HomeMy WebLinkAbout2014-00301 (repl. windows & patio doors) , . CITY OF ORONO *Z 0 1 4 - 0 P1 3 0�
2750 KELLEY PARKWAY DATE ISSUED: 04/14/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2450 CARMAN ST
PIN : 20-117-23-12-0059
LEGAL DESC : LEHMAN LAGOON
: LOT 004 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S E3UILDING - UNDEFINED
VALUATION : $ 12,563.00
NO"Il�:: RI�:PI.nCI�:3 WI'v`DO1�'S n'V[)? PnTlO DOORS WI"I�NIN EXIS"I'ING OPRNINGS
APPLICANT PERMIT FEE SCHEDULE 236.00
STATE SURCHARGE(VALUATION) 628
RENEWAL BY ANDERSON MAIL-IN FEE 2.00
1920 COUNTY RD C. WEST
ROSEVILLE, MN 55113 TOTAL 244.28
(612)502-4777 Payment(s)
Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 244.28
OWNER
PALMER, MARK&NANCY
2450 CARMAN ST
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
ihe work for which this pemiit is issued shall be performed according to
thc 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 rela[ed work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied wi[h whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within I RO days of Ihe date of issuance,or if construction is
suspended for a period of 180 days at any lime after work has commenced.
"�he 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 duc cause.
4 / /
npplicant Permit��ure Date Issued f3y, gnature Date
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Gity of arono
Building Permit Appiic�tion for Maintenance / Renovation
, �windows, doors, siding, re-roof, etc.)
i Mai/ing Address: PermiC number: ����`"O p3d l
O•�T„d,�a i PO Box 66 `�
� Crystal eay, MN 55323-0086 Date received: - �-� 7
� I �
� � �, SfreetAddress: Receivsd by:
"� 2�50 Kelley Parkway Pian revfew fee:
�.������� � Orono, MN 55356 , /// (/'
Total Fee: p? Y `�.. Za
Main: 952-249-�6(}OI Fax: 952-249�616 www.ci.orono.mn.us
This appliCatian form must be completed in fufl and all required information must be submitted.
ncomplete applications witl be returned. (Please prrnf)
GENERAL INFORMATION: � � a ��-m�� �, !�„
Job Site Address: �1,� .
Will thfs be a Parade of Homes, Remodefers Shawcase Home or other Display Home? Yes ❑ No
I'f yes,a specis!evenf permit is repuired wlth Pollce Depa�tm'ent and Cify Counc!!approval 60 days prior to the event. ShutfJe bu8 Serv/ce wiN 6e
requlrad unless appl�cant demonstrate8 sUfilclem on,site parking is avail�bla. Non-permitted eVent9 wlll not tre allowed.
CONTRACTOR/APPLICANT INF�RMATIQN:
Name: 1��1�.Wa.\ `�y'Av��.�(Ser�
State License# '$G 1309$3 � Expiration Date: 3(3�
Lead Cerfification Number (V�"("_. ��a$� -�� �xpiratipn Date: �{l�4
(for work on homes that were conafructed nrior to i978
Phone� (n��.- c�(�l�-�(.O$'�'' ��An (otfice) (celf}
M�iling Address: �ctap �� �� �e�,} City:'�,pPc� ; � Z��= SS Il�
Contact Person: Applicant is: ontra / Homeowner (Circle One)
Email and/or F�x=
PROP�R7Y OWNER INFORMATION:
Name: 1(3 C�� �.
Phone (day): �$;�,
Ada�ess: 9�� � N�1-�bl p� c�ty: ziw:
Email and/ar Fax
PROJECT INF�RMATION:
Type of ProJect: Any�arth movement may require
❑ Doar(s) Q Remodel []Fire Damage MCWD revtew&pe.mits:
Minnehaha Greek Watershed Distrfct{MCWD}
�R�rQaf, asphalt ❑ Repair ❑Storm D�m�ge 182Q2 Minnetonka Blvd
❑Fte-roof,cedar ❑ Rastoration �Water Damage Q�ephaven, MN 55391
Phone: 952�71-0590
[]Re-roof,oth�r(specify) ❑Siding ❑OIher. (speci�y) Fax' 952-471-0682
www.minnehahacreek.o[q
[�Window(s) ,�„" ,
Overall Project Description: 1D�G W;+t�0 e,U c.�;o dar.,�S C.t1),n ..P�'�C�Sfi
Estimated Construction Valuation of Project(excludfng land) $ / — i
APPLIGANT ACKNOWLE�GEMENT:
. Agrees to provlde aU information requirad or requested by the Building Department:
• Gerti�ies that the information supplied is true and correct to the b�st of his/her knowledge. rhe applicant recogniaes that thay
sre solely responsible for submitting a complete applicatian being aware that upon failure to do so, the staff has no alEemative
but to reject it until it is completo;
• Some or all of the infarmation that you are asker! ta provide on this application is classified by State law as either private or
confidential. Private data is iniormation which generally cannot be given to the public but can �e given to the subject oF the
data. Confidential da4a is informsUan which gen�raliy cannot be given to eltfier the pubtic or the subject of the data. Our
purpose and intended use of this lnformation is to annuaily update our records and records of other govemmental agencies
re uired b law. If ou refuse to su 1 the infiormation Che a lication ma not be issued, _r
AQolicanYs Sianature: C�� Daie: ���r� �1 �
�� Da,T TIME v
CITY OF ORONO CALLED IN S `�
INSPECTION.�Q(T�IC/� l � SCHEDULED _ ��
PERMIT NO°��� / r`�a""a� COMPLETED --C���J
ADDRESS a�50 ��
OWNER TELEPHONE NO.�s� �� Tud X
CONTRACTOR �fr1?
� DESCRIPTION � ���°`�w Z `-`�� / ' �
�
� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVA�
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED PR CT COMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL REfURN p CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46�0
OwnerlConVactor on site:
Inspector. `
W Copyllnspector's File Canary CopylSite Notice