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Home My WebLink About2011-01562 - windows f / � CITY OF ORONO PERMIT NO.: 20 1-01562 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 0 03/2012 952 249-4600 FAX: 952 249-4616 I ADDRESS : 3175 JAMESTOWN RD PIN : 28-118-23-33-0014 LEGAL DESC : LIBERTY ACRES 2ND ADDN ' : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 15,000.00 NOTE: REPLACE(18)WINDOWS IN EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 265.50 AUBEN RESIDENTIAL STATE SURCHARGE(VALUATTON) 7.50 PO BOX 81 VICTORIA,MN 55386- TOTAL 273.00 (952)836-4332 Minnesota State License#:20G34617 OWNER RILEY,NEIL&STEPHANI� 3175 JAMESTOWN RD ' LONG LAKE,MN 55356- i AGREEMENT AND 3WORPi STATEMENT The work for which this permit is is�ued shall be performed according to the approved plans and specificationg,applicable City approvals,and the State Building Code. This permit is�'or only the work described and does not grant permission for additional related work which requires separate permits. All provisions of laws and rdinances governing this type of work shall be compied with whether or no specified herein.This permit will expire and become nuli and void if nstruction authorized is not commenced within 180 days of the of issuance,or if construction is suspended for a period of 180 days any time after work has commenced. The applicant is responsible for assu ing all required inspections are requested in conformance with the S ate Building Code.This permit may be revoked at ue ca — I ' I i 3 i � 2..- I � i l -2— Appl' ermitee Signature Date Issu By Signature Date, SEPA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � .� �� ►� �Ety► a� ��n� � � ��if�iin Permit �► iica�ior� for IVE i g pp a ntenance / F�e�ova�ian (windows, cioors, sidi�g, r�-rvof, etc.) Mailing Address: Permit number: - (/6 � j�v 0,� PO Box 66 � Crystal Bay, MN 55323-0066 Date xeceived: � � I�'�'' � I,� � �c';� �,� Street Address: Received by; \ d�1> � �, � �ti 2750 Kelley Parkway Plan review fee: L'�kEsxoti`� Orono, MN 55356 Total Fee: /`�� J� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� ,�,- (/ V� This appiication form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATIOf�: JobSiteAcidress �1 -j� J�kn�c� ��;��L;h; �'� 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 approva(60 days prior to the event. Shuttle bus service will be required unless applicant demonstrafes sufiicienf on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR(APPLICANT INFORMATIO�l: Name: �11��_ti ��-Si 1�F=1��{/�.� State License# �;��-� c�l(��-] Expiration Date: �� ,/yl,�t� Lead Certification Number: Expiration Date: (for work on homes thaf were constructed prior to ?978 Phone: �-�.5�-(�``j�7 � ��i(i�� (office) �j'�r�_ �7/5...�7.�ej (cell) Maifing Address: -. � � � ��C�;y,�� ,' City: ZIP: ��>>� � Contact Person: ;_S��,�,u � N Applicant is: on ractor' / Homeowner �c��ie o�e� Email and/or Fax: -�-��,V� ��S .� T7 - , PROPERTY OWNER INFORMATIO�f: Name: _S i �-1��--� �'l�l� t l�i'�LC_ ��lLF� Phone (day): �IZ` -?�C�g- vz�� Address: �i'��; ;Jr�-/Yl FS�w�s� `-,D City: ��I't,'L: ZIP: ��, Email and/or Fax PROJECT INFORMATION: Type of Project: � Any earth movement may require i � � MCWD review& ermits: ❑ Door s ❑ Remodel ❑ Fire Damage P ; Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑Re-roof, ceclar ❑ Restorafion ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-Q590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq I Overal! Project Deseription: �%��y)�;��'�- t� ��:j�E l� � r�i;l��-�; �-- �i'ZE- C-�%r� ��r `�t- Esfirrated Construction Vatuation of Project(excluding land) � ,�� L��;G: APPLICANT A�KNOWLEDGEMENT: • Agrees to provide all informafion required or requested by fhe Building Department; • Certifies that the informafion supplied is true and correct to the best of his/her knowledge. The app(icant recognizes that they are solely responsible for submitting a compfete appficafion 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 appfication is classified by State law as either private or confidential. Private data is information which qenerally cannot be given to the pubfic but can be given to the subjecf of the data. Confidential data is information which generally cannot be given to either the pubfic or the subject of the data. Our purpose and intended use of this informafion is to annually update our records and records of other governmental agencies reauired b law. If vou refuse to su I the information,the ap fication mav not be issued. AppficanYs Signature: �� - % _��,/�� Qate: / , � �astUpdated: OS-Q9-2011 �-� / �-- ✓ ��/� D T I M E CI F ORONO CALLED IN /Y WSPECTION N TIC / SCHEDULED � �— PERMIT NO. ��+`�� COMPLETED ADDRESS �- OWNER TELEP ON ND.� "��5-a7� CONTRACTOR � � DESCRIPTION w `y � '� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLI Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ 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:�l�t " �O�I-O I l-7a� " � W a � J O >. � O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED (,�R80JECT COMPLETE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWtTHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice