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Home My WebLink About2015-00324 - windows CITY OF ORONO * 2 0 1 5 - 0 0 3 z 4 * � , . 2750 KELLEY PARKWAY pATE [SSUE�: 03/19/2015 ORONO, MN 55356- (952) 249-4600 FAX: 952 249-4616 ADDRESS : 1960 FOX WDGE 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 BUILDING-CINDEFINED VALUATION : $ 4,000.00 NOTE: REPLACE(14)WINDOWS IN"I'O EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 108.42 STATE SURCHARGE(VALUATION) 2.00 PRIME HOME CONSTRUCTION TOTAL 110.42 3620 CENTRAL AVE NE MINNEAPOLIS, MN 55418- Payment(s) (612)990-2636 CREDIT CARD 4599 110.42 OWNER STAUBER, ROB 1960 FOX RIDGE RD LONG LAKE, MN 55356- AGREEMENT A1vD SWORN STATEMENT 'I�he work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the Sta[e Building Code. This 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 specified herein.This permit will expire and become null and void if construction authorized is no[ commenced within 180 days of[he 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 are requested in conformance with the State E3uilding Code.This permit may be revo at any time for due cause. � _� ----�� , ��/ � � Applicant Permitee Signature Date Issued y Signature Date City of Orono � �;,��-iding Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-raof, etc. — NO STRUCTURAL EXPANSION) �O�O MailingAddress: Permitnumber: (, �O17��-- PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: y G� 2750 Kelley Parkway Plan review fee: F t � Orono, MN 55356 �KESHa� //D• `�o�-� 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: 1 Job Site Address: q �l� �`�X ��' ' �� `Z- a � �� ti� Will this be a Parade of Homes, Remodelers Showcas ome or other Display Home? ❑ Yes ❑ No /f yes, a special event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shuttle bus service wi/l be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATfON: Name: ��N�� N,�n�.{ �c�.rvs:�z_��" +� State License# �1 L �- � �l r�y � Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were construcfed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: I Name: �,�� a� ber Phone (day): �--6 3 25 � � l l � Address: City: ZIP: Email and/or Fax: � PROJECT INFORMATION: Overall project description: � � �t`-� `-" �"� ��=`'''' S C � -� Type 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) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding ❑ 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 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 required by law. If ou refuse to su I e information,t e a lication ma not be issued. Applicant's Signature: �L�Z, Date: 3� I� — �S Owner's Signature: Date: Last Updated:January 2015 <� DAT - TIME CITY OF ORONO CALLED IN . INSPECTION OTICE SCHEDULED " PERMIT NO: G'/S-� MPLETED ADDRESS �� OWNER ELEP O NO. �� ';�3� CONTRACTOR ��r� � `�� a DESCRIPTION v� �� 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 ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ,��NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP kJ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC IN LL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEET YOU=—Y� � COMMENTS: W ��/ a Y'��/��UI� ��4LLwt..o.s�i C /h. �/�sc J .��Ac1� • -" SA�✓1� S/Ze.. .Stl�e'��s��P - O � � � Gt>O�l� l,�i�Q�U/S �O y''I��6�--� di� W �— � Q � 2 • � ,�i�iu.� �s�� W � j � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDEH POSTED.CALI INSPECTOfi 'J CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerfContractor on site: Inspector. ^' White Copyll�spector's File Canary CopylSite Notice