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HomeMy WebLinkAbout2010-00361 (windows) . . CITY OF ORONO PERMIT NO.: 2010-00361 � , 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: OS/24/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2715 CAROLINE AVE PIN : 20-117-23-24-0007 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 002 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,668.00 NOTG: REPLACE(6)WINDOWS WITHIN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 132.75 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 2.83 1920 COUNTY RD C. WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (6l2)502-4777 TOTAL 137.58 Minnesota State License#: 20130983 OWNER REJZER, MR. &MRS. 2715 CAROLINE AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shail be performed according to the approved pians and specifications,applicable City approvals,and the State Building Codc. This permit is for only the work described and does not grant permission for additional or related work which requires scparate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 construc[ion 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 caGse. ��'k.a-c-� �—K. l l L��..,�c l l Applicant Permitee Signature Date Issued By gnature Dat SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV City of Orono � �.uilding Permit Application for fnternal Work (windows, doors, siding, re-roof, etc.) O Mailing Addr�ss: '¢' �T PO Box 86 Perrnit number: � � �3(p � � Q Crystal Bay, MN 55323-0066 p ate received: J`�' /S lb � '��� F Sfieet Address: Received by: � 4$c,`' 2750 Kelley Parkway Plan review fee: ��uo Orono,MN 55356 Main: 952•249-4600 Fax: 952-249-46'18 www.ci.orono mn us T�al Fee: � � ��, �q U This application fo�rn must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease prinf) GENERAL INFORMATIO : Job Site Address: p`�Q l�n.� ��Q . Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes Na 1f yes,a specia/evan�permit is required with Polica Departrnent and City Counci/appmvel 60 deys pr+lor to the eyient. Shuttb bus servioe wil/be required unless applicant dem�nstrates suFfrcienf on-site psrking is availabJe, Non-permitted ev�ents wlll nat be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Renewal By Andersen Phone icense# 1920 County Road "C" West � ' Expiration Date: Mailing Address: Roseville, MN 55113 — f�elq Contact Person: License #20130983 — C��'� ZIP� Email andlor Fax: 651-264-4777 ' �t�s: Contractor I Homeawner �ci�ieo��� PROPERTY OWNER INFORMATION: ' Name: �—"r'� Phone(day); . y-� , Address Email and/or Fax C�� � Z�P� PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review� permits ❑Window(s) ❑ Repair Minnehaha Creek Watershed District(MCWD) ❑ Storrn Damage , 18202 Minnetonka Blvd ❑ Siding ❑ Restoration �eephaven, MN 55391 __ ❑Other: (specify) Phone: 952-471-0590 ❑ Re-roof Fax: 952-471-0682 ❑ Fire Damage vy�w ,minnehahacreek ora Overall Project Description: , , Estimated Construction Valuatio of Project(excluding land) $� . � � �� lD 8. OC) APPLICANT ACKNOWLEDGEMENT: • Ag�ees to provide all information required or requested by the Bullding Department; • CeR�es ihat the information supplied is true and correct to the best of his/her knowledge. The applicant recogni2es that they are solely responsible for submitting a compfete application being aware thab upon failure to do so, the staff has no aRernative but io reject it urrtil it is complete; � • 5ome or all of the information that you are asked to provide �n this application is classified by State law as either p�vate or confidential. Private data is informalion which generally cannot be given to�he 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 irrte�ded use of this infonnation is to annually update our records and records of other governmental agencies r uired b law. If ou refuse to su I the information the a lication ma not be issued. , Applicant's Signature: - Date: � Last Updaled: OS-04•2009 Z 'd 06T9�bG9iS9 3�IA�I3S 1IW213d Q '8 S f� bS =ST OIOZ GT FeW DATE TIME v CITY OF ORONO ���iN INSPECTION NOTICE / / SCHEDULED �b PERMIT NO.�D/D� D���O J COMPLETED ADDRESS a7�5 � OWNER TELEPHONE NO. ��� 2�� �O�j� CONTRACTOR F�C� �l A1'�CI�I'�iS-DYt� ��, �: DESCRIPTION ��"��" 'S � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED l ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. � (� ,� White Copyllnspector's File Canary CopylSite Notice