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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 � • 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: � � ►�ar,tC—���,,�1'a ..�� J ��r►� � � � ����1�� 0 � W � Q � 2 W � W � J d 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