HomeMy WebLinkAbout2015-00476 (replace 3 windows) CITY OF ORONO * Z p� 1 5 - PJ 0 4 7 6 *
< 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2015
, ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2440 CARMAN ST
PIN : 20-117-23-12-0058
LEGAL DESC : LEHMAN LAGOON
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 10,722.00
NOTE: REPLACE 3 WINDOWS IN EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 216.85
STATE SURCHARGE(VALUATION) 5.36
RENEWAL BY ANDERSON TOTAL 222.21
1920 COUNTY RD C. WEST
ROSEVILLE,MN 55113 Payment(s)
CREDIT CARD 8788 222.21
(612)502-4777
Minnesota State License#: BUIL-BC130983
OWNER
REEP,GREGORY& SALLY
2440 CARMAN ST
WAYZATA, MN 55391-
AGREEME1vT 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 l80 days of[he da[e of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all cequired 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 Signatur Date Issued By Signat re Date
. City of �rono
�3uilding Permit Ap�ltcation �Far �Illaintenance / Renovation ���:'�
windows, daors, sidin , r�-roaf, etc. ��c � 7�
{
MaAinp Rdd�es� Perm��umber, 2075-- (J�t� 7
Q.�O�� PO Box 66 _
Crystal B�y,MN 55323-00B6 Bate received: /S .
� 5"dreetAa�i�sa: Received by: -_ ���
�750 Kelley Paticway Plan revf�+v fee:
� � Or�ona�MN 55356 �
Totaf F�e: Z��, 2�
Main: 95Zr249-4600 Fax: 952�24&4616 �.�.oro�o•mn:us
This appllca#ion f�rm must be cample°ted in fult and aH required ir�forrna�lan must be submite�d. �{J�� /yrcc� i n�
incomplet�appllcatlwts wiil be return�ed. (Plsase print) f f? �.-���a�-e u.�/ Z
�ENERAL lNFCRIIAATION: �yy O ��� r,��'�1 � `�.�� /���'i�-
Jcb SiGe Add►ess:
VYiU th�s be a Parade o!Homes,Remodelera Showcase Mortt�or other Dlspl�y Wome? Y�s NQ
If yos,e s�ecJs!event perm�rs requfied wlth PoAc�DeAa►btrerrt end Clty Gbuncl!8ppmvel 80 daye prior to the sv�ent Shuttle bus se�vloe wlll be
requN'ed unless appJlcant demWlsbst�s BuRfClent on�ife paYl6ng Je AvellablB. IYonpemt!lted 9verrfs wil!not be ellowed.
CONTRAGTOR/APPLICANT INFQRNIA7idN:
Name: t�arv,�.�,r�� '� "Ar�t�S.e�
State License# G13Qq - - �cpiratian Date: 3131, -- --
Lead Certfflcetion Number: �j��'r ���$3 -� Expiration�atg:
(for work o�homes that wers tor�sWct�sd pr�or�c 1 Srg
phane: (051� e�(D�1-4�0 g$-�MA++ (ofice) (cet!)
Mailing Address: � �•�,•� {�e CitY. ; � ZtP: �'
Contact Person: Applicant is: ! Womsowr�er {c�ro�e ony
Email and/or Fax:
PROPERTY OWNER 1NFQRMA'TION:
Name: �jGt1� �,� •
Phone(daY)' � S.o��. �-`� '" �(5'
Address: �.�� _ _, CEtY: _ ZIP:
�mai!andlar�ax
PRQ.I�CT INF�RMATION: '
Zype of Projed: An�l earth moverttent may requlre
(] Door(s) ❑Remodel Q Fire Demage MCWD revta°w d�permits:
Minnehaha Creek W�rshed DEstrlct(MCWD)
❑Re-roof,aspi�eit [�Rapa[r ❑Srorm Damage 98202 Ml�netonka Btvd
� Re-roaf.cedsr ❑Restoration �Weter Damage Deephav�n,MN 55391
phona: 952�71-0590
❑R�..roof,other(spacty) []Siding ❑Other.(specafy) Fa�t: 852-4T1-0682
�WEndow(s) ��0.C.@ � �'`� S www•minnehahacrePk.s�
p�rera[I !�ro oct Descri on: � �S t� ,
Eatlmated Conatructlon Vaivation of ProJect �xcluding land , � /4 � .
APPLiGANT ACKNOWLED{3EMENT:
. qgrees W provlde alt infom+ation r�quired or requ6st�d by the guilding pepartrnent;
. Certfies that the iriformation supplied is�ue and oarrect to the best of hEs/her knowle�ge. The appltcant reoogniz�s that they
are solely responslblo tvr submft�irig a comple�app[Ication being eware that upon fallure to do so,t�s st�PF has no afternat�ne
but#o reject it untii it i6 camplete; -
. Some ar ail af the irtformaffon that you ar�asked bo provlde on this application Ia Gassified by Sla�1ew aa either private or
cQnfldeMfal. P1�vate cfata is lnfatTnatlon vrhtch gen�atly can�ot be giv�n fla t�he public but can be given to the subJect of the
data. ConfirferrEial daFe la irifortnaaon which gerserapY cannot be glven to e'�er the pu�llc or the sub�ect M the data. Our
purpoae and irnended us� of Ehis infa�m2�Gon Is to annually update our records and recards of other govemmerrtel egenaas
uired b I�w. If u rehjse to su the inivrrnstion the ficatior►m� not be issued.
�►,-� ��A�(�I is�
AnQlicant's Sianetura: Date:
�" � (� D E ` TIME
CITY OF ORONO CALLED IN � - �.,r�_
INSPECTION O ICE SCHEDULED
PERMIT N MPLETED
ADDRESS ��
OWNER TE PHO E �
CONTRACTOR V
>'; DESCRIPTION �/v �-C��'E�
ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ I LATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
Q
= BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS: � ' ����n� �
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W ❑WORK SATISFACTORY:PROCEED OJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDiT10NWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952 249-460�
OwnerlContractor on site:
Inspector.
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