HomeMy WebLinkAbout2009-00758 - windows . CITY OF ORONO PERMIT 1Y0.: 2009-00758
2750 KELLEY PARKWAY
ORONO, MN 55356- DA7'E�ssuEn: 1UO2/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 3535 CHRISTINE DR
PIN : OS-117-23-12-0019
LEGAL DESC : BETZ ADDN
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEF[NED
VALUATION : $ 5,676.00
NOTE: REPLACE(2)WINDOWS WITHIN GXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 132.75
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 2.84
1920 COLJNTY RD C. WEST TOTAL 135.59
ROSEVILLE, MN SSl l3
(612)502-4777
Minnesota State License#: 20130983
OWNER
RYAN, MR. & MRS.
3535 CHRISTINE DR
MAPLE PLAIN, MN 55359
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 witllthe State Building Code.This permit may be
revoked at any time for due cause.
�il !�'�"`i` (�N' l l �rY�.� l l
Applicant Permrtee Signature Date Issued y Sig ture atc
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO
Oct-27-2009 09:40am From-CITY OF ORONO +8522484616 T-6B4 P 003/003 F-179
. . - -- -
Building Permit Application fo� lnterr�al Wark '�
windows, doors, sidin , re-roof, e�tc.)
��A` Ma�ung Add►eas:
�r PO Box 66 Permit number. QO - Qfl �
0 Q Crystel Bay, MN 55323-DOB6 p�te r��i�d; /D/�ly O�'
� � St�eotAda�s; Recelvhd by: ��
2750 Kelley Parkwey Plen revfew fee;
�k Orcna.MN 55358 �,
Mam: 952�249�BOp Fax: 952-248�616 To�l Fe�e: ���� ' f
This application form rnust be oompleted in fult and all required information must be submitted,
Incornplabe appllcatloae wlll be�etumed. (P/eaSe prinp ' �''���
�ENERAL INF�RMATIQN: 71��G •
Job Site Address: 35�c-,_�`�� • '�{;�
Will thls be a Parade of Homes, Remo�elers Showcase Home or ather Display Home? Yes � No
M�sa,e apeolel e�rt�per�nif is�qul�d w/M PpJ/p�p�p��,�,ent snd Crry Covxll aPA��80 deys p�iv�Iv�no eMens. 3hutrk Dus servla wM pa
�equl�d��lssa ePpJk�Ont tlemonstrbles s�AhiG9nt vn,Blte perking!a 9v6deb/s. IYon.per»t/�Msd e„tlnt�wlp not be a/bwsd.
CONTRACTpR/APPLICANT INFORMAT1pN: j
Name: Renewel By Andersen '
3tate Ucense# - - — '
Phone: ]920 County Road "C" We�t �xp�ration DaEe;
Mailin9 Address: '-' �seville, MIV S51 l 3 . cell
Cantact P�rson: License #20130983 ��y' � E�P� �
Email and/or Fax: 651-264-477'] �t Is: Cont�actor / Homeowner �ati�.o�.�
PROP�RTY OWN R INFORMATION: ,
Nan1e: �
Phone(day): �
Addreas: C� .
Email and/or Fex Z�P� �
i
PROJECT INFORMAt10N: �
Typo of Projaee: i '
Any aartl�movemont i►wy requlre ;
❑Door(s) �� ❑ Remodel ❑WBte�Damage MCWb revi�w 8 per�nils
Minnehaha Creek Watershed Distiict(MCNID)
�Wl�dow(s) ❑ Repair ; ❑ STom1 q�mafle 18'�02 Mlnnetonke�Blvd
❑Sidl�g ❑ RestOrelfon ❑Other. a eG Deaphaven, MN 55961
� p �� � Phone: 952-471-0590 I
❑ Re'�f ❑ F�fe Dam6lge Fax: 952-471-0882
Overall Pro ect De�crf on: � ��� �� fi �
Estima�ed Conetruclion Valustl n of Pro�ct(excludin land) ;
APPLICANT ACKNOWLEDaEMENT:
• Agrees to provld�all informalion requircd or�eque9ted by the Building Departrr�eRt; �
• Ce�ti�es that the Infortn8tion supplled Is uue end corr@d to the best of hisfier knowledge. The applieant recOgnizep thet It�ey
atb solely reeponslble for submitting a aomplete appllcation being aware that upon failure tr� do so, Ihe etaff t18s no�l6mative
bu1 to r�Je�ft until it Is complete:
� Some or all of ths irtformation that yau ere esked t0 provlde On thia ppplicatlOn is claasl6ed Dy S1ate law as eltho►prlv�bg or
confldent(el Pnvate data is information whlch generally cennpt be given to the publle but cen be g(ven b the subje�i of ths
date. Conf►dential date is Pniormatlon which eenarslly cannot be gnren to either the puhl�c or the BubJect of the dat�. Our
purpace and intended use af th�s infonne►lon is to �nnually update out raco►da and reoer�ia of other governmental egeneies
ulr9d b lew. If ou r�fuse to gu I the Vntormation the a Ifcation me not be Issued.
Appticant's Signature: Date: �
Leat Updeted� 05-042006
Z 'd 06 T 9bG9 T S9 3�I/12J3S 1 I W?!3d Q 9 S NI SE =S T BOOZ 9Z ���0
� _� �� E TIME ✓
CITY OF ORONO CALLED IN / �� �
INSPECTION OTICE � SCHEDULED �
PERMIT NO P�ETE� -
. �
ADDRESS
OWNER CONTR.
TELEPHONE NO. � S�� —
� � ' , l�
� DESCRIPTION � ��Q (/V
� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ P ❑ FOUNDATION/REMOVAL
� WNER/CONTRACTOR T MEET YOU: YES_NO
� COMMENTS:
�
w
a
�
J
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
d . /
W� ❑WORK SATISFACTORY:PROCEED � PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ iNSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� 249-4600
OwnerlContractor on site• '
Inspector. �'"�/ � i � I� S
White Copyllnspector's File Canary Copy/Site Notice