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Home My WebLink About2016-00943 - windows ♦ _ -, CITY OF ORONO * 2 0 1 6 - 0 0 9 4 3 * 2750 KELLEY PARKWAY DATE ISSUED: 08/09/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1760 SHADYWOOD RD PIN : 17-117-23-21-0022 LEGAL DESC : SHADY-WOOD : LOT 017 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,838.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 170.34 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 3.92 10751 EXCELSIOR BLVD MAIL-IN FEE 2.00 HOPKINS,MN 55343 TOTAL 176.26 (952)277-1600 Payment(s) Minnesota State License#: BUIL-BC239369 CREDIT CARD 3281 176.26 OWNER EISS,DAVID&HOLLY 1760 SHADYWOOD RD WAYZATA,MN 55391- AGREEMENT A1vD SWORN STATEMENT The work for which this pem►it 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 1 SO days of the date of issuance,or if construction is suspended for a period of I80 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. , - �' � g � �� Applicant Permitee Signature Date Issued ignature Date a�g, 9. 2016 3:49PM � No, 2900 P. 1 � , . � C��y of Orono . . Building Permit Appfication for Maintenance/ Replacement/ Remodel —.Resi�d;�nti:�;�;�ON�LY (i.e, windows,do�rs, sidin�, re-roof,etc.�NO STRUCTURAL EXPANSlON) � Mailin Address: .: _....�,:... ..::;_;.:.:::::__:.._ ';_�;:::�,�.�,;�3 g �=P�i�Cnf:nurribe�,;� � _- _ _ - ��J' PO 8ox 66 : _ - _ - `;;�,:=,'=.: � 5323-0066 :'Date'�e�ived:`�':'u;��"��';•::=,��"�'-'�:. a Crystal Bay,MN 5 ,...�..,:-::�,.:..:, - .... ._,.._ ..:......:.,,• ::;, �R�celve<I b'Y�'' ' - 5treelAddress� '-•;:__-�.=:_.;.:-y� ,�:�:� - - "� � 2750 Kelley Parlcway ''Pran�[Qvj�w'.fe"�� - - - ' � '��, . - _ -__ -- - : :_ - - G N 55356 - Orono M � - - ti = - - - - <t - - - �. - - - - k - - -- - �i:_F.� E p ee��`;. SN ;To - �.: -- �:� 952-249-4616 ' �::_•- ..=;�; _ _ ',;�'�.�..,,r��,�:i;�Y::i> :- , _ :: _ .. -�c � , _ :, www.p.orono.mn.us •�:..m::.:.__... •;:,:.,. .:=:t,.- Main: 952-249-4600 Fax: -::,.��:,-..,:--•..,_...�:._-.. _::...;:-�;��:-._� .�.,..._,,:..;<:...;�::::.:.. This application form m�st be completed in full and aU required informatlon must be submitted_ Incomplete applications will be returned. (Please prinf) GEN�RAL INFORMA7I�N' � dob Site Address: ` Will thls be a Parade of Homes,Remodelers ShoWcase Home or other bisplay Home? Yes No • H yes,a speCal evenf perm/t rs�eqp�red with Pvtke Oepartmsnt and Clty Council approval 60 days prior to fha evenk ShutNe bus se�vlce wiJl be requi►ed uMess applicant demonshafes su/Bcienf onsite parXing is avaP19D1e. Non-permltted evenis wid not be a!lowed. CONTRACTOR 1 ApPLICANT 1NFORMATION: Name: S[, v 2x S g State Licanse# Expiration Date: Lead CertJfication Number: �, F,cpiratlon Date: {for work on homes that were construct�d prior�0 99y8 o�ce Phone: (cell) O(�. � � Mai{ing Address: �J Gity: ' 21P: Contact Person: � Applicant is� ontract / Homeowner (Clrcle One) Email and/or Fax: r pROP�RTY OWNER IN�ORrM�-A�TION: Name; � ) �I��' ��1 S�-'"`' , Phone{day): C�y. ZlP: J S Address: Email ahdlor�ax: PROJ�GT IN�ORMATION: Overall pro ect descrl tion: Type of Project: Any earth movement may also requl�e INCWp review&permits: ❑Door(s) ❑Remodel ❑Fire Damage Storm Dama e ��nnehaha Creek Watershed pistrict(MCWD) ❑Re-roof,asphalt 0 Ftepalr ❑ 9 1532o Minnetonka Bivd []Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345 Phone: 952-471-0590 ❑Eie-roof,other(speci4y} ❑Siding ❑Other:(speciFy) ��: g52-471-0682 Window(s) .minneh creek.o Estimated Construction'Valuation of Project(excluding land) $ APPI.ICANT ACKNOWI.EDGEMLNT: . Agrees to provide all informa6on required or requested by the 6uilding Department; . Certifies that the inFomtation supplied is true and correct to lhe best oP hisRler knowledge, The applicant recmgnizes that they are solely responsible for submitting a complete application befng aware that upon failure to do so,the sta�f has no alternative but to reject it untll it is complete; . Some.or alf of the information thal you are asked to provide on this application is classified by SEate law as e9ther private or confidenlial. Private data is informaUon 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 e�ther the public or the subject of the data. Our purpose and intended use of this information is to annualty update our records and records of other ove mental agencias requlred by law. If ou refuse to su f the inf� ation Ih a lication ma not be issued. Applicant's Signature� bate: � Owner's Signature: Date: 4ast Updatetl:January 2018 � � /1 ATE TIME� CITY OF ORONO r,�►LLED IN %'-/�/� INSPECTION NOTIC ,/ SCHEDULED �_�fT� PERMIT NO. � '��Y� OMPL ED ADDRESS �� OWNER TE HONE NO.�� '��3� CONTRACT�R p�h- -S � DESCRIPTION � t~y ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ NSULATION ❑ WOOD BUflNER/FIREPLACE ❑ COMPLAINT v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 01NNERICOI�ITRACTOR TO MEET Y�OU:_YES�NO � COMMENTS: � 0 W�l•�bcs�,-� f'eA 1- ' Swwte 5�z e, 5�t tit� '� �ylt - � 0 � s �d- -E- C� c�• �P�- � - Q dl vcro4Z � Z � /l b✓O r !� �'o�►�O�G�-c � a��r�� j � O WORK SATiSFACTORY:PFiOCEED �G1E�i COMPLETE W ❑CORRECT WORK d�PROCEED ❑ISSUE CERTIFICATE OF O(xUP11NCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMIPORARY V BEFORE CdNERIN(3 PERMANENT ❑CORRECT UNSAFE CONDITION WRHiN HOURS. p pHOTO TAKEN INSPECTOR VYILL RETURN ❑5TOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 br the next inspection 2a hours in advance. (952) 249-4600 OMrnerlContractor on site: c Inspector: ""`- wn��e coarn��w�Fia Canary CopylSM�Notk�