HomeMy WebLinkAbout2015-00900 - windows j �` CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 9 0 0 *
DATE ISSUED: 07/20/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2224 SHADYWOOD RD
pIN : 17-117-23-42-0003
LEGAL DESC : WILEYS PARK LAKE MTKA
: LOT 010 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATIOl�1 : $ 16,352.00
NOTE: REAPLCE(9)WINDOWS INTO EXISITNG OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 309.79
STATE SURCHARGE(VALUATION) 8.18
RENEWAL BY ANDERSON TOTAL 317.97
1920 COUNTY RD C. WEST Payment(s)
ROSEVILLE,MN 55113 CREDIT CARD 8788 317.97
(612)502-4777
Minnesota State License#: BUIL-BC130983
OWNER
GRIFFIN,MARK&SUSANNE
2224 SHADYWOOD RD
WAYZATA,MN 55391-
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 type of work
shall be compied with whether or not specified herein.'fhis 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.
( � �e� 7 � �a�!s
Applicant Permitee Signature Date Iss e By Signature Date
t �
City af Orona
�u��ding permit Applicatian for Maintenance / Renovation
windows, doors, �iding, re-roo#, etc.)
MaArngAddress: Per�nft.nurr�bsr: ,. ..'l�� .
PO Box B6 �7.- o�fl -..
'�'��� c�ysstat Bay,MN 55323�66 Date�recei"'ad' .
Q R�+celved by:> .
,� Sfreet Address: . �
� � 2750 Kelley Parkway Plan review:fee:
prono,MN 55356 p
Taf�i Fee: 3��(� ��
N�in: 952-249-4600 Fgx: 952-249-4616 .a rono. .us . .
This appltcation forrn must be comple#ed in full and all requlred ic�fonnatton must be submitted.
incompfefs apP�l��ns will be returned. (P/ease pr�nt)
GENERAL INFORIM�►TION: r1 (�
Job S�te Addres�: G� . Yes �
•
WIII this be a Parade of Homes,Remodefers Showcase Ham athsr D�isp�ro Bi6 event ShutBe bus seMc:e wr7!be
t�yes e sP�����!s�4�d with PolFce Qepa►bnenf a►►d q!y CouAd1 sPProval
requrr�d unfess s p p rica M d�►�n s tr e t e s s u�r c i�►�pn-sHe p a r k l n 9 is avapable. Non-Petml�ted e►rer�fs wNl not be aflowed
CpNTRpC-r'qR/APPLiCANT INFORNrAT10N:
N�1e: � \ � t��� Expiratlon Date� 'x✓ 3
State Livense# "$G1�O°1 �Pi�{ion Date' y
Le�d Ce�tiflcation Numl�er - a a$3 -
(f�or w�ohc on homes tl,ar wene ccnshvcasd.�vr�19r8 �offioe) (cell)
Phone: (c51-� o� �40 ' ZIP_ S I
Malling Address: l �• •• WeSk C+tY� ;1 �
Contad Person: APPlicant is: ntra / Homeowner (G�on.>
Ema��and/or Fax:
PROPER7Y OWNER iN�ORMA'TION: � ,
Name: �u r►
Phone(day): { . �6!�l' C�: ZIP:
��; LS�
EmaiE and/or Fax
PROJECT IN�ORN�ATION: Any earth movement may reqair�e
�IPe��3� MCVIfb raview 8.peRnits:
0��g� ❑Remode{ ❑Flre Damag� Minnehsha Creek WB�ershed Dt�rfct(MCWD)
R a�' D Storm Damage 18202 Minnetonica eh�d
p Re-roof,asphslt � eP p�phaven,MN 55391
�R��f��r [,R�{pt�tion CJ Waber Darnage Phpne: 952�71-4590
o�r s FaX: 9sz-a71-ossx
�Re-roaf,alher(specKlr) ���9 ❑ ( P��Y) �, 'nne ahacrea��
C]Wmdow(s) `
�_ d c�-� J� Y
Overall P 'ect Descri on; GL �
Es�n�ed Consbrucllon Valu� ProJect exaludl�g lan� � 3S
APPLICANT AGKNOWLE�GEM�NT: �tcnent:
. Agree��provlde all Informatlon ret�utred or requested by the Buliding Depa
• C�tftes that the ir�forma6on supplled is true artd correct to the best of tiislher knowletlge. The applicant reca9t�es that they
are salely r�ponslb�e for subrr►ildng a complete aPp�ic�uon�eing aware that up4n ia�ure to do so,the staff has r�0 altemaffve
but to rejer�it uM11 It is oomplete:
. $orrie or all ot the i�n that you are asked to Provlde a�this applir.ation is clessified by Sfete Isw� elthsr pN►�ate a
cot�flderttial. Private data is infortnatbn whlc�generally cen�t be g'n►en to the Publb but can be glven to the subj�of the
dsta. Confidentia4 data is infom�ation which general4y cettnot be glven to either th� public or the ��1 v�em�mentat a9enctes
pu�and�te�nded refuse tp u�� i�ormatbnnthe�y u ti��uma ot�be lssued. ds c�oihe�'90
, � oa�: �f��� i�9
Apoiica�t s Si�netur+s:
DATE TIME
C ITY OF ORONO cALLED IN �
INSPECTION NOTICE �y,SCHEDULED ����7'T_
PERMIT NO. ��_"��W COMPLETED
ADDRESS Z Z
OWNER TELEPHONE . �Sl���
CONTRACTOR
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� DESCRIPTION /�/ ���'�1S / Jn�J
lt� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ S WER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ S. TIC INSTALL
� OWNER/CONTRACTOR T��EET YOU: ' YES_NO
v�i COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECTYVORK 8 PROCEED I E CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL REfURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. 49-46��
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopyfSite Notice