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Home My WebLink About2012-00028 - windows CITY OF ORONO PERMIT NO.: 2012-00028 r ' 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 01/11/2012 952 249-4600 FAX: 952 249-4616 ADDRESS : 245 OLD CRYSTAL BAY RD N PIN : 33-118-23-31-0012 LEGAL DESC : CLAIRE ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 17,000.00 NOTE: REPLACE 16 WINDOW SASHES APPLICANT PERMIT FEE SCHEDULE 295.00 FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 8.50 1891 SANDBAR CIRCLE WACONIA,MN 55387 TOTAL 303.50 (612)229-8619 PAID WITH CC# 0719 Minnesota State License#: 11438042 OWNER WELLS FARGO BANK MN N A THOMAS C ALDRICH RE0043993 6TH&MARQUETTE MAC N9305 MINNEAPOLIS,MN 55479- 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 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 period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in cWflinance with the State Building Code.This permit may be revo4attuse. Applicant re Dae Issued By ure e SEPARATE PERMITS REQUIRED FOR WORK OTHERqMAN DESCRIBED O City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: PO Box 66 /Q 0 Crystal Bay, MN 55323-0066 Date received: rReceived b s, Street Address: y 2750 Kelley Parkway -Plan review fee: t�kESH04� Orono, MN 55356 : 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. GENERAL INFORMATION: rIncomplete applications will be returned. (Please print) Job Site Address: L Q Will this be a Parade of Homes, Remodelers Showcase Hodiiie or other Display me? ❑ Yes allo /f yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servile will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: TSS ki/L!a 2S LLG State License# a�/3 -2 Expiration Date: -2— Lead Certification Number: ` _ Expiration Date: (for work on homes that were constructed prior to 1978 Phone: 12 2—L�_� S (office) �� (cell) Mailing Address: D /C City: ZIP: 3� Contact Person: Applicant is: ontr r / Homeowner �/��,/� ��e'��C PP (Circle one/ Email and/or Fax: j �Q.,� �ti�o�L PROPERTY OWNER INFORMATION: Name: 2r C,t-r! Phone (day): Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: Minnehaha Creek Watershed District(MCWD) ED Re-roof, asphalt 'Repair Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) [I Siding Phone: 952-471-0590 g ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ / '7 APPLICANT ACKNOWLEDGEMENT: 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 inforAiation is to annually update our records and records of other governmental agencies required by law. If you refuse to supplithe info r ati n,the application may not be issued. Applicant's Signature: 112 Date: Last Updated: 08-09-2011 t I TIME CITY OF ORONO PWED IN I C v D.A�T ` I INSPECTION NOTICE SCHEDULED � PERMIT NO. ZkL �o� -�.Y Gg COMPLETED ADDRESS �� C� rv:�+ctj bac�_kl N OWNER TELEPHONE NO. � � -�72/ CONTRACTOR 1 b k+ DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING El MECHANICAL FINAL El 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 v ❑ PLUMBING RI ❑ SEPTIC FINL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YESY,NO COMMENTS: Fyn_G-a— CaCC i�c� W 0. cc J O cc O W W cc Q Z W Z W cc Z) WW ❑WORK SATISFACTORY:PROCEED 'fAAOJECTCOMPLETE W W El WORK&PROCEED E, ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice