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Home My WebLink About2013-01310 - windows ' � � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 3 - 0 1 3 1 0 * DATE ISSUED: 12/20/2013 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1447 PARK DR PIN : 07-117-23-42-0021 LEGAL DESC : SAGA HILL REVISED : LOT 008 BLOCK O15 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 APPLICANT PERMIT FEE SCHEDULE 162.25 STATE SURCHARGE(VALUATION) 4.00 MICHAEL GALLUS CONSTRUCTION INC. TOTAL 166.25 6306 EHLER AVE. Payment(s) DELANO,MN 55328 (612)709-9796 CHECK 4407 166.25 Minnesota State License#: BUIL-20061956 OWNER PALM,MARK&PAMELA 1447 PARK DR MOiJND, 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 governing this rype 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 1 SO days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �'�� c3 � � Applicant Permitee ig �e Date Issued By ' ature Date . x...r � r �� ,. � _ �� . . . L�� ,e � . - � City of Orono �� R� Building Permit Application for Maintenance / Replacement / Renovation � : (No structural expansion. Only windows, doors, siding, re-roof, etc.) �� `� Mailing Address: ��' �O�O PO Box 66 Permit number: � �;:�".' Crystal Bay, MN 55323-0066 Date received: -a Street Address: Received by: y�, ` 2750 Kelley Parkway Plan review fee: " ��,L Orono, MN 55356 +� ��kESHo 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: `� fi�� : Job Site Address: /�/`{? Ocf-�� %��.;✓� �%�.-�•.�� rvr r� �S—3 S � `� �`� Will this be a Parade of Homes, Remodelers Showcase Home or other Disptay 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 parkrng is availa6le. Non-permitted events will not be allowed. 'tt e:' ,;t:� � , CONTRACTOR/APPLICANT INFORMATIO : I � Name: i)/( � �-i��-�\ C�� ..�s �u��r � State License# ��U E, � �j S-E, Expiration Date: ; �j � Lead Certification Number. Expiration Date: '� (for work on homes that were constructed prior to 1978 Phone: (cell) a _ � _ �j �� (office) 9� �-�`i`�i`� �� /�S � ��r Mailing Address: , �3G �' ��,.� ,/�.,_,� City: -�Q w� ZIP: �5�3 L�; � � Contact Person: , � a, �s Applicant is: on�t�Cta�—_/ Homeowner (Circle One) Email and/or Fax: ��i� ,r1,� f(�S� t�w2a: � - <<� ""�' � t�� PROPERTY OWNER INFORMATION: �' �:, Name: y�,l�f G� �- ��,,_. Q�-`� F� Phone (day): �(2-8'S�'—fo j,S' Address: ��{¢-7 c�../c �r��-e Clty: (�,��,�,�, ZIP: �5 3S6 �� Email and/or Fax: !^1 O w "�� —�t �� tvt C ��.�'! C�6t �c 5 PROJECT INFORMATION: Overall project description: 'ti'��J r� (� �F.�,:.� �._-� v�-��;; -, l��-� � °� ��w. �e � Type of Project: Any earth movement may also require [f Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) a� 18202 Minnetonka Blvd =� ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � Phone: 952-471-0590 �.� E,,' ❑ Re-roof, other(specify) ❑ Siding ��•+��. ❑ Other: (specify) '� ��j: Fax: 952-471-0682 � , ['�Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ ��vo a � � K.:y `� � �;,� 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 infor tion is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the i ormati n,the lication ma not be issued. � ApplicanYs Signature: � Date: /�(�lzU�3 Owner's Signature: Date: ` �.:' Last Updated: 03/06/2013 k , . � � �,. , Sv� � ATE TIME CITY OF ORONO CALLED IN �_�_a_,�,_ INSPECTION OTICE SCHEDULED �.�D� PERMIT NO. � �DCOMPLETED ADDRESS � OWNER TELEPHONE NO. (o�Z rI(�q �� CONTRACTOR � �� /J S � DESCRIPTION �1 �W`�'�- �O � ❑ FOOTING ❑ PLUMBING FINAL ❑ E AV/GRADING�ILVLIN Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORENVETLANDS �FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP p COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI TI F AL ❑ FOUNDATION/REMOVAL 2 ONfN NTRACTOR TO MEET YOU: YES NO y COMMENTS: � � a I1p�GQ S�f /'e�✓Y�-rrt�L� � o - a �,��f r,��s ti�� b� r�.b�C�� /�� - T/!y�► �Ks '- �h � � �' D-�i�tr w i�vdod s /`n. �acrs+s�y; DD�S . Q - /le,.� �,�,�i�e�e12. bea �xe�,,c��2 �b Z svD�Of� o� 4/fiere� �e�.wt — � � L- ��fr<<a� 2S ' ok � 3 �.-�rcr�s� 'TV C�(asc '+� ��/�•c.Gssc - -� o� 0 W� ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W CARRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for next inspection 24 hours in advance. (g52) 249-46�� ctor on site: ¢'�. � Inspector: h►,+ White Copyllnspector's File Cenary CopylSMe Notiee