The URL can be used to link to this page

Home My WebLink About2012-01100 - windows ` ' � CITY OF ORONO 2750 KELLEY PARKWAY * z 0 1 Z - 0 1 1 0 0 * DATE ISSUED: 1UO3/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1960 FOX RIDGE RD PIN : 03-117-23-13-0011 LEGAL DESC : FOX RIDGE : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILD[NG - UNDEF[NED VALUATION : $ 3,600.00 NO"CG: RGMOVI:/Kf:PLACE(3)WINDOWS APPLICANT PERMIT FEE SCHEDULE 103.25 NORTHLAND HOME EXTER[ORS STATE SURCHARGE(VALUATION) 1.80 308 SW 15TH ST #]00 MAIL-IN FEE 2.00 FOREST LAKE, MN 55025- TOTAL 107.05 (65 I)464-0234 Minnesota State License#: 20440290 OWNER MORISON, LUCIA 1960 FOX RIDGE RD LONG LAKE, MN 55356- ACREEMENT 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 thc State[3uilding Code. This permit is for only the work described and does not grant permission Yor additional or relatcd work which requires separate pennits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This perniit 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 l80 days at any time atter work has commenced. The applicant is responsible for assurina all required inspections are requested in conformance with the State Building Code. l�his permit may be revoked at any time for due cause. C //l O..SI/Y� I/ l (�Sl/�-- Applicant Permitee Signatu e Date [ssu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � * G�S` ' ''" � I `� 1�?�� City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) --� Mailing Address: Permit number: (' —O/� � � �,�,�.� PO Box 66 0 � Q.,\� Crystal Bay, MN 55323-0066 Date received: �U/ �-- �;.�,p,_ ', � a ;�;g, �,� Street Address: Received by: ��' �� / 2750 Kelle Parkwa �L , Q � Y Y Plan review fee: \9kESH�� Orono, MN 55356 \-= Total Fee: �-j 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: 'Cj(E(..' �;�x �r rj Ci�� I l�' Will this be a Parade of Homes, Remodelers Shovvca e 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 su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: , ' Name: Ll/�?��h�G�nc� �Un�� _X�"�'�^�(;;ir; State License# (�� /yU�c�U Expiration Date: 3__ 3i��j�jf , Lead Certification Number: �i,g,r- ., ��(�,(o .3�, -/ Expiration Date: ._�- �3 �C i 5- (for work on homes that were constructed prior to 1978 Phone: �S� - C�(��-(��3�1 (office) (cell) Mailing Address: �� "'� �f ��(�1 City: �� ,� ZIP: e- -�� Contact Person: �;n�+,y Applicant is: Co rrff"actaT�� / Homeowner (Circle One) Email and/or Fax: �� PROPERTY OWNER INFORMATION: Name: �,C-i�C� y17U!'�`�Cil� Phone (day): �-� . �-t�7 3 • �,S� 7 Address: _!`I(�U Ft?',� f��cf y� rC.j CitY:�r,.�C� ZIP: S S3`�.� Email and/or Fax " PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(speciry) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq Overall Project Description: ��.-Yy�+-�,� � �.- - 3 c,c.->��nc tw<-� Estimated Construction Valuation of Project excluding land) $ �� j�'>.�)c'% APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • CCItIIICJ iY�ai ihe inioririaiion 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. ApplicanYs Signature: (�, s ��t.�'h. Date: �U�c��1 ' c��%l� J— Last Updated: 08-09-2011 �� L� �,Q� D/+TE TIME � CITY OF ORONO u cALLED IN ��r �3 ��d� INSPECTION NOTICE , SCHEDULED « � _6l�.4,�r;� PERMIT NO. a�1o� '� /lCC COMPLETED ADDRESS f L�� n �L�,�,�� , OWNER iL'iA Oj'/S� TELEPHONE NO�� {73�`- �'�7 CONTRACTOR /1,�(�r�6�f��/�yy,� � DESCRIPTION �j hC� � !/�/�-/74��'-LC> � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP IQ'FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU: l YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z - W � w � � � d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice /_�T TI M E CITY OF ORONO CALLED IN � INSPECTION NOTICE�5 SCHEDULED —Z � __�� PERMIT NO.(�U��'V I/�U COMPLETED ADDRESS �� d OWNER TEL P ONE NO.bJI �{�� Z3� CONTRACTOR �� DESCRIPTION —�l/'�� 1��`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � ❑ 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 ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a J � - - � _ � �i� � / �. � O � � W � � Q �n � � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8�PROCEED '� ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. White Copy/lnspector's File Canary CopylSite Notice