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HomeMy WebLinkAbout2015-00991 - windows +� - CITY OF ORONO * z 0 1 5 - 0 0 9 9 1 * 2750 KELLEY PARKWAY DATE ISSUED: 08/04/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3025 CASCO POINT RD PIN : 20-117-23-34-0002 LEGAL DESC : REG. LAND SURVEY NO. 0394 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 3,700.00 NOTE: REPLACE(1)DINING ROOM WINDOW APPLICANT PERMIT FEE SCHEDULE ]08.42 MN LAKES STATE SURCHARGE(VALUATION) 1.85 155 MCCULLEY ROAD TOTAL 110.27 MAPLE PLAIN, MN 55359- Payment(s) Minnesota State License#: BUIL-BC631119 CHECK 5351 110.27 OWNER STANDA, SCOTT& IRENE 3025 CASCO POINT RD 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 sepazate 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 after work has commenced. The applicant is responsible for assuring all required inspections are requested in nformance with the State Building Code.This permit may be revoked at a�time for due cause__ � .� � ��s" a �:�� �' i� i�5 pplican P itee Signature Date Issued Signature Date r . City of Orono � ��3.� Building Permit Application for Maintenance / Replacement / Remodel ��,�. �arr���r�c��,rs, ��vr�., ��O A'O Mailing Address: Permit number: �O/.5--CT� �� �y PO Box 66 � Crystal Bay,MN 55323-0066 Date received: S —�� 1 I � Received by: Street Address: :. � 2750 Kelley Parkway Plan review fee: �tq �`' Oronq MN 55356 k�}H��� ___ Total Fee: �/Q. �.7 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be retumed. (Please print) GENERAL INFORMATION: Job Site Address: 3U v2 7 C:/-�S C-U ?�1 ��� Will this be a Parade of Homes, Remodelers Showcase Nome or other Display Home? Yes No If yes,a special evenf permit is required with Pofice Department and City Council approva!60 days prior to the event. Shuttle bus service wil!be req�ired unless applicant demonsfrafes su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ` � State License# njG � _�J � � � Expiration Date: ' 3 2�;/ Lead Certification Number. �/'�}r _�� ���� .- I Expiration Date: �/Z`I �20/�, (for work on homes that were constructed p iorr to 1978 Phone: (cell) ��z ���j �) �j„"� (office) Mailing Address: I 5 a ,/��C��..c_£y �Zi� City��PL� �C,�4!N ZIP:��j� �Q Contact Person: �N�� SH���p;�,v Applicant is: Contractor / Momeowner (Circle One) Email and/or Fax: ��,��`€S �> �/tq�.�Z,. �G/�'\ -J PROPERTY OWNER INFORMATION: Name: �"/Ll��l� S"�!}/�'�� Phone(day): ��z �S 3 y o p�/ Address: 3 v Z 5 C-/f S�v (r�T IZ� City: ZI P:�,j�j� � Email and/or Fax: PROJECT INFORMATION: Overall ro�ect description:_ Type of Project: ^ Any earth movement may also require � ❑Door(s) ❑Remodel ❑Fire Damage MCWD review 8 permits: ❑ Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,other(specifj� ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ['J�Z_��1+ !� _ �Window(s) _________ www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ '�J7 vC3.•"`' APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no altemative but to reject it until it is complete; • Some or all of the infortnation that you are asked to provide on this application is classified by State 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. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other govemmental agencies required by law. If ou refuse to su 1 the' rmation,t lication ma not be issued. Applicant's Signature: � Date: � Zd/.�� Owner's Signature: Date: Last Updated:January 2015 C�� � _ pATE � TIME CITY OF ORONO CALLED IN -/7" J INSPECTION NO�I.�iE_L/��j SCHEDULED �� /� PERMIT NOU�J�S COMPLETED ADDRESS ��� L��' �,��-�� OWNER T LEPHON - �f-�Z'7 7 C ONTRACTOR / � � � � DESCRIPTION ``--��v� � "" � � / / ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADO SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FR ING ❑ MECHANICAL FINAL ❑ RATED WALLS Z ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W A BUILT-SURVEY ❑ SEWERHOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W � � J O � � O � W � Q � 2 W � W � J d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in advance. � � -460� OwnerlContractor on site: Inspector. White Copyllnspector's Ffle Canary CopylSite Notice