HomeMy WebLinkAbout2010-00310 - windows �. CITY OF ORONO PERMIT NO.: 2010-00310
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 05/1U2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3697 LYRIC AVE
PIN : 17-117-23-34-0037
LEGAL DESC : NAVARRO
: LOT 001 BLOCK 003
PERMIT TYPE : M[NOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
COI�TSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 2,790.00
NOTE: REPLACING(7)WINDOW INSERTS IN ORIGINAL OPGNINGS
APPLICANT pERMIT FEE SCHEDULE 88.50
NATIONAL WINDOW COMPANY STATE SURCHARGE(VALUATION) 1.40
1221 PEBBLE COURT
CHAMPLIN,MN 55316- MAIL-IN FEE 2.00
(612)353-5780 TOTAL 91.90
Minnesota State License#: 20636812
OWNER
ARONE,JOSEPH
3697 LYRIC AVE
WAYZATA,MN 55391
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 wi[h whether or not specified hcrein.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 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 duC cause.
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Applicant Permitee Signature Date Issued By i nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
. �
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
O��,�.0 PO Box 66
Crystal Bay, MN 55323-0066 Date received:
o, Street Address:
Received by:
�,�, � �titi 2750 Kelley Parkway Plan review fee:
'��Ho4� 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:
Will this be a Parade of omes, Remod rs Showcase Home or other Display Home? Yes No
If yes,a specia/event permit is�quired with Police DepaRment and City Council approva/60 days prior to the event. Shuttle bus service will e
required un/ess applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATIO :
Name: u
State License# Expiration Date: �, //
Phone: _�� .3 3. -1 $�� (office) b'� ceu
Mailing Address: ����,Z Ci : ��jh ZIP: 1��
Contact Person: Applicant is: Con ractor Horx�owner �c��c�o�e�
Email and/or Fax: � �`L•'2�S-�G,—� �Z
PROPERTY OWNER INFORMATION:
Name: n,�
Phone(day):
Address: rt Ci : ZIP: ^
Email and/or Fax ��
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review 8�permits
❑ Door(s) ❑Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
�Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
❑Re-roof ❑ Fire Damage vwvw.minnehahacreek.orq
Overall Project Description: � p
Estimated Construction Valuati n of Proj t(excluding land) $ �,� �p
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: �����j����� I Date: ���,�����
Last Updated: 05-04-2009
DAT TIME ✓
CITY OF ORONO CALLE� � /
INSPECTION NOTICE 2 SCHEDULED — � _�
PERMIT NO�O/O��OJ �D COMPLETED
ADDRESS .3�I7 L-G1'I.LG �Ti��
OWNER TELEPHONE NO.`5Z �7� D 6 0 �
CONTRACTOR /v� U/��1�!/T.� C�U�
>; DESCRIPTION ���� ��`�-��
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
�
O ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED � ROJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN 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. �95Z� Z49-46��
Owner/Contractor on site:
Inspector. � A �' �
White Copyllnspector's File Canary CopylSite Notice