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Home My WebLink About2016-01305 - windows � CITY OF ORONO * 2 0 1 s — 0 1 3 0 5 * , '' 2750 KELLEY PARKWAY DATE ISSUED: 10/13/2016 ` ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2515 KELLY AVE PIN : 20-117-23-12-0038 LEGAL DESC : REG.LAND SURVEY NO. 1428 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 2,000.00 NOTE: REPLACING 4 WINDOWS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 77.40 STATE SURCHARGE(VALUATION) 1.00 HARDTEN,DAVID&CHRISTINE TOTAL 78.40 2515 KELLY AVE Payment(s) EXCELSIOR,MN 55331- CREDIT CARD 0308 78.40 OWNER HARDTEN,DAVID&CHRISTINE 2515 KELLY AVE EXCELSIOR,MN 55331- AGREEMENT AIVD 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 consvuction authorized 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 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 be r y`� .J revoked at any time for due cause. f. r '� ,;� , , � ,,�v, �"�.�`� C� ,,3 �� "App icant Permitee Signature Date Issued By Signature Date City of Orono Buildinq Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �OA, Mailing Address: f VO PO Box 66 Permit number: `' —' (_� Crystal Bay, MN 55323-0066 Date received: f � � Street Address: Received by: y�, G� 2750 Kelley Parkway Plan review fee: � Orono, MN 55356 AkESHO�� . �l! 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. (Please prinf) GENERAL INFORMATION: Job Site Address: - " S ..�./� ;-� r � .� l�,c c � �V� � `� � '� �� j Will this be a Parade of Homes, Remoilelers S owcase Home or other Display Home? Yes o If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �� ` � State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes thaf were constructed prior to 1978 Phone: (cell) (office) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner �c��ie o�e� Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��.r :_`_�-! i ,1.�_ t-`�,r�� Phone(day): �,. � _� _ �� - � -- J � Address: ;�1 �i 5 f�-C l/�� V�-wL- City��,• z-( ��,�' ZIP• � `� � � / Email and/or Fax: �; ,n,� ��r�� ,�; ,�}� - C�/ �'�'ti��<�-C.ii C� [� �.'�/� PROJECT INFORMATION: Overall pro�ect description: 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) ❑ Re-roof,cedar 15320 Minnetonka Blvd ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 ,_,.,�; Fax: 952-471-0682 �vvindow(s) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ � f�;�c�U 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 the information,the a lication ma not be issued. ApplicanYs Signat e: `� L�,.c�-`.i''�.,��--- Date: ,!�� i 3 /�• �.__,rr Owner's Signature: i_ � �:�e��tir`/f---- Date: /G� �i j -/�, Last Updated:January 2016 • DATE TIME CITY OF ORONO CALLED IN SCHEDULED PERMIT NO.Wa'16, •01305 compLETED _3•a l-e ADDRESS RS lbw ke /1y 4 . MINER 1114104 OA"; himedir4TELEPHONE NO. CONTRACTOR DESCRIPTION w,A ar704) R.13 I Q FOOTING Q DEMO-FINAL 0 SEPTIC FINAL Q POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING FLUNG { O FOUKIATION WATERPROOF Q PLUMBING FINAL Q TREE REMOVAL 0 RADON SLAB Q MECHANICAL RI 0 SITE INSPECTION Q FRAMING 0 MECHANICAL FINAL 0 RATED WALLS : Q INSULATION Q WOOD E 0 COMPLAINT ! Q FINAL Q WATER HOOKUP OLLOW-UP i Q AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION REMOVAL ; Q DEMO-SITE 0 SEPTIC INSTALL ! OWNERICONTRACTOR TOMEET YOU_vas_No COMMENTS: ""t flatlea- C2,/e40 c t k re e Permit has expired per MN Building Code Sec. 1300.120 subp. 11 • Expiration, no record of a Final inspection. i i O%ORIC SATISFACTORY:PROCEED 0 PROJECT COMPLETE 0 CORRECT WDIEC&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O cOIiRECT WORK,CAU.FOR REINSPECTION TEMPORARY BEFORE MERINO PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REWIRED.CALL TO ARRANGE ACCESS. cm fort a next Inspection 24 hours In advance.(952) 249-4600 OivnodCordractor me Inspect= (- , --- *Woe CpYIYapib PIN Comfy CopyRINs NaN.