HomeMy WebLinkAbout2016-00794 - windows ' � CITY OF ORONO
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2750 KELLEY PARKWAY DATE ISSUED: 07/1 U2016
ORONO, MN 55356–
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2855 SOMERSET LA
PIN : 04-117-23-24-0020
LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN
: LOT 003 BLOCK 004
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 8,000.00
NOTE: REPLACE(4)WINDOWS IN EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 17034
STATE SURCHARGE(VALUATION) 4.00
LINDUS CONSTRUCTION INC MAIL-IN FEE 2.00
879 HWY 63
BALDWIN, WI 54002- TOTAL 176.34
(715)684-4647 Payment(s)
Minnesota State License#: BUIL-BC007644 CREDIT CARD 5232 17634
OWNER
KERNAN, EDWARD J
2855 SOMERSET LA
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 permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. AII 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 l80 days a[any time afrer 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.
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Applicant Permitee Signature � Date Issuedr y Signature Date
07lOgl2016 10:03 �A}�} R.002l002
' '�` C I t� of �ra tl o
�ullding Permit Application for Maintenance / Replacement/ Remodel -- Residentlal ONLY
(i.e.windows, daors, siding, re�roof, etc.— NO STRUCTURAL EXPANSIdN)
�Q� Ma!ling Addreas: parmit number: aC7 1 (�- !TD 7 `-�
PQ Bax 66 /�,
� Crystal Bay,MN fi5323-ODBB Date��ceived: 7 -/�-� 7�
Street Address: Recelved by:
�� G��.` 2750 Keiley Parkway plan reyiew 4ee:
t,qk�s�o��, arono,MN 55356
To�, Faa: �� ��.3
Main: 952-249-4800 Fax: 952-248�818 n .mn.us
This applicatian form must be completed In full and all required infarmation must be submltted.
[ncomplete appllcatlons wlll be returned. (Please prinf)
GENERAL lN�QRMATI4N:
Job Site Addres�: �GjS � y} ��'� „ �
Wfll th[s be a Parade of Homes, Remodelers Showcase Home or other(�Isplay Home? Yes o
lf yes,a specfe!event permlt fs rrequlrod wlth Pol1ce Repartment and CIty CouncJl spproval 80 days prfor to lhe event. 5huttle bus service will be
requlrad unless appllcant demonstretes sufflclent vn-aka paNcl»g!8 dVAIlabl9. Non-permltted evenfs wH1 not ba eNowed.
CONTRACTOR/APpI.IGA T INFORMATIQN:
Name: �Q�
State �icense# L� Expiration Date:
Lead Certiflcatfon Number: - Explration Date:
(for work on homes that were construc ed prlor to 1978 ��
Phone: (ceil) (office)
Mailing Address: City: ZIP:
CQntact P�rson� Applicant is: Contractor / Womeowner �cir�io one�
Emall and/ar Fax: �� , � - �
PROPERTY�WN�R INFORMATION:
Name: r Q,�
Phpne(day): - �Q .
Address: � �j ��rn�,�(S�, �� CEty: �Y QY1 O z1P= ��J�t..P
Email and/or Fax:
PROJECT INFORMATION: Overall ro'ect descrl tlon: �' S�
Type of Project: Any earth movemettt mey Iso equlre
❑Door(s) ❑Remodel �Fire Damage MCWD review 8 permits:
❑Re-roo[, esphelt ❑Repelr ❑ Storm Damage Nfinnehaha Creek Watershed District(MCWD)
15320 Minnetonka Blvd
Q Re-rooF,ceder ❑ Restoration ❑Water Damsge Mlnnetonka,MfV 55345
❑ Re-roof,other(speclty) ❑Siding �Other:(speclfy) Phone: 852�71-0590
FBX: $52-471-0882
Window(s) www.minnehahacre�k.ors�
Estimated Construct[on Valuatlon of ProJect(excluding land) $ DU
APPLICANT ACKNOWLEDGEMENT:
• Agrees Eo provide all lnforrnatlan requlred or requeeted by the Building Department;
• Certifles that the informatlon eupplfed Is Uus and correct to the besf of hia/her knowledge. The eppllaant rewgnizes that th9y�re
solely responslble for submit4Eng�cpmpl�te appllcatlon being aware that upon fallure to dd so, the ataff hes no aftemetive but to
reject It until ft is complete; �
• Some or all of the information that you are asked to provlde an thls epplication is classified by State law as elther prlvete or
confldentlal. Private defe is informetion which gen�rally cannot be gfven to tha publlc but can be giyon to the subject of th�data.
' Confldentlel data Is Information which generally cannot be given to efther the public or the subJect of the data. Our purpose and
fntended use of thia lnformatian is to ennually update our records and reC4Cds of other governmenEal agencies requirad by law. If
ou refuse to su I th informatlan the a HCatlon ma not be issued.
Applicant's Signature: � Date: ! V
Owner's Signature: __ Date:
Last Updeted:January 20�6
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE scHEou�e� '7�
PERMR NO. COMPLETED
ADDRESS � c S �- n ' ¢
OWNER �1���-����� �TELEPHONE NO. ����� ���f
CONTRACTOR y�`3 , L?�� ���-�-
� DESCRIPTION ��l!'�C� � l� ,�l!�(77fi1�
�y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ S BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
� ❑ -SITE ❑ E IC INSTALL
Q ERICOlITRACTOR TO MEEi YOU�ES_NO
� OMMENT'S: , -
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W� O WORK SATISFACTORY`.PROCEED �,��� �G� - �l PRW ECT COMPLETE
� O CORRECT WORK 8 PROCEED � � ❑ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COA/ERIN(3 PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
'� INSPECTION REOUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectfon 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
inspector: ��'
yyhlte CppYMspector's File Canary CopylSits Notics
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DATE TIME
CITY OF ORONO CALLED IN /
INSPECTION NOTICE SCHEDULED o? -a! -/ 7 !D;
PERMIT NO. aO` � �7� c PLETED
ADDRESS 8-SS
OWNER TELEP NE N�P��`��3 `� �--7
CONTRACTOR ���T�l� �-� -����-
� DESCRIPTION ��� ' ��� /����
lV ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
r�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
w ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTtON REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 2a hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: C� /h�G �t�"
Whits Copyllnspecto�'s File Canary CopylSite Notiee