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Home My WebLink About2011-01367 - windows CITY OF ORONO PERMIT NO.: 2011-01367 � �' 2750 KELLEY PARKWAY ' ORONO,MN 55356- DATE ISSUED: i U07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2684 LYDIARD AVE PIN : 21-117-23-23-0032 LEGAL DESC : VERN-MAR MANOR : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,690.00 NOTE: REPLACE 1 WINDOW AND 1 DOOR WITHIN EXISTING OPENINGS APPLICANT pERMIT FEE SCHEDULE 132.75 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 2.85 1920 COUNTY RD C.WEST ROSEVILLE,MN 55113 MISC FEE 0.00 (612)502-4777 MAIL-IN FEE 2.00 Minnesota State License#:20130983 TOTAL 137.60 OWNER FINKEN,MICHAEL 2684 LYDIARD AVE EXCELSIOR,MN 55331- 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 dces not grant permission for additional or related work which requires sepazate 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 ail required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � `'�,1'�Et� �l- / i i l Applicant Permitee Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. �, City of Orono ' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: �� PO Box 66 Permit number: �;.� �, Crystal Bay, MN 55323-0066 ,I � i,l Date received: 1�� '��'�r -,,- ��' Street Address: Received by: ��'�^�� °� 2750 Kelley Parkway k'�sxo4`'� Orono, MN 55356 Plan review fee: _� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn us Total Fee: This application form must be completed in full and all required information must be submitted. Incomptete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: gy � �� Will this be a Parade of Homes, Remodelers S owcase Home or other Display Home? ❑ Yes /f yes, a specia/event permit is required with Po/ice Department and City Counci/approva/60 days prior to the event. Shuttle bus service wi//❑b NO required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Kenewal tSy Andersen State License# 1920 County Road "C" West Expiration Date: Phone: Roseville, MN 55113 Mailing Address: (cell) Contact Person: License #BC130983 — C�ty� ZIP� Email and/or Fax: 651-264-4777 t is: Contractor / Homeowner (Circle One) PROPERTY OWNER INFORMATION: Name: '(�l - �,e� � �Y1�'e.'(� Phone (day): _ � y'a,._� /� Address: Email and/or Fax Cit : ZIP: PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review&permits ❑Water Damage ❑ Window(s) ❑ Repair Minnehaha Creek Watershed District(MCWD) ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) PhoneaV952 471 0590 ❑ Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek or4 Overall Project Description: • 1 Estimated Construction Valuation of Project(excluding land) $ � �� - D �" 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: �' /1/�,� /( Date: (J�� d Last Updated: 05-04-2009 �a7� DAT TIME � !- s�. CITY OF ORONO CALLED IN =-�� INSPECTIONNOTICE SCHEDULED �-��^�Z- PERMIT NO.a-��-3C 7 COMPL6TED ADDRESS aZGC�� OWNER TEL PHON N0.6��—��O �O� CONTRACTOR �tP�-vuC � /7/(- , � DESCRIPTION J `�I/�d�U� � � D�ay � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � d W� ❑WORKSATiSFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on s' e: Inspector. ` �, � White Copyllnspector's File Canary CopylSite Notice