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Home My WebLink About2016-00767 - windows CITY OF ORONO * z 0 1 s - 0 0 7�� - 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4640 NORTH ARM DR W PIN : 06-117-23-23-0005 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTTON TYPE . WI�IDOWS r;��i � v :•t �� CI`� �,J �� t'�4�1 VALUATION : $ 44,00�00 NOTE: WINDOWS,SIDING&ROOF- 1 WINDOW REBUILDING OUT FRAME APPLICANT PERMIT FEE SCHEDULE 648.18 STATE SURCHARGE(VALUATION) 22.00 A.M. BURNEY EXTERIORS, INC. TOTAL 670.18 21704 AHLSTROM AVE ROGERS, MN 55374- Payment(s) CREDIT CARD 4638 670.18 (952)836-8938 Minnesota State License#: BUIL-BC635734 OWNER NERSON,DANIEL&LINDA 4640 NORTH ARM DR W MOLIND, 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 [he 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 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' of 180 day t any time afrer work has commenced. The ap is spo sible for ring all required inspectigxs are req ted in fo ` e w' State Building Code.T s permit may be re ked at a timef� r du se. }�� P � � r3o -l� � ��,�,� �,.��._i ��. �„ ;�� b Appl ca mitee Signature Date Issued By Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY • � (i.e. windows, doors, sidinc�, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: Permit number: '_'��p ' CX��.�^ PO Box 66 Crystal Bay, MN 55323-0066 Date received: (;� .� % Street Address: Received by: � �. - ti�, G� 2750 Kelley Parkway Ptan review fee: t �, Orono, MN 55356 r� �k�SHO� �" / cl . 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: ��yD /v. �.2''h � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: /q./Y1. na-�1i2�.1� ��j�-'�1 i c;25 State License# c. �3 S7�� Expiration Date: 3 3 � -2�/�7 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) 7��j- ZZ S - 6 7� (office) �� Mailing Address: /1-(3b � Si �lL`� City: �TS�6 o Z�P� S�s�33� Contact Person: ,g,�f2,�t'� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: .1�NF� ��' ,q.r�►g u r�,��'`f t-XT��c's�S , �� PROPERTY OWNER INFORMATION: - Name: �lf��72 S� �v Phone(day): (��2-- y� -�?�� Address: L��p ^/, ,4(Z/►� '�L City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: �-�.i t i'1�� `� / '�>< <'1 < < ``�1 '� ��"��=-� ! �' Type of Project: Any earth movement may also require 1 ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 Phone: 952-471-0590 �Re-roof,other(specify) �Siding ❑ Other: (specify) Fax: 952-471-0682 J�11'-� /ti1��7�'�.- �Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ �9V J '— 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 gen Ily cannot be given to either the public or the subject of the data. Our purpose and intended use of this in ation ' to an al update our records and records of other governmental agencies required by law. If ou refuse to su I e' fo on,t a licatiom m �ot be issued. ApplicanYs Signature:� �Z Date: S��J / � Owner's Signature: Date: Last Updated:January 2016 • DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 14976( COMPLETED 407-1.9 7-1V ADDRESS a Ai- ,4 Dr. W OWNER TELEPHONE NO. CONTRACTOR - fir 64/crIa7 ae142 �'��• E DESCRIPTION kit MeV 2aff tat 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL • ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL • 0 RADON SLAB ❑ MECHANICAL RI 0 SITE INSPECTION • 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT 0 FINAL 0 WATER HOOK-UP dettOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL 0 DEMO-SITE 0 SEPTIC INSTALL OMINERICONTRACTOR TO MEET YOU:_YES_NO 2 COMMENTS` i ,IA.-t A L ' 1i,/e42cc tu a. X 4-5 c.e.._,.-1e•-1. j Permit has expired per MN Building Code Sec. 1300.120 subp. 11 o Expiration, no record of a Final inspection. ec W k W IQ 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY ® 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDfl1ON WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cell for the next Inspection 2A tours in advance. (952) 249-4600 OWnedContractor on site: Inspector: $i* �,�-- Whig Copy inspector%FIN Canary CopylSiN Nonce