WEfLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��INAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTFiACTOR TO MEEf YOU:_YES_NO � COMMENTS: � a �l�eGV��c✓ �rdv�D��l SH�dC�¢ .�s�ec�a�' � o �/vr�C /9�.,r.ol��c >. � 0 � W � Q � W � � �Q�/wt.L 7"�rl.f�� W � � a W ❑WORKSATISFACTORY:PROCEED �P4�6dtCrOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �-- � White Copyllnspector's File Canary CopylSite Notice <� I AT TIME 1.1�ORONO LLED IN � ` � INSPECTIO OTI SCHEDULED �' � PERMIT NO � COMPLETED ADDRESS OWNER T LEPHONE NO. " CONTRACTOR A s � �S�a� >; DESCRIPTION �� w�t�� ly� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a G!/1�l�oc.J �P.D��+�l�s` � � '�IC!/t/�C / �Z°` r !7�U�� .��L1 [� �'- 0 � � ° " �r��o r ('o wt �a�d. W � Q � Z �� !0 Df�� 5/L10��P e�C�6✓� �l�- � !l� .b�De'�"od iK� "— _ � ��//'PGf '` Cci d �� /'�c �i�co�� " J GW ❑WORK SATiSFACTORY:PROCEED ❑PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �SPECTION REQUIRED.CALL TO ARRANGE ACCESS. / ail tor the next inspection�hours in advance. (952� 249-4600 wn ontractor on site: � �f� Inspector. r'''' White Copyllnspector's File Canary CopylSite Notice