HomeMy WebLinkAbout2015-00394 - windows '� � ` CITY OF ORONO * 2 0 1 5 - PJ 0 3 9 4 *
2750 KELLEY PARKWAY DATE ISSiJED: 04/08/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2685 SHADYWOOD RD
PIN : 21-117-23-23-0050
LEGAL DESC : REG. LAND SURVEY NO. 1453
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTNITY : O/S BUILDING-UNDEFINED
VALUATION : $ 25,808.00
NOTE: REPLACE(11)WINDOWS WITHIN EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 444.94
STATE SURCHARGE(VALUATION) 12.90
RENEWAL BY ANDERSON ivlpIL-IN FEE 2.00
1920 COLTNTY RD C.WEST TOTAL 459.84
ROSEVILLE,MN 55113
(612)502-4777 Payment(s)
Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 459.84
OWNER
BROWN,RICHARD W&MARION H
2685 SHADYWOOD RD
,MN 55331-
AGREEMENT AND SWORN STATEMENT
1'he work for which this pertnit 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 dces
not grant permission for additional or related work which requires separate
permiu. 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 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.
�L�vl LL.l.E'.LLC-1 / l
Applicant Permttee Signature Date Issu y Sigr►ature Da e
/ , .
City of �rono
Buildi�ng Permit Application for Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
Malling Addrass: Permit�tumber: .
0,�,Q jV.� Po eox e�
Cryst�l Bey.MN�323-0066 Date,rsceived:
a Street Addr+e53- Reoeived by: `
ti 2750 Kelley Parkwey p�ut revlew tee:
� �,�� Orono,MN 55356
Total Fee:
Maicr 952-249-46Q0 Fax: 952-245�616 www.ci.orono.mn.us '
Thls�pplicstion form must be completed in full ar� a0 required it�ortna#ipn must be submitted.
Incomplete ap#�lications will be retumed. (P/ease print)
I3ENERAL 1NFORMATI�N: q� � waO � y��
Jab Sit�Addrass: o + �
Wlil thls be a Paratie of Home�� Remcdalers Showcas e or other Display Harrwe'� ❑Yes No
If yes,a specral svent pemllt fs tgqWred with Police Depe►finent and City Councll eppll�va160 days prior to the event. Shuttle bus eerv/CP wiJl be
r�quired WNess apRlicsrrt demons8ate8 SURlclent on-si(e perklnq ls 2vaBaWe. No�pemrllted events w►7l nbt be eNowed
CONTRAGTOR/APPUCANT 1NFORMATION:
Name: t�rr�i,,x3.� 'ay i>��trs•e�
St�teLlcense# C,1�0`�$3 ExpiratianDate: '',�f�
Lead Certification Number: (�j '�- ��-�$3 - 6cpiratibn Date: +�J��
(}'or yvorK on homes lhet were constracted plior to i878�
Phone: (051� aZ(�}-4 Q S$- �t�Ar� (office) (��)
Mai{ingAddress: '� �•C,•� WeSk G'�Y=t�tv�11�. ZIP: {'aSl 3
Corrt�ct person: Applicant is: n r / Homeowner tc��on.�
�mail and/or Fs�x: WSo.,c.dd� �l�Lo,niti�a.�f C�w-. -
PROPLRTY OWNER 1N�QI�NAATION:
Name: �(Y1 a'( 1 O O(��7
Phone(daY)- 4S a -W�1 w 9l01�1 ��: �IP:
Address: �
Email and/or Fax �
PRpJECT INFbRMA,TIQN:
Typ�of Project: Aml 4erth movemerrt may r�quire
�p��(g) ❑Remodel �Fre I��mag� ��d���d`�j��
Minneheha Creek Wabershed Dishict(MCWD)
❑Re-roof,asphalt [I Repai� []Storm Dam�ge 18202 Minnetonka Bivd
[�Re-roof,c�dar ❑Restoration �Weter Damag� ��A�ven,MN 55391
Phan�: 952�71-0590
❑Re-roof,other(spectfy) []Siding [��ther.(specify) Fax: 952�71-0682
wndow(sj www.minneh�.a�t
Overal! Pro Descriptian: �C�GQ �l l..v:r�.ou�S wl�r-� �.QJ1F�i S�+ a i
Estimated Gonstruetion Valuatian of ProJect excluding land) S �5 �`�.G O
APPLICANT AGKNOWLEDGEMENY:
. P�qrees W provlde a!I ir�forma�on required or requested by the Bullding De�ardnerrt;
. Certi�ies that the information supptled ls true and r,orrect to the best of his/her knowledge. The applicant reaognlzes that they
are sdely respons{ble fpr submittirtg a compiete application being aware tFtat upon failure ta do sa,the st�ff has no altemative
but to reject it until it is oomplete; -
. Some br�ll of the information that you are asked ip provlde on this applic�tlon is dassfied by State�aw as e�r prlvate or
c�onC►der�tiat_ Prtvate data is irtformatlon whict►generstly cannot be given to the public but can be giv�n to the subject of the
data. Confider�ttal data is infomtia6on which gAnerally cannot be glven to either the public or the subject of the data. Our
purposd and Infended use nf thls Information is to snnually upda�e our reconds and recOrCSs of other govemmeMsl agenaes
re uired b Eaw. If u refuse to su the Infiormakon the e ication rr� no3 be issued.
Aoo[icant's Sianature: �`� Date: BAPr�t�s
�, �!�r;���+�Sj;��� :��•��';i���
` �',il;t;:!.�:;;'ri i:';!'"'f�,�
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'W S&D Permit Service
PA Box 250
Scandia,MN 55073-0250
wsandd@frontier.com
�ho�ne: 651-�33-4250 �'a�: 651-433-3539
May 4th 2015
Orono,City of
Attn:Bldg. Dep�
Fax: 952-249-4616�-Atfn: Rachel
B1dg. Dept:
Could y'ou Please cbange the scope of'evork fox address: 2685 Shaddywood Road�'#2015-0039�
froxn 11 windows to 13 windows. The job aalue has stayed the same just the scope of work laas
changed.
Once this Fermit is changed please e-�ail or fax a cop� of the updated permit to
wsaz-�dd�fi'ontier.c�in or 651-433-3539.
Yf you ha�re any other questions please feel free to give me a call at 651-433-4250.
'T�anl�You,
�
Kara Benson
i �`
C � � Df4 E TIME
,�GITY OF ORONO CALLED IN (
� INSPECTIO NOTICE SCHEDULED (� (�_�
PERMIT N r '� � COMPLETED
ADDRESS 2�� � ��zU���."�' � '�
OWNER TELEPHONE NO.� � 2� �I�S t�
CONTRACTOR �-P���� � �Y�
� DESCRIPTION r�-'�����n�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAI
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
R/�1NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
4��❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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� O WORK SATISFACTORY:PROCEED �R�OJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46�0
OwnerlContractor on site:
Inspector. ^�
Wh�te Copyflnspector's File Canary CopyfSite Notice