HomeMy WebLinkAbout2010-00263 - windows CITY OF ORONO PERMIT iv0.: 2010.00263
• 2750 KELLEY PARKWAY
�
ORONO, MN 55356- DATE [SSUED: 04/29/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3450 BIRCH LA
PIN : 08-117-23-43-0023
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 018 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 3,543.00
NOTE: REPLACE(2)WINDOWS WITHIN EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 103.25
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 1.77
1920 COUNTY RD C. WEST
ROSEVILLE, MN 55113 MAIL-IN FEE 2.00
(612)502-4777 TOTAL 107.02
Minnesota State License#: 20130983
OWNER
ENGLER, MR. & MRS.
3450 BIRCH LA
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 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 cause.
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Applicant Permitee Signature Datc Issued B ignature te �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
Apr-26-2D10 11 :03am From-CITY OF ORONO +8522484616 T-219 P 002/002 F-878
. � . , - -- -.
- Building Permit Applicat�on for int��nal Vllork
� win�iows� �dqairs, s��l�ng, ro-rcof, etc.
Mal�1n9 Addrnss:
��� PO Box•98 ,perrnit�umber� �Q/p �!�
� Q Crystal Bay, MN 55323-0086 p�recdived: '� � p
(� '� � 5t�at Add�ss� Recelvee by:
G`F 2750 Kalley Parkwey
t`0k Orono,MN 5535B ` P���OV1��;
MaM: 9b2-249-4600 Fax: 952-248-4818 y�vw.cl.orono.mn'ua To4al Fe�i' �a� � �
This application iorm must be.cornpleted in tull anC all re,quired i�orrn�tlon muet be suhmitted.' '
Incompleto appllcetions wlll be retumea. (Please pnnt)
GENERAL INFORMATION: �
Job 8ita Address: ' �,�� ��u�
Wfll this be a Parede of Nornes, Remodelsrs Shawcase Hom1e or cther Display Hcme? Yes No
1f ys.,e rpeCla�eMsnt Parmft/S I1lqu/nd w�fh Pallas D4p.rtme�t ond CQy CouY�Ci/app�pvo!6p epy�prlor Ip�ye p�yAt. Sh�h�bus s�M�oe rrlN be
roqu/res unlesa epplicant demonslnrMs suA�lo/anton.�lte perrrlrfg.is�volb#DM. Nt�n-p6rmlfEede►�en�s wlU nct be ellowed.
CONTRACTOR/ApPLICANT INFORIIAATION, � ' . �
Name: Rencwal�y Ar�derser� , / �' '
5tate Licenae tt ��
Phone: 1920 Cour�ty:Road "C"�West, � . Explration[)ate:
Malling Address: R�seville, MN 55] l 3 , . cell
Contaot Person: License#20130983 � C�� � Z�P�
6mail and/or Fax� 65�=264-4777 � �t�s� Contractar � Homeowner �c�a o�.}
PROPERTY OWN�R INFORMATIQN' � `
Neme: A t�:� Z,h
Phone(day): _� g�}�_� .
Addresa� !� Ci : Z1P:
Email andlor Fax .
PR�JECT INFORMATION: ' �
Type ot Projeet: ;
�• , Any eartto movemant may rmpuire
❑Door�a) ❑R9r11pdel ' ' ' ' MCWO rsvfew 8 pennits
0 Wetar Damape '
❑Window(s) ❑ R Ir � � ' � � Minnehaha CreaK V1Jatershed DistrlCt(MCWD)
� ❑Storm�pam�ge , 18202 Minnetonka BNd
�� . �
❑S}ding ❑ Restorstion ; [}Other.l GSAeafy� Pho e�V95,2�71-0590
❑ Re-roaf ❑ Firo Damago FaX: 932-47]-0882
Overell Project Dascrlptfon; ,`,t�i�5�: � ���� O � �
Estlmatad Constructlon Valuetion�f pro ect axeludin land) : '�j �
APPLICANT ACKNOWLEDC3EM�NT:
• Agrose to provide all informatlon�quired or requas�ed by the Bulldinp D6pactrnent;
• Certifies that It�a lnformetian supplied i9 t�ue and cer►ect fo the bast of his/her knowledge. 7he applicent recognaes thal lhey
are solely respansible for submltting e complete applicetbn being aware fhat upon failur�e to do so, the stefl has no altemetNe
but to rejeCt d until it ie cernplet�;
• 3orne o�all of the�MprmaUon that yau are asked to�prouide on thlg appl��tiQn is �leasified by Stal� lew as eNho� pme�t6 or
oonfidenti8l. Prfvate data I8 iniotmation which generally cannot p� g{v�n to the pubiic but t8n be glven to fie subJeGt of th6
data. Conflden6al dafa is informetion whiGh gen�r811y Cennot bre:given to either tha public or the �ubjact of tl�a date. our
purpo�e end IMended use of this infOrmetfOr� ie,tq an�udlly update ou'r�feoords end reoords oF other governmeMsl egencleo
_ requfrcd bv law. (f vou refuse to su I the Informatlon4lhe applicelfon mav•not ba lesued.
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4ppllcant's 5lgnature: �� � ' �
� oe�: �� 14 or►► I D
116t Updalod: OSO4-20p8
Z 'd ❑6T9bG9IS9 3aIA213S, 1IW213d Q '9 'S ('1 SS �OI dTOZ E2 �dFi
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C/��,C� TE D TIME
CITY OF ORONO V CALLED IN �/�
INSPECTION N TICE 3 SCHEDULED �
PERMIT NO. 6 �O C PLETEp
ADDRESS a �
OWNER TELE HO E NO ` ' �u
CONTRACTO ���� '� �
>; DESCRIPTION �/�/ � d w �,�"�-+'
t~l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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GW ❑WORKSATISFACTORY:PROCEED I�PROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED , ❑ 15SUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOA REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWfTHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46��
OwnerlContractor on site:
Inspector.
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