HomeMy WebLinkAbout2016-00080 - windows - CITY OF ORONO * z 0 1 6 - 0 0 0 e 0 *
� 2750 KELLEY PARKWAY DATE ISSUED: OU25/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1270 BRIAR ST
p�� : 10-117-23-31-0038
LEGAL DESC : CRYSTAL BAY MINNETONKA
: LOT O10 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 1,395.00
APPLICANT PERMIT FEE SCHEDULE 56.94
STATE SURCHARGE(VALUATION) 0.70
CRAFTMASTERS REMODELING MAIL-IN FEE 2.00
2495 MAPLEWOOD DR#314
MAPLEWOOD, MN 55109- TOTAL 59.64
(651)757-4100 Payment(s)
Minnesota State License#: BUIL-BC627243 CREDIT CARD 8204 59.64
OWNER
RANGE,JOHN
1270 BRIAR ST
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 separate
permits. All provisions of laws and ordinances 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 afrer 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 cause. ,� �} _
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Applicant Permitee Signatu '�ate Issued By Signature Date
Jan 21 16 02:56p Craftmasters Remodeling 6517574106 p.2
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• Cityof Orono
Builcfing Permit Application for Maintenance / Replacement I Remodel — Resfdential ONLY
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, Mailrng Address: � �` �
��4-D�O'�. PO Box 66 Permii number: �' /, _, I 4 •
Crystal Bay, ti1�55323-(}a66 Da[e received� ;i '� �`�'I �- ;�"i♦
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' Street Add�ess' Received by: - i,�
`�,%� + �% 2750 Kelley Parkway Plan review fee:
�' r�, � �:"� Orono, MN 5535fi
�.,��c�.tn���'�i TOtal Fee: �-���' �" �
Main: 952-249-4604 Fax: 952-249-4616 ��.����rr.r;_c,ro���o.;�����.�,:s
This application form must be completec#in fuil and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL]NFORMATION: r1
Job Site Address: I �� �� � 3�1 Ctit2 � '
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? � Yes o
Jf yes, a spec�a!evenf pe�rnit rs required with Polrce Departmen[and Ciiy Ccunci;approva!6Q days prior to the e venG Shuf,`fe bus service riiU be
requi;ed unJess ap,olican(dsmonstrates sufficient on-srte parking is avarlable. Non-permit`ed events wifl not be a'loweo,
CONTRACTOR!APPLICANT INFORMATI�?N: '
Name: �;{ZCrr-�iw;:2a-{-"�`7 I(l.:"�','� k.�i��-.
State License# L Z� "Z Expirakion Date: ?7l 2�;l�
Lead Certification Number: Y'� ��.`�" - <�z ---�--�_ 2 Expiration Date: � Z�G� ( 2GZ�,.
(for work on homes that were construcfed prior to i978
Phone: (cell; {offce) �j� --� c] 7_ �-�-f L�
A�ailing Address: 2�-�C''S`.� s 1C�.k„��44� �._�':�:� L <U '' �i�-�- CitYi�L4 :)l( �,:�`'�� ZIP: '�5 I L'�
Contact Person: ir..� ;�;`'�;• ���- c_s-1 Applicant is: �on ractor�J Homeowner (CirGe OneJ
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EmailandrorFax: ��C1-4�-��= ��1L=2�.1...ii`�:1� C�..C:�,t�G..��.. � ��.`r�'"7 (�,'�l-���V7 - LEII%(�
PROPERTY OWNER INFORMAT{ON:��
Name: ���`_'��'1 tC.�-ti��--
Phone(day): � �
Address: ] '�.-��' t�;u�.`�.� . c�iy:� ��'lf`' ziP: �r� �Z3
Email and!or Fax:
PROJECT INFORMATION; Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) ❑ Remodel ❑ Flre Damage MCWD review&permits:
❑ Re-roof,asphatt ❑ Repair ❑ Storm Damage f�linnehaha Creek Watershed Cistrici(MC�ND)
15320 Minneronka Blvd
❑ Re-roof,cedar ❑ Resicration ❑Water Damage Ivlinnelonka,�a1N �534b
❑ Re-roof,other(speciFy) ❑Siding ❑ Other.(specify) Phone: 952-471-0590
Fax 9b2-471-0682
�Window{s} :y����h�.,�tfnn�..�._.._..__�_._ c��°�. �
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T ,a .ai�� C ,...._
Estimated Construction Valuation of Project�excluding IanB} $ T� �
APPLICANT ACKNaWLEDGEMENT:
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• Agrees to provide all information required or reques[ed 6y the Building Depar.ment;
• Certifies thaE the information supplied is tr��and correct to the best of his/her kno�viedge. The applicant recagnizes that they are
solely responsible for submit�ing a complete application being aware that upon failure to do so,the staff has no alternative �ut to
reject it until it is camplete;
• Some or all of the inforrnation that you are asked to provide on this application is class fed by S:ate law as either private or
confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data.
Confidenf�al data is information which generally cannot be given to either the public ar the subject of the da:a. Our purpose and
intended use oP this informaticn is to annually update our reeords and records o`other governmental agencies required by law. If
vou refuse to su I the information,the a licalion ma nol be issued.
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Applicant's Signature`• � ��-� � �"�J\ � �-- Date: �--1`=�� �1 l �C�� �'
Otivners Signature: oace;
Last Updated January 2016
� %
��� �J � DATE TIME �
CITY OF ORONO CALLED IN -��� _ (�(�
INSPECTION OTICE SCHEDULED '
PERMR NO. � �' COMPLETEO
ADDRESS f :� �� �1� � ►�-i? �� :
OWNER��'�"1��) TELEPHONE NO.��� 7_ 7�'� ����'�
CONTRACTOR ,,C,j_ 75�i-�f 1 GC- ( � 6"��-�t-S I'YY,i S'�F-�'-S
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`' DESCRIPTION ��-t��/ 1C���,L' r I i� I
� ❑ FOOTING ❑ DEMO-FINAL �}— ❑ SEPTIC FINAL
❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINA��.0 ' �� ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ A ILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J MO,-iSITE ❑ SEPTIC INSTALL
OMlN lRMCTOR TO MEET YWI:_Y �NO
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�/��K SATISFACTORY`.PFiOCEED �PROJECT COMIPIETE
W ❑ RRECT WORK d PROCEED O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK�LL FOR REINSPECTION TEMPORARY
V BEFORE COMERINO PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS_ p p�{pT0 TAKEN
INSPECTOR W{LL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �GTATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspectfon 24 hours in advance. (952) 249-4600
OwnerilContra s @: ,
Inspector:
Whit�CopyAnspector'�Flh Canary CoPYISIb Notie�