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Home My WebLink About2017-01166 - windows � � ` CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 � — 0 1 1 6 6 * DATE ISSUED: 09/20/2017 ORONO,MN�55356- (952)249-4600 FAX: (952 249-4616 ADDRESS : 1680 SHADYWOOD RD PIN : 17-117-23-21-0016 LEGAL DESC : SHADY-WOOD : LOT 009 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,456.00 NOTE: REMOVE AND REPLACE(3)WINDOWS-SAME SIZE-NO STRUCTURAL CHANGES APPLICANT PERMIT FEE SCHEDULE 139.36 STATE SURCHARGE(VALUATION) 2.73 HOME DEPOT USA,INC. MAIL-IN FEE 2.00 2455 PACES FERRY RD TOTAL 144.09 ATLANTA,GA 30339- (763)542-8826 Payment(s) Minnesota State License#:BUIL-BC147263 CREDIT CARD 7660 144.09 OWNER DOLEMAN,JOHN 1680 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perforrned according W the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of Iaws 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 aRer work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. , _ � 9 ,a.o �/ 7 Applicant Pe 'ee ignature Date Issue Si e Date From:Sandra Beryt fax:(888)4455845 To: Fax: (952j 249-4616 Page 2 of 2 09l20I2017 139 PM I , Ci�y a� �ronQ Bui[ding Permit Applt�ation�for 1IAalntenanGe/Replaaement/R�madei ��Cf�r�#�a��tL� (i.e.wFndows,doars, �idlr�g,r�-rc�af,etc.-NO STRItCTURAL EXP.Ai�Sldt�) Mailirtg Addrs�ss: ��'� �J'' � '�t' 7��r F,��',;, �� , POBox66 {. t �r,r : � � Crystai�ay,MN 55323-�. pg� rs � > � r'_1�'^z u , , ,r�� l x i�'� � . � $��I'�4`* �� a T�'{ � S#r8et Atldress: �� , r �r�� „ � � �r t.h x a�� . ��, ��`` 2750 Keitey PaticwaY Ai��t��t��t >� ��y��' �> �C�� .� ��,G�.. D.t"Of10,�rJJr3cJ.�. '"` `' th x S ai}� T ru.�,G� rr fi7. . kb.H� , # r } 4 Main; 8.52-249-4600 Fe�r 952-249-4616 wwnnr.ci.orono.mn.� ��' � �� ,� ��=5�,� : ,,_. ,. ._;,. This applic;atiop forrc�must be c;r�mpleted in fuil and all required Informati�must be su.bmitted,. 4nssom.pl@te a,ppiications:�+111.be re#tem�d. ;(P/e�se print) GENERAL INfOR.MATION; / l,,� � Q�� Job Site Address: ��P� �r� ��0� /`� Wilt thi�t�a Parade of Homes,Remqd�e.. h�wca�Home or other D7�lay Hcune? Y�s �Jo N yas,A apecla/event permlt!s required w'dh.Palf�e Department and Qity Counal sppcoval BD.dAys.priRc fo�e evenf.Sht�e br�s.s@..ks wik be . requirqd unless applicant demonstrstes su/Ifclar�t on-site paddng is evada6le. Mon-pemtitted eyenfa w�Vi notb�e sUUowed.. .. . CONTRACfiOR/APPLIGANT INFURMATION: Name: ��It1z. �f US�- State License# .�l'IH 72 G� , Expicati�n.Da#e: 3 3i .�� , Lead Certification Number: /(f�7'-.3/Z.�a —Z- �xpitation Date: �'�r 2a (tor wOrk 4n homes fhat waro co,nstructed prior to 0878 Phone: (cell) �''jpjj--9'�".�^—�j/Y�- (offioe) : . Mailing Address.:. �; 5� QC�� Gr� C�Y� �'��t�� ZtP: . -...�33� Contact Person: �f �?d � Applic,ant is:; ontracto - 7 Hom�wner �c�rde ono> Email and/or Fax: � �i... �nfL� a r ,o ' PROPERTY OWNER_I�IF,QRMAT#QN: Name: �1L�1'I�1 l,�l12 Rhone(daY)� �o� _ � . :, dd' Address: � � .5 G�.,,t.. City: �` x+�r� ZIP. .�3�� Email and/or Fa�c PRQJECT INFORMAT{ONc Overall roject descri tion: 8'7?01�-Qi9o� ; �- C�;.��' � ��' �� d.�'�. , sfr�� x % _ `...Any earth movema�.may alea r�u1re �' TYpeof ProJesct: , ❑Door(s) ❑Ramodel ❑Fire Damage MCW�r�►Iew&periRfite: ❑Re-raof,�sphalt ❑Repair ❑Storm Damage Minnehaha Creek Wakershed District(MCW.D) 95320 Nfinnetonka Blvd ❑�?e-roof,cedar �Restorapon ❑Water D�nage MinnetonKa,MN 55346 ❑Re-roof,ott�er(specity� ❑Siding ❑�ther.(specify) p�fl�Q: 352.471-0590 F2x: H52-471-0682. �Window(s) www.minneha�creek.oro Estimated Con�ruction ValuA#ion of Projec#,(�xcluding:tand} $ �-�"' APPLICANT ACKNDWI.EDGEMENT: . Agrees to provide all InfarmaGon rsquir�or ra��uested by the Bupding Department; • Cedifies tha#the information supplied is true.and correct to the best of hislher.knowledge: The applicant re�ogniz�s that they are solely respons�{e for s�m.itting a c�mmplete application being awa[e.tha#upQn'fiaiiu[e to.�o so,#h�.staff.:has nn allemative .put to reJect it urrtil it��mplete. _ • Some or all of the infortnation#hat you sre askad to pcovide an tNis appl�ation is c�assified by Stabe�law as either private.ar c�r�fidentiai. Private data is,information wliich generally cannot be gi�en to the public twt can be given to the.subject of the data. Con6dentia!data is infvr aUon which gererally rannot be given to either:#he;pud�llc or the.subJect ot th�data-. Our purpose and intended use of this in ation is ta annually update o.urrecords•and records'pfotl�er�ovemmental agencies required by law. If ou refuse to su I lnto n a IicaUon ma not be issued. Applicant's Signature: � Date: � "'��j� Owner's Signature: ` Dats9: ' Last Updat�J:Januery 2616 _ �� ✓ C � � DATE TIME CITY OF ORONO CALLED IN �`��-=� � INSPECTION N TI E SCHEDULED � -�v�/"7 PERMR NO. �� COMP ED ADDRESS � OWNERC22� TELEPHO E NO.��'3��'1�� CONTRACTOR � DESCRIPTION �1�__GG��/XZS — La,v�r�e�S w ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERfCONTRACTOR TO MEET YiOU:_YES_NO c� COMMENTS: � - � I�f/r 1�(poiv r�j4l, � �c�! Grc��i�Co�� oK �S/• s•�e. ob�r,v i keaJ �$L��vv,.v� S. �j, n�' r�t�.,i � levo/ -� �S•D. t G. n • ��Fi�� a•� ° L.,G. — � , _ Q Gb r►ra�"i .F Lt rl �o� IP� KSd�c�45.r.. � � W � � W ❑WORKSATISFACTOR�PROCEED ❑PROJECT COMPLETE � �CORRECT WORK 8�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W � ❑WRRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECaVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �$PECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owr�erlCorrtractor on site: Inspector: ` � White Capyllnspector's FM Cenary CopylSfte Notke C -� � - DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED �/S -/ /�: PERMIT NO. �� COMPLETED ADDRESS ` �� OWNER C��1 �� D�'��L HONE NO. ��a- �9(o-1$?yr� CONTRACTOR � DESCRIPTION ��^'1.61�(_ ��G{�v u� 3 /�erns t~t1 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SE TIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU�fES_NO c�., COMMENTS: �- J r � �'+ ��+ o� 4 G/�d n �h ' � a. or r�e✓' w ' � o�-F- 'h c t ° �- v-h�'c4�t� a r,� GY'c�r,�,�C'e.c� . Q ��. ��}'�.c�1'ar S s� 2 G c� • 2 �' �7`:� ` a l � � � l' a�T c.c� Gl^ �` � �' �1 .�' St��:h � t�� i�WORKSAT�SFACTORY:PROCEED ��RWECTCOMPLETE w ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V EFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p�{OTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952) 249-46�� OwneNContractor on site: Inspeator: ,, g' O White CopyAnspecto�'s File Canary CopylSite Notice