HomeMy WebLinkAbout2015 - 01352 - windows CITY OF ORONO I I I I I I I I II II I I I I I I I I I 11111 II
*
2750 KELLEY PARKWAY DATE ISSUED: 12/30/2015
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1001 WILDHURST TR
PIN : 07-117-23-21-0013
LEGAL DESC : MOUNT HOME PARK
: LOT 000 BLOCK 004
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 1,605.00
NOTE: REPLACE(1)WINDOW INTO EXISTING OPENING.
APPLICANT PERMIT FEE SCHEDULE 67.17
WINDOW WORLD STATE SURCHARGE(VALUATION) 0.80
2211 11TH AVE.E. MAIL-IN FEE 2.00
#130 TOTAL 69.97
ST PAUL, MN 55109- Payment(s)
(651)770-5570 CREDIT CARD 1058 69.97
Minnesota State License#:BUIL-BC356847
OWNER
MUNSCH,BOAKE&MELISSA
1001 WILDHURST TR
MOUND,MN 55364-
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.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 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.
(-14/L GL-CX-e_c� ee) t / / / 3 O//S
Applicant Permitee Signature Date Issued By Siiiiature Date
01a)
...,()));City of Orono
Building Permit Application for Maintenance 1 Renovation
(windows, doors, sidin , re-roof, etc.)
Melting Address: Permit•riumbefi' D/S- Q./..3 S.�
CerblVe.iP0Box88 . . •Crystal Bay,MN 55323-00®0 Date'recelied, 70-04D —!S,l, �. Sire®t Address:•
Reoeived by'1, 4" 2750 Kelley Parkway plan review free:,
‹urae a� Crone, MN 55358
Totdl'Fee. ..,9
Main; 952-249-4640 Fax: ®52-249-4816 www.ci.Qronc,tnn.us • .
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: i _
Job Site Address: ,, , , /CD , QL ' .f i, 5344
Will this be a Parade of omes, Remodelera Showcase H•me or other ■splay Home? it Yes P o
/firm,a special event pennit Is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus 3-' ea will be
required unless applloant demonstrates sufficient on-aite parking Is available. Non-permitted events will not be allowed.
CONTRACTOR 1 APPLICANT INFORMATION:
Name: VjW.,7 ' r.5AA4
State License# eey .- gy7 Expiration Date: 3 3/ /E,
Lead Certification Number: a M Expiration Date: b i a La
(for work en homes that were construe d prior to 1978
Phone: - ,t - .,. o-„c o/ (office) (cell)
Mailing Address: 012 // --1 a ? dug A", 3-f fp �•.Cl : 4tL ZIP; , ,�-rte
Contact Person: Applicant is: •ntrector. / Homeowner (CiroleOne4-
Email and/or Fax; L, / .
PROPERTY OWNER INFORMATION:
Name: "�� (1d/JN
Phone(day):
Address: l i f id/44AAA tS t I L lCity: r) f__o ZIP:55
Email and/or Fax
Ap,c—
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑Door(®) 0 Remodel ❑ Fire Damage MCW&review S permits:
❑Re roof,asphalt . Minnehaha Creek Watershed District(MCWD)
p ❑Repair 0 Storm Damage 18202 Minnetonka Blvd
CI Re-roof, cedar 0Restoration 0 Water Damage Deephaven, MN 55391
Phone: 952.471-0590
❑Re-roof,other(specify) ❑Siding 0 Other; (specify) Fax: 952-471-0682
_ AWindow(s) www.mi nnehahaoreek.oro
Overall Project Description: ' dLc..1 . / 3 U•--4 -y 1✓ IA. 4 ,y1,,_ c, 'P- '- I
Estimated Construction Valuatio of P • -ct(excluding land) $ /
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Some or all of the information that you are asked to provide on this application is classified by State law as either private or
confidential. Private data is information 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 either the public or the subject of the data. Our
purpose and Intended use of this information Is to annually update our records and records of other governmental agencies
required by,law. If you refuse to sup ly the Information,the application may not be Issued,
Applicant's Signature: ' Date: 0-t/` —IS
Last Updated 08-09-2011
1 'd Xd3 13CH3SU1 dH Wd90 :e 9102 01 *400
A
-.7 ,Sd--
A/
DATE TIME j
CITY OF ORONO CALLED IN fr_/_! 7.
INSPECTION �O/TIICE Z SCHEDULED fo-3-i /D :
PERMIT NO.c d5 _ /..75 COMPLETED ���
ADDR /c� zeRi/e ' /- G�7a 7
OWN-• III CA-flNyihVAL. ' LE HO 6
NO .2-� G
�J
16
CONTRACTOR , a -
DESCRIPTION Zda/t d GL - l�Q
4,❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINA�
❑
Qu POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
Ln ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
• 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q - INAL 0 WATER HOOK-UP ❑ FOLLOW-UP
W✓❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE CISEPTIC INSTALL
Z OWNERICONTRACTOR TO MEET YOU:—YES_NO
oy COMMENTS:
a ti.PA IO:J re I. -
O 6q c v" /�f c...t ,r- yli -
cc
0 ,
W
CC
Q
W
Z
W
CC
S
a
WIt L]WORK SATISFACTORY:PROCEED DisCOJECT COMPLETE
W U CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O U CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Oc., BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. U PHOTO TAKEN
INSPECTOR WILL RETURN
CI
U STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED
U INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
all for the next inspection 24 hours in advance. (952) 249-4600
Owner.'ontractor on site: /We 7<'.Skc.
nspector. 9 /P\-- 9/14
White Copy/Inspector's File Canary Copy/Site Notice