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Home My WebLink About2012-00477 - replace windows, door and partial siding and fascia CITY OF ORONO * 2 0 1 z - m 0 4 7 7 * '" � ' 2750 KELLEY PARKWAY DATE ISSUED: OS/3U2012 ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1545 MINNIE AVE PIN : 08-117-23-33-0066 LEGAL DESC : HICKORY HILL : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 9,500.00 NOTE: REPLACE WINDOWS,DOOR AND PARTIAL SIDING AND FASCIA. APPLICANT pERMIT FEE SCHEDULE 191.75 The Return Homes LLC STATE SURCHARGE(VALUATION) 4.75 2613 COMMERCE BLVD MOLJND,MN 55364- TOTAL 196.50 PAID WITH CASH 196.50 OWNER The Return Homes LLC 2613 COMMERCE BLVD MOUND,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 separate 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 consVuction authorized is not commenced within 180 days of the date of issuance,or if consuuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all re uired inspections are requested in conformance with the Sta[e B ii ng Code.This permit may be revo any time for due caus �� - �� 31 �/� � ,� r � ��- Ap cant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,� � .. �, . , �� :� :�� City of Orono � �� '�� '� � ��: � ' r Building Permit Application for Maintenance / Renovation ' _ ,T s2�`i„' �' (windows, doors, siding, re-roof, etc.) F� �; �;�; , Mailing Address: aG��_ � -7� '�� 4 �.,0,� PO Box 66 Permit number: / � �Y' F, � Q Crystal Bay, MN 55323-0066 Date received: �j � �� 3 v�9 a � `" �, � Street Address: Received by: � �' �_,;,. �'� � ,w;�, G� 2750 Kelley Parkway Plan review fee: L�kESH�� Orono, MN 55356 (jf� Total Fee: � / 9�� 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: "� `�S /�IYI�I� �l/� _ - � �,�J �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No �i.a If yes, a special event permif is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus s rvice will be required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � CONTRACTOR/APPLICANT INF�RMATION: 7 Name: C�� 1� ,�� S �T�tJ I� ��P�� /1 /�,�-,��n,�'-` State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes thaf were constructed prior to 9978 Phone: � Z S� �� (office) S S �� (cell) Mailing Address: p � � �3 City: �o.,,;� ZIP: SS ` Contact Person: Applicant is: Contractor / Homeowner (Cirde One) � Email and/or Fax: `� PROPERTY OWNER INFORMATION: % Name: �-f-� ��1'� l`�v�'y!� S � Vg'ri?�S l�i'�} U/� ��tJ� � � Phone da c i � ( v)� J s� I S�� 7/0 l �4 Address: ,� �S3 S� ��o,E L�'�C� /�l CitY: C��,� � ZIP: � S � �'Z� y Email and/or Fax � �X y� �"' PROJECT INFORMATION: k� '` Type of Project: � � , Any earth movement may require ❑ Door(s) ❑ Remodel Fire Damage MCWD review&permits: � �., Minnehaha Creek Watershed District(MCWD) � � ❑ Re-roof, asphalt ❑ Repair Storm Damage 18202 Minnetonka Blvd `� �`� ❑ Re-roof, cedar Dee haven, MN 55391 � " ❑ Restoration ❑Water Damage p � � = Phone: 952-471-0590 � � � ❑ Re-roof,other(specify) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 �� + '` ❑ Window(s) www.minnehahacreek.orq �,� Overall Project Description: � � f� ��' � ; �, ,. � . 1�'I u� � ✓1 � ✓-1� 1 c>� . ; �� t Estimated Construction Valuation of Project(excluding land) $ y� S � a� � � �`"' 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 � n 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 enerall cannot be " r 9 y given to either the public or the subject of the data. Our � purpose and intended use of this information is to annuall date our records and records of other governmental agencies � re uired b law. If ou refus to su I the information, he lication ma not be issued. � � / �� ' ApplicanYs Signature: � Date: � 3/ �o� �`� � �,i Last Updated: 08-09-2011 , ; �� . a�� , 4 �r�v` �D� TIME � CITY OF ORONO cn�tD IN INSPECTION NOTICE SCHEDULED � � PERMIT NO.�l� —��7? COMPLETED �� '�' ADDRESS �S �� OWNER TELEPHONE NO. g$Z�=� `� 7/D,J CONTRACTOR � ��'�'`'�-�� DESCRIPTION /�`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING p 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 ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J O � � O � W � Q � 2 W � W � � ��NORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORECAVERING PERMANENT ❑CORRECTUNSAFECOND�TION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CA�L TO ARRANGE ACCESS. Ca11 for the next in pection 24 hours in advance. (g52) 249-4600 OwnerlContra Inspector White Copy/lnspector's File Canary CopylSite Notice