HomeMy WebLinkAbout2013-00977 (windows) b ' CITY OF ORONO * Z 0 1 3 — 0 0 9 7 7 *
2750 KELLEY PARKWAY DATE ISSUED: 09/20/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3650 CASCO AVE
PIN : 20-117-23-31-0043
LEGAL DESC : REG. LAND SURVEY NO. 1 147
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING- UNDEFINED
VALUAT[ON : $ 8,753.00
NOTE: REPLACF,(1)WINDOW
APPLICANT pERMIT FEE SCHEDULE 177.00
SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 4.38
10751 EXCELSIOR BLVD
HOPKINS, MN 55343 MAIL-IN FEE 2.00
(952)277-1600 TOTAL 183.38
Minnesota State License#: BC239369 PAID WITH CC# 3989
OWNER
GERSOVITZ, MR. & MRS.
3650 CASCO AVE
WAYZATA, MN 55391-
AGREEMENT 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 separa[e
permits. All provisions of laws and ordinanccs 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 180 days of the date of issuance,or if construction 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 th State Building Code.This permit may be
revoked at any time for due cause �,���/��_
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Applicant Permitee Signature Date ssue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono
Building Perm;it Application for Maintenance / �epfacement / �enovation
(No structural e�pansion. Only windows, doors, siding, re-roof# etc.)
"'^_ ' MaiGng Addr�ss: F'ermit number. � ' ` !� �
�-Q�I� , PO Box�66 —
Crystal 8ay,MN 55323-0066 Date received: �
Street Atldress Received by:
�� G�` ', 2750 Kelley Parkway Plan review fee:
t���sW� �, Orono, MN 55356 , � �� ry��
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Total Fee: l��
Mairr 952-249-4600 j Fax:1952-248-4616 www.ci.orono.mn.us;
This appliCation form;must be com�leted in full and all required ihformation must be submitted.
Incomplete appllcations will be returned. (Please prinf) '
GENERAL INFORMATION:
Job Site Address: Q , C O �
WII[this be a Parade of Homes,Remodelers 3howcase;iiome or other Di'splay Home? Yes� No
!f yes,a specia!event perinit is rgquired with Police Depar�ment and City Council approval6Q days pnor to the event. Shuttle bus s rvice wil!be
required unfe5s app6canf demonstrates sufficient on-site parking is availab(e. Non-permiRed events wi!!not be a!lowed.
CONTRACTOR/APPI.ICANTJNF'O ATiON�•
Name: C�/1 �2Y���5 lii�(-W1�j2�V �
State License# a (� � Expiration Date: ,3 "
Lead Certifcation Number. f}- '! Expiration Date: _ �p` �
(for work on homes tfr'at were coristnrcied pNor`to 9978 �
Phone: (ceI!) ' f (office) Lf��'��7— 65� '
MailingAddress: b / �� e �' y (! ' City: %y�S ZI�': 3
Contact Person: , �jn , �iy�oV...� Applicant is: : ontracto / Homeow�er �cj.�ieo�e}
Email and/or Fax: ' yti I (�¢. ,Q • COWI', '
PROPERTY OWNER(NFORMATION: � ,
Name: ' t 'f` � C7�.-j'i�QV �
Phone(day): ; � ` ;
Address: C v i City: Y' � ZIP: j
Email and/or Fax: ' �
PROJECT INFORMA710N: Ov;erall ro'ect descri tion:' l�e- 1����� �h ''�ls{�h ' O�Pl�Ivr� .
Type of Project: ; I ' Any earth movement ma also reF{uire
❑ Door(s) ❑ Remodel ❑Fire Damage MCWD review 8�p�i`mits: ;
❑ Re-roof,asphalt ❑ Repair �]Storm Damage Minnehaha Creek Watershed'(District(hACWD)
F 18202 MinnetonkaBlvd
❑Re-roof,cedar I ❑ Restoration ❑Water Damage , Deephaven,MN 55391
' Phone: 952-471-0590
❑ Re-roof,other(speclfy)I ❑Siding ❑Other:(specify)
� Fax: 952-471-0�82
�ndow(s) � ' www.minnehahacreek.orq !
Estimated Constructton Valuatloh of Project excluding land) $ . O (`
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;
APPLICANT ACKNOWLEDGEIUIENT: � '
• Agrees to provide all information;required or reqi ested by the Building Department;
• Certifies that the information supplied is'true and correct to the best of hislher knowledge. The applicant recognizes t�at they are
solety responsible fo�submitfing';a complete ap�lication being aware that upon failure to do so, the staff haslno alternative bui to
reject it until it is complete; , � 1 '
• Some or all of the information that you are asked to provide on this application is classified by State Ia�J as either privafe or
confidential. Private data is informationlwhich�enerally cannot be given to fhe public but can be given to th2;subjecf:of the data.
Confidential data is information�vhich generally�cannot be given to either the public or the subject of the da a. Our purpose and
intended use of thi§'information is to annually u�date our records and records of other governmental agencie�s required by law. If
ou refuse to su I the info�mation thel a lica ion ma not be issued.
Applicant's Signature: ' ' ' ; Date: '
{ /� ,,,/ i
Owner's Signature: f Date: � "1/,���� � .
Last Updated:03l06/2013 ! , �
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION OT E G� SCHEDULED
PERMIT NO + OC� `� COMPLETED � ''
ADDRESS �G �D �� S CO /��c�
OWNER TELEPHONE NO.
CONTRACTOR S C ��Q—r r�'r�.•
�: DESCRIPTION �����J"S
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POUREO WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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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W ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE
� ❑CORRECT WORK 8 PROCEED C: ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
Owner►Contractor on site:
Inspector. �
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