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Home My WebLink About2014-01061 - windows ' CITY OF ORONO * Z0 14 - 0 1PJ6 1 * 2750 KELLEY PARKWAY DATE ISSUED: 09/18/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3045 CASCO POINT RD PIN : 20-117-23-34-0012 LGGAL DGSC : SPRING PARK : LOT 057 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE . WI DOWS ' r�� g r�A� ��ae-�,►-,�� VALUATION : $ 1,090.00 NO"I'E: RGPLACE 1 WINDOW IN EX[STING OPENING APPLICANT PERMIT FEE SCHEDULE 44.50 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 0.55 1920 COUNTY RD C. WEST MAIL-IN FEE 2.00 ROSEVILLE, MN 55113 TOTAL 47.05 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 47.05 OWIVER FENIKOVA,ZEDNKA 3045 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pennit is issued shall be performed according to the approved plans and specifica[ions,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant pennission for additional or related work which requires separate pennits. AII 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 I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reyuested in conlormance with the State[3uilding Code.This permi[may be revoked at any time f'or due cause. I �-- � � ��. �� -�,\C�� -�- �-�� Y�- � f, � , r 7- Applicant Permitee Signature Date lssued 1 y Signature Date � City o� C�rona gu�i�l;ng permit qpp�ication for Mainten�nce / Renovat�on (windows, daors, siding, re-coof, etc. Mal1Mg Address: Permlt number' �,�0�� pQ Box 6B Crys#al Bay, MN 55323-006fi Date received: ReceEved by: � Sfreet Address_ � 2750 Kelley Paricw�y Plan re�lew fse� � ° Orono, MN 55356 ��' Tate�Fe�: Pv{ain: 952-249�6Q0 Fax: 952-249�516 www.ci.arono.mn.us This application form must be completed in full and aA required information must be submitted. Incomplete applications will be returned. (Please prr"nt) 6EN�RAL{N�'QRMATtON: �O y � C��C � � 1 �� ' Job Slt�Address: T Will this be a Parade of Homes, Re�todelers Showcase Hdme or ather Display Home? ❑Yes No ►iyes,a spe��iaauirsd unless appNCantrodemonstr�Jtas 8ulflC�enton�lte paricln9 s a1veJlab/e�'Non-pe►mitted events wllltnot be&1lpwed��f!bs CONTRAG"�OR/APPLICANT 1NFORMAI`ION: Name: �tx�►:_�\ � 'A�{.'��e'r� �"� state�ic.�nse# '$G1309 `�"},,,� Expiration Date: � �� Lead Certificatlon Number: (`j �r a a$3 - �xpiiratidn Date: �J (for wor/r on homes that were consb'ucted prior to 1978 (cefl) Phone: (o'�'J�~ r�( . -�{•0`�` �M Aw (oftice) _ Mailing Address: �q � . 1� `�G" We� City:'�.p� �1 e ZEP: S5 3 Contact Person� AppG��nt is: ontra or 1 Homeowner {Circle Ono) Email and/or Fax: pROP�RTY QWNEFt 1NFOCtMAT1dN: Name: � KC"� ��.. � ' Phone (day). �e 12 � 3 ZIP: Address: Ciry: Email and/or�ax PROdEC7 INFORMA7lON: Any ear�h mQ�ement may require TYPe of Projact: MCWD r�vlew 8 permits: ❑ Door(s) �Remodal �Fire Damage Minnehaha Creek Watershed DlsMct(MCWD) Re air ❑Storm Damage 1$20Z Minnetonka Bivd [�R�roof,asphalt � P peephaven, MN 55891 0 Re-roof,c�dar [l Rastoration �Water Damage p�p�,�: g,2�71-0590 Sidin [�Other: (speC�4y) Fa�c: 952-471-0682 ❑Re-roof,other(spBctCy) ❑ J _min eh�hacre�k.o�r �Window(s) . - � I Qverall Pro ect Descri t{on: q„Ce � � ' Estimated Constructlon Valuation af Pro ect(excluding land) $ _O ApP�iCAN7 ACKNOw�,EDGEMENT: the Building D9partm8nt; . Agrees to pro�ide aU information required or requested by . CsrtHias that the fnforrnaUon supplied is true and correct to the best of h'sslher knowledge. Th� applicant recOgnizes that they are soleEy responslble t�r submitting a complete application being aware that upon failura to do so,the staff has no altemative but t0 reject it unfil it is complete; . So►ne or afi ofi the ir�formatlon th�t you are asked to provide On Shis 8ppllcatian � ublic b�ut can be g ve to th��subject of the confldenti8l. Pfivate data ls infot'mation Whlch gen6ra�lY cann°t be given to the p data. Carifldential data is infvRnation whlch generally cannot be given to elther the publlc or the subJect of tt�e data. Our purpose and intended use of ihls infdrmation �s to annuaAy update our records an8 recards of other govemmenta! agencies r� uired b law. If ou refuse to su I the Infiormation,the a lication ma not be issued� /� Date: 1�� Anolicant's Sitlnature: �'�� "m �'"�'.-r"'�..;,:�'-��n�� w_� W S&D Permit Service �.o. �ox��a Scandia,MN 55073-4250 Phone; 651-43�-�250 Fax: 651.-433-3539 wsanddC��'ontier.cam Orono, City of .�ttn: B1dg. Dept. 952-249-�4616 - Fax 1'lease issue these permits for Renewal by Andersen. Please Call 651-433-4250 far Credit Garci Tnformation. Please mail the permits back to me at the address above. If you have any questions please do not hesitate to call. Thank Y�u, C�'�r�� C'i� K.&ra BensOri 651w433-�1250 � 1�-�- �D�.�� ,�I rr�,�- � : W 8,&D PERMiY SEFtVIC�,iNC. � P.O.BOX 2S0 $CAl�DIA,MN 56078-��30 , DATE TIME�/ CITY OF ORONO CALLED IN �� —I INSPECTION NO�I�',,�E SCHEDULED ��O-- PERMIT NO. �`�J� — /COMPLETED ADDRESS OWNER TEL PHONE . CONTRACTOR � >; DESCRIPTION � ttr ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �/�FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � � Ul.�/ J`2,d�"�''�`rte.lL` - S��'•lC S2C y o ��►�t e SL�-4/� .�- e.�c�sZ`i+�s aee.�c.Yc �' � � � kJQ r� CO wta«� �/ c o,�JsarS I�f� W � Q � 2 ^ � g ,�2✓rK�L` �`i;t�le� W � � � � ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I E CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: — `1 - Inspector. ' r^ �� White Copyllnspector's File Canary CopylSite Notice