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Home My WebLink About2016-00647 - windows , CITY OF ORONO * z 0 1 6 - 0 0 6 4 7 * . 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 815 PARTENWOOD RD PIN : OS-117-23-43-0003 LEGAL DESC : PARTENWOOD : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIV[TY : O/S BUILDING-LJNDEFINED VALUATION : $ 10,000.00 NOTE: 6 WINDOWS AND 1 DOOR REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 201.32 STATE SURCHARGE(VALUATION) 5.00 J BROTHERS HOME IMPROVEMENTS TOTAL 206.32 10550 COUNTY RD 81#206 MAPLE GROVE,MN 55311- Payment(s) (763)732-8731 CREDIT CARD 8840 206.32 Minnesota State License#: cont-BC326186 OWNER FOX,PETER& SUSAN 815 PARTENWOOD RD LONG LAKE,MN 55356- 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 pecmit 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. � � �'1`�� -� l,��lr /l� ! o -e �� l (o Applicant Permitee Signature Date Issued By � nature Date City of Orono �uilding Permit Application for Maintenance / Replacement / Remodel — Residential ONLY • � (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O� Mailing Address: Permit number: / �� O PO Box 66 Crystal Bay, MN 55323-0066 Date received: — lp �—( � � Street Address: Received by: y�, G� 2750 Kelley Parkway Plan review fee: t �, Orono, MN 55356 �kESHO� �D (P/ � � 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: � % ;. (' -� /� ��,� � C� 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. Shutt/e 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: _.% �� i� t (`-; o/�'i' , .Glil�'��C� i,� � �� T,i� State License# � �� 3 � � j d� Expiration Date: 3 � / , j' 3 Lead Certification Number: ��. -?- a0 � �� J� Expiration Date: �� (for work on homes that were constructed prior to 1978 Phone: (cell) � w 3 ��; � �jr �-3 (office) � � ,3 � - � � ;� � Mailing Address: j < <U u n r- �, �� T,��CitY�� /.� ��, ZIP: � � 3 �� . Contact Person: � � �� ,�,;,� �n Applicant is: ontracto / Homeowner (CircleOne) Email and/or Fax: � �� ,, �� % r�0 7-��i`-� ' /`� % � G � i''; PROPERTY OWNER INFORMATION: Name: �� C� ,�S .J c-( 5 cz I'� �U ,� Phone (day): -- Address: l�S'! 5 � r 1��.�, c�J O��-� �5 L?� City:�l' o I'% r`� ZIP: J� .5 3 J (� Email and/or Fax: .—_----,. PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require �Door(� ❑ 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 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ ��, �> 1��7 APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all inforrnation 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 alI 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 information is to annually update our records and records of other governmental agencies required by law. tf ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: �� //� Date: �� v Owner's Signature: Date: Last Updated:January 2016 �� TIME (�`��Q�Q CALLED iN �--- ��soG 47 �� 2�- 'j'�Sl �ooR�ss 4�� ,..tc.��v�� O dWN�I TEI.EPHONE NO. COI�RRACTOR � 1�rotl�.c.�f. �.rt� Zrr*a'ovs.wt�.tt�' � �� b itJ�lkdodl � !�ao✓ /��At. W �FppTMq �DEM�-FINAL ❑SEPTIC FINAL � �PatJF�D WALL �PLUMBMIQ RI ❑EXCAVKiRADMI(iIFILLINO O Q FOUNDATION WATERPROOF O PLUMBMIO FlNAL ❑7REE REMOVAL Z �RADON SLAB 0 t�CHANICAL RI �SITE INSPECTION � Q FHMAYd(i �MECHANICAL FMIAL �MTED WALL8 � �tt�ULATION �WOOD BURNERJFIREPLACE �C�OAAPWNT ` �FMIAL �WATEH FIOOICd1P �.WW UP � �AS BUILT-SURVEY �SEWER HOOK-UP O FOUMDATIONIREAA�VAL v �DEMO-SITE Q SEPTIC INBTALL � TO�TV�Ik_�_11� � COYYEN't'& ��w�•�t �cQs✓ �a•1t1� t� �.Lr �or � � • •- sr.��a�. • j Permit has expire per MN Building Code Sec. 1300.120 subp. 11 � Expiration, no record of a Final inspection. � � � . t � W W � � o wa+rcs�►�oar.Pnoc� ❑�+aecr ooM� � a ooa�crwa�ca� o�c,�rm�►hoFooa�wcr � o oa�cTwowc.c�u��NsrEcr� � � �oa�+wo ��r O OOI�Ci UN8AFE OOND1710N WRHIN � O PMO�fO TAKEN ��'�� O dTAT10N�D ❑STOPOFDCRP08T�CALLMISPECTOR O MISP�TION iECUIIiEDi.CALL TO A�E AOCE88. c..b�tl�.n�xe r�p.ctlo�u nou�s ti.awn�. (952) 249-4600 on sl� . � �.." -k--� w�a.oev�v.o�or+�. c�n'�N°ao'