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Home My WebLink About2010-01157 - windows CITY OF ORONO PERMIT NO.: 2010-01157 2750 KELLEY PARKWAY . F� ORONO, MN 55356- DATE �ssuEn: 1U29/2010 � 952 249-4600 FAX: 952 249-4616 AllDRESS : 1 190 HERITAGE LA PIN ; 10-117-23-42-0001 LEGAL DESC : FOXHILL : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 10,780.00 NOTE: (4)2 WIDF,CASE;MGN"I'S-REMOVC&REPLACF, IN SAMG SIZE OPENWG. APPWCANT PERMIT FEE SCHEDULE 206.50 HAMEL BUILDING CENTER STATE SURCHARGE(VALUATION) 5.39 18710 HIGHWAY 55 PLYMOUTH, MN 55446- TOTAL 211.89 (763)478-6601 Minnesota State License#: 20631040 OWNF,R FLESSNER, BRUCE & MELANIE 1 190 HERITAGE LA WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT the�+�ork for which this permit is issucd shall be periormed according to the approved plans and specifications,applicable City approvals,and the State L3uilding Code. This permit is for only the work described and docs not erant permission for additiunal or related��ork��hich requires separatc permits. All provisions of la��s and ordinanccs govcrning this typc of work shall be compied�vith�chether or not specificd herein.This permit will � expire and become null and void if construction authorir,ed is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. 'I he applicant is responsible for assuring all required inspections arc � requcsted in conformance�vith the State Building Code.'Chis permit may be � rcvoked at any time for due cause. I/. � �j1—/ --..�� /i /�9 / �G` � � � �t C��YYI C-��1 Applica��ee Sign ure Date Issucd l3�S�urc Date � > � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono ' Building Permit Application for Internal Work �� (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�,0,j�.O PO Box 66 � \� Crystal Bay, MN 55323-0066 Date received: � �'°�`"�� Received by: 1a � �;�;, s.) Street Address: \��'�, �ti``'/� 2750 Kelley Parkway Plan review fee: te;g�Ho�.� Orono,MN 55356 ' Total Fee: Main: 952-249-4600 Fax: 952-249-4616 wv✓w 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: %/�� i'��j��y,.-�� .�-�<f Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes ❑ No If yes,a specia!event permit is required with Police Department and City Council approval 60 days pnor to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-srte parking is available. Non-permitted events wilf not be alfowed. CON7RACTOR/APPLICANT INFORMATION: Name: �yrr��z i��:t i��.�vc- ��.;,,��;"� — ,�f=�T ,� C��,5��-�.�,c� State License# �vG jio/L� Expiration Date: � 3i .at,2 Phone: 7c 3 y'�� - G�a i (office) �G..a ��e - Gso� (cell) Mailing Address: i� �i� �w y S-S Cit � �y,-....Yn� ZIP: rs yy C Contact Person: ,��yT � 1=r-«>,��-�:f-,� Applicant is: ontractor / Homeowner (CircleOne) Email and/or Fax: �7��) y�� -�c� � PROPERTY OWNER{NFORAAATION: Name: �if�°�.z-�f �=<<`s"T�.�� Phone(day}: ys.�� y�y _ iq 3 S"- Address: //5'o i�Fn��rre� �.*.-�-� City: <<-�Yz�r �� ZIP: SS�S'/ Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8 permits ❑ Door(s) ❑Remodel ❑Water Damage / Minnehaha Creek Watershed District(MCWD) [�'Wn ow(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ��`'/''"'�'2! Deephaven,MId 55391 ❑Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage ww�v minnehahacreek.orq Overall Project Desc�iption: <5' �w, �.� �">�;s��f.r•rs _ ��-,��«.� s°.P��•r-�=`� _ S�„�,;� 1-�� G�'^'J•vls, Estimated Construction Valuatian of Project(excluding land) $ /v 7�L APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all informatioc�required or requested by the Buitding Department; • Certifies that the information supptied is true and correct to the best of his/her knowledge. The applicant recognizes that they are so(ely 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 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 annuatly update our records and records of other govemmental agencies re uired b law. If ou refuse to su 1 the information,the a lication ma not be issued. ApplicanYs Signature: � -Date: ��/� ��G1 Last Updated: 05-04-2009 � DATE TIME v CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED /�-�-l0 � PERMIT NO.��—O��-s 7 COMPLETED ADDRESS l�9� l�/�'/�-�- �J OWNER /`��P �l�S��TELEPHONE NO.YSZ� �73- /93S CONTRACTOR ` L��=C � DESCRIPTION �� 1�� ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � ti � Q ti Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call�orthe next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. 1rL,(� White Copyllnspector's File Canary CopylSite Notice