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Home My WebLink About2011-00600 - windows CITY OF ORONO PERMIT NO.: 20��-00600 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 07/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2585 LYDIARD AVE PIN : 20-117-23-11-0003 LEGAL DESC : APPLE HILL : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 1,000.00 NOTE: SMALL SECTION OF SIDING AND WINDOW REPLACEMENT APPLICANT pERMIT FEE SCHEDULE 41.25 BORISOV,NADIA STATE SURCHARGE(VALUATION) 0.50 4932 NORTHERN ROAD TOTAL 41.75 MOUND,MN 55364 PAID WITH CASH 41.75 OWNER BORISOV,NADIA 4932 NORTHERN ROAD MOLJND,MN 55364- 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 sepazate 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 180 days of the date of issuance,or if construction is suspended for a per' P`C80 days�t any time after work has commenced. The applicant is r sponsible for rilag all required inspections are requested in conf rm t te Building Code.This permit may be revoke at an ' fo e. � � �� . App ' ant Permitee ignature Date Issue y Signature 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: U��/ �O O�v�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: / a ��`��' Received b ' •,,;;A� a Street Address: Y� �'�� Gti�' 2750 Kelley Parkway Plan review fee: �kESHo�`' Orono, MN 55356 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 print) GENERAL INFORMATION: .. , Job Site Address: � `-�� (�- �1� `�� VL ��fZ'J✓�v Y�� 5 �� , Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No !f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��C�,i�iC). ��G�1�jOv State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes fhat were construcfed prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �C��G t��Cv�v Phone (day): �� t Z qG)� ��"�-a� Address: �G��. ��2�i�S� 2 V� �� City:V 1��1:1� ZIP: rn�1��_��1 Email and/or Fax � PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �$.Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ,�Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ � � `�,�'� 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 wbieh nerally cannot be given to either the public or the subject of the data. Our purpose and intended use of this infor ation is to annually update our records and records of other governmental agencies re uired b law. If ou refuse t I e inf rmation, the a Iication ma not be issued. , - , � Applicant's Signature: � I�� Date: � { I � Last Updated: 03-01-2011 _ �� DATE TIME V CITY OF ORONO CALLED IN 3 - � � INSPECTION NOTICE SCHEDULED 3 -S - 1 �-- PERMIT NO.ao!/- 06�v D COMPIETED ADDRESS S �� OWNER T�'� �� HONE NO. ��Z- g�� 7� �� CONTRACTOR � S<� /K5 4 >: DESCRIPTION a ��,5 — hQw1e' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � J O a � O � W � Q � Z W � W � � d �� W� ❑WORK SATISFACTORY:PROCEED L'TpROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice