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Home My WebLink About2013-00190 - windows ♦ � CITY OF ORONO * z 0 1 3 - 0 0 1 9 0 * 2750 KELLEY PARKWAY DATE ISSUED: 03/21/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3420 HIGH LA PIN : OS-117-23-12-0026 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 8>074.00 NOTE: REPL�ICG(7)W[NDOWS WITHIN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 177.00 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 4.04 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 183.04 Minnesota State License#: BC130983 PAID WITH CC# 8788 OWNER WOLVERTON, WESLEY&ELIZABETH 3420 HIGH LA 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 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 not commenced within l80 days of the 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 Building Code.This permit may bc revoked at any[ime for due cause L�� , � , , 3 � , �,,� Applicant Permitee Signature Date ssu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � 4, City of Orono Building Permi# Applica#ion for Maintenance / Renovatian (windows, doors, siding, re-roof, etc.} /�O� Mailing Add�ss. �� PO Box 66 Perrn"rt number: ��/3 � � Q Crystal Bay, MN 55323-0066 Date r�eceived: �-o�-1–� �, , �.y ��l Sireet Addr�ss: Received by: '�'� ` 7 G� 275o Kelley Parkway �Ho�� Orono, MN 55356 Plan review fee: `-_�- Main: 952-249-460p Fax� 952-249-4616 www.ci.orono.mn us Total Fee: � �7v,7�� This application form must be compleied in full and all required information must be submitteci. Incomplete appfications wiU be returnQd. (Please prrnt) GENERAL INFORMATION: 1 ` Job Site Address: 3�+a o tv 1 � �h� Will this be a Parade of Homes, Remodelers owcase Home or other Display Home? Yes No If yes, a special event perm#is iequired with Police Department and City Counci!approva!60 days prior to the event. ShufUe bus service will bs requi�ed unless applicant demonstrates suflicient on-site pBrking is available. Non-permitted events wid not be aJ/owed. CONTRACTOR/APt�P{LICANT rNFORMATION: Name: 0.� � 'A -�rSe� State License# �C,��pq �I 3� Lead Certificatian Nurnber: $�� _ _ �Xpiration Date: N�?" a �'a`33 -1 Expiration Date: y��s (for work on homes that wore constructed prior b 1978 � — Phone: (05�_ a� _��-�,-� (office) Mailing Address: ,� „ (cell) 1 C . 1i c wes� c�ry:'�scv;► e zip: 5-St 3 Contact Person: Applicant is: oMractor / Homeowner Email and/or Fax: ��'��1 PROPERTY OWNER INFORMATION: Name: � � Phone{day}: , Address: �� Email and/or Fax � C��' Z�P= PROJECT INFORMATiON: Type of Project: Any earth movement may requiro ❑Door(s) ' ❑ Remodel ❑ Fira Damage N1CWD review 8, permits: ❑ Re-roof, asphalt Minnehaha Creek Watershed District(MCWD) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Q Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-rovf, other(apeciiy) ❑ Siding ❑pther: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.or OverallProjectDescription: �� `i� Estlmated Construction Yaluation of Project(excluding land) � Q ' r- APP�ICANT ACKNOWLEDGEMENT: • Agrees to provide aIf information required or requested by the Building Department; • Certifies that the intormation supplied fs 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 staf�has no alternative but to reject it untif it is complete; • 5ome or all of the information that you are asked to pro�ide on this applicatlon is classified by State law as either private or confidential. Private data is inFormation which generally cannot be given to ihe public but can be given to ihe subject of the data_ Confidential data is information which generally eannot be given t� either the pubfic or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other govemmental agencies re uired b law. If ou refuse to su I the information, the a lication rna not be issued. AoalicanYs Sionature: �) n,.l�� Date: Z 'd 06T9bL9TS9 3�IA�13S lIW�l3d Q B S f� OT �Ei ETOZ iZ �+EW � � G�� DATE TIME ✓ CITY OF ORONO CALLED IN / - INSPECTION NOTICE SCHEDULED �/9-�3 PERMIT NO:�L3 'D�190 co PLETE ADDRESS �� OWNER � PHQNE O. -��- a8� CONTRACTOR �y2�� DESCRIPTION ��u-C� !iU � � � ❑ 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O a � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED ,�IPROJECTCOMPLEfE � O CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: � '� _ - ; , b C Inspector. White Copyllnspector's File Canary CopylSite Notice