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.
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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
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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
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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:
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GW ❑WORK SATISFACTORY:PROCEED l ROJECT COMPLETE
� ❑CORRECT WORK 8 PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑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. � (� ,�
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