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Home My WebLink About2012-00973 - windows CITY OF ORONO * Z 0 1 2 - 0 0 9 7 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2012 � ' ~' ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1365 PARK DR PIN : 07-117-23-41-0080 LEGAL DESC : SIDWELL ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS � ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 1,500.00 NOTE: REPLACE 6 WINDOWS IN EXISTING OPENINGS APPLICANT pERMIT FEE SCHEDULE 57.50 A L J CONSTRUCTION LLC STATE SURCHARGE(VALUATION) 0.75 5313 WHITING AVE. EDINA,MN 55439- TOTAL 58.25 (612)986-3476 Minnesota State License#:BC631172 OWNER YOUNG,JOHN&TERRY 1365 PARK DR 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 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 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 confo ce with the State Building Code.This permit may be revoked at time r due cause. � � � / i A pli Permite ignature Date Issued y Si re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABOV . , , . City of Orono Building Permit Applica�on for Maintenance ! Renovation (windows, doors, siding, re-roof, etc.) ¢0� �� Pennit ruxnber O O Cryshal Bay,MN�532�0068 Daatiee rec�ived: Sheet Ad�ess: � Reoeived by: �'tts.��g�'G� OrOnO,MN 55356 P18n neView fe2: Total Fee: Main: 952-249-4600 �Fax: 952 249-4616 This a�lic�tion t�otm must be c�mpleted in full and ali required irrformation must be submit�ed. Incom�I appl�cafions ,�e returned. (Please print) GENERAL INF�RMATION: /?j�4 �l` }�G" . 1'� , J Job Site Addr�s: QI�tJ° /�/" ��J' � Wiil this be a Pa'ade of Homes, emodslers Showcase Home or otl�er Display Home2 Yes No If y�a speasl e�perm�t 1s fsquiied wRh Pnfice nepartmeirt end c;�ty CounaY appro�rre/eo ders piicr to the ev+�t sheRde bus serv�oe w�►be �4wred urN�ess appA�ant demor►sErat�es suAi�e�an-s�e p�Cfig�av�ablb. Nbn-Aem►xted erents wii not b�alb�r+ed. CONTRACTOR/APPLICANT INFORMATION: Name: � II C� ��/IS d n� ~ State Lioense# (�, G 3 r i�� _ ��«►�: 3 — .Za/ Lead Certific�tion Number. /�/AT- 1237 30—/ ��: '� — 2 O/7 (!o►wot�an homas tlrat w�ere oon�ru�ci�sd p�o►to 19T8 Phone: (oifice} �� Mailing Address: �'�! 3 � i^ City: q 21P: SS��3� Contact PerBon: ° Applicant is: Contractor / FlomeoMrner (c�a.onel Email and/or Fa�c PROPERTI(OWNER INFORMA Name� �� '�� Phone(day): Address: / r C�Y� t 0 n 8 ZIP: ��_ Email and/or Fax PROJECT INFORMATION: - Tme�� an�►eaMn movan�nt ma�►r+eqWre ❑Door(s) ❑Remodel ❑Fre D�nage MCWD revtew d�psrtnit�: Minr�haha C�elc NVabershed District(MCVVD) ❑Re-roof asphan ❑Rep�air ❑Storm D�unage 18202 Minnetonka Bhrd ❑Re-roof,cedar ❑Re�oration ❑Water pamage �,MN 56391 Phone: 9�i2-471-0.590 ❑Re-roof,dher(spectyr) ❑Si�n9 ❑Otl�er:(specifY) Fax: 952�471-0682 �S) Overall Pwject Descri p� Estimafied Cc�nstructfon Valuatlon of Proj (excludi land) S . APPLICANT ACKNOWLEDGEMENT: • Agrees to pnvide all iniermation r+equred or r�ed by U�e Bul�n9 Dep�Umer� • Certifies that tl�e infottnation supplied is true�d oorred to the best of hisJt�la�owledge. The applicant reoogrr�z�tt�at they are solely respor�sible tor submitdng a c�omple6e application being awar�e that up�f�ailune to do so,the s�ff F�ra aRemative but to rejecx it until it is complete, • Some or all of the information that you�e a�slced to pr+a�ride on this appNcation is dassifi�d by Sta�e la�ar as eilher private or oorKdenfial. Private data is iMortnation which generaqy caruwt be given to tF�e p�lic but c� be c�'ven to the subjed of U�e data. CoMiderrtial data is intormada� which ger�ady carxiot be given to eitt►er the pubNc a�fhe subjeet of the data. our purpose and irrtendad use of this information is fio annualy update oiu reoords and r�eoords of o�her goverrwner�al ager�aes uired law. tf refuse to i ihe icatiom m �ot be issued. ApplicanYs Signature: Date: �/� �` ��J�,-- i.as�uodared: os-O9-2o�� DATE TIME � CITY OF ORONO CALLED IN INSPECTION NO I � SCHEDULED � �Z f�- PERMIT NO. COMPLETED ADDRESS � �/� �� °r� OWNER TELEPHONE NO. CONTRACTOR �L�� - C0 ..-, _ �1 , � DESCRIPTION `r� �'�� I � ��C�S � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � �WORKSATISFACTQRY:PROCEED f�ROJECTCOMPIEfE W ❑CORRECT WORK 8 PROCEED ❑ I�UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OfiDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �7,_.�.��.:.� White Copyllnspector's File Canary CopylSite Notice