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Home My WebLink About2016-01371 - windows CITY OF ORONO * Z 0 1 6 - 0 1 3 7 1 * 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2300 FOX ST p[]V : 03-117-23-32-0013 LEGAL DESC : BILL KELLEYS LAND 1 ST DIV : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,794.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 123.87 STATE SURCHARGE(VALUAT[ON) 2.40 WELLINGTON WINDOWS TOTAL 126.27 3938 MEADOWBROOK RD Payment(s) ST. LOUIS PARK,MN 55426- CHECK 23179 126.27 (952)933-6300 Minnesota State License#: BUIL-BC711363 OWNER CUNNINGTON, E&K 2300 FOX ST LONG LAKE, MN 55356 AGREEMENT 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 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 permits. All provisions of laws and ordinances goveming 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 not commenced within l80 days of the date of issuance,or if construction 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. f ( �� 0 �Zg� l h Applicant Permitee Signature Date Issued By ignature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, et — TURAL EXPANSION) �O�O Mailing Address: Permit number: �D��o�' 1�/3 7� PO Box 66 ., ,t Crystal Bay, MN 55323-0�'6T � ( !��' Date received: II>- 7—/� Street Address: Received by: � "=. ' ` 2750 Kelley Parkway C�N OF ORONO Plan review fee: � L Orono, MN 55356 lqKESH�� Total Fee: ! �(P, �7 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) GE"�ERAL INFORMATION: �^ Jo'., Site Address: c��G� 1 c.i�C��' W�.': this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No l�`yes, a special event permit is requi�ed with Police Departmeni and City Council approva160 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. CO;JTRACTOR/APPLICANT INFORMATION: Na�,e: L � `. S1�.�� License# � 3 ,_ Expiration Date: � Lc ' Certification Number: ��-�-, �� C��G� - Expiration Date: � �r work on homes that were construcfed prior to 1978 p Phone: (cell) ' (office) C�t'� �'- ��?j �,�_3� M��:ing Address: r-� �G�3Q .z��,;�1�j� ¢� City: , � �� ZIP: ��'-��Is Cc� `act Person: j 5 . �— Applicant is: � / Homeowner (Circle One) Er :.I and/or Fax: PF� PERTY OWNER INF�RMATION: � Na�,�e� L� �k Gt�G`f Ph�ne (day): ' _ `� . G � Ac' �ess: �3 `Td Fr�� City:p(��1� ZIP: �3'��i Er ,�l and/or Fax: P' .`�"�CT INFORMATION: Overall project description: Ty� of Project: Any earth movement may also require MCWD review& permits: C ^or(s) ❑ Remodel ❑ Fire Damage [ �-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd [ ;-roof.ceda� ❑ Restoration ❑Water Damage Minnetonka, MN 55345 Phone: 952-471-0590 [� ' '.e-roof, other(specify) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 _ �Window(s) www.minnehahacreek.orq E nated Construction Valuation of Project (excluding land) $ �7�! -- A" _ICANT ACKNOWLEDGEMENT: • A;rees to provide all information required or requested by the Building Department; • r��tifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are ly responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to ,;ct it until it is complete; � �ome or all of the information that you are asked to provide on this application is classified by State law as either private or c� ��fidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. C :nfidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and in,�nded use of this infor �tio ' t annually update our records and records of other govemmental agencies required by law. If �;�� refuse to su I th crfor ati , the a lication ma not be issued. _. -----. �/��r Ap; � � �� Signature: ' � Date: Owr 's `'�gnature: Date: Las'. ' January 2016 ,� /�.6�d / DATE , CITY OF ORONO CALLED IN INSPECTION NOTICE D / SCHEDULED !!-� PERMIT NO.-�� 3 7r COMPLETED ADDRESS OWNER T EPHONE N . CONTRACTOR -s � DESCRIPTION "'� �S � 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i �u A�BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: � W � oWI N��cJ Y�-��, ' �wt� 5�zc , � ��wt� �le i n cx��ti�c� -��T�s� 0 W � �d�(� Gb YvCfl`t,�� Q � W � W �' �1 � ,�/Htc� f—tN4��! J � O WORK SATISFACTORY:PROCEED �R _OJECT COMPLEfE � W ❑CORRECT WORK�PROCEED � ❑ISSUE CERTiFICATE OF OCCUPANCY � ❑CORRECT VYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C04/ERIN(i PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pf{pT0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Catl for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: ►^^' White Copy/lnapector's Ffls Gnary CopylSits Notiee