HomeMy WebLinkAbout2014-01262 - windows . � CITY OF ORONO * z 0 1 4 - 0 1 2 6 2 *
2750 KFLLEY PARKWAY DATE ISSUED: l0/28/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1950 CONCORDIA ST
PIN : 18-117-23-14-0016
LEGAL DESC : FAGERNESS
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RFSIDENTIAL � / �/„ Q� �
C��,s . ""�'�, "�
CONSTRUCTION TYPE : W[NDOWS � �/
VALUATION : $ 17,000.00
NO"I'f?: "IHIS PERMIT INCLiJDES WINDOW REPI,ACCMF,NT AND STUCCO REPAIit
APPLICANT PERMIT FEG SCHEDULE 295.00
STATE SURCHARGE(VALUATION) 8.50
TREASURED SPACES INC. TOTAL 303.50
822 ARIZONA ST NW
LONSDALE, MN 55046- Payment(s)
Minnesota State License#: BUIL-BC591556 CREDIT CARD 2683 303.50
OWNER
PETERS, WILLIAM & KAREN
1950 CONCOKDIA ST
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
i�he 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 thc work described and does
not grant permission tbr additional or related work which requires separate
permits. All provisions of laws and ordinances governing[his type of work
shall be compied�aith whether or not specified herein.This permit will
expire and bccb�e.null and void if construction autl�orized is not
commenced witfii•n 18�0�days of the date of issuance,or if construction is
suspended for a pei'ipd�C 1S0 days at any time after work has commenced.
Thc aQplicant is respoos�ble for assuring all requircd inspections are
requcsted in confornrdr�.i���vith the State Building Code.This pcnnit may be
revoked at any ti�ne for due�cause.
i
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A�pli�nt ennitee Signa�ure�� ` Date (ssued f �Signature Date
, _ City of Orono
Building Permit Appiication for Maintenance / Replacement / Renovation
(No structural expansion. Onfy windows, doors, siding, re-roof, etc.)
�O� Mailrng Address: Permit number: ��
O PO Box 66
Crystal Bay, MN 55323-0066 Date received: �D ��
5treet Address: Received by:
y ` 2750 Kelley Parkway Plan review fee:
F L Orono, MN 55356
�"�kESNo�`�"
Total Fee� ���.��
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be compfeted in full and all required information must be submitted.
Incompfete appfications will be returned. (Please print)
GENERAL INFORMATION: � �
Job Site Address: (�J� [��-�i,�f.0�.� ��f �'i�['�(/�f7
Will this be a Parade of Homes, Remodelers Showcase Hom� or other isp ay Home? ❑ Yes �'No
If yes, a special event permit is required with Pofice Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wilf not be allowed.
CONTRACTOR 1 APPLICANT INFORMA„TION:
hame: ��v.>�'',��C� � t'X'.cr -F`-.� �i�l'.
State License# (�G b�,�� .:Z� Expiration Date: �2� � a�(�
Lead Certification Number: ►��,�k--.���;�,, _ � Expiration Date:
(for work on homes that were constructed prior to ?978
Phone: (cell) ',.j _ _ S (office)
Maifing Address: S,� � ;z � � r City: L.��� ( .; ZIP: �- ��
Contact Person: j � G �� Applicant is: onfra� T_� Homeowner (Circfe One)
-
� C2-�-1'�1' '2� ----.____.____.---
Email and/or Fax: �-� > e�- ' '( . :
PROPERTY OWNER INFORMATION:
Name: �Y,� I'P-f�P(�.��-
Phone (day): 101aZ - 7�C� •-.7��a
Address: C �, � ���H�mYr;�°n �;-�- City: �jr�� ZIP:
Email and/or Fax:
PROJECT INFORMATION: Overall project description:
i ype of Pro�ect: 'I Any earth movement may als6 require
❑ Door(s) �emodel ❑ 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(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
[�'�Nindow(s) :>�ULi_t') www.minnehahacreek.orq
cstimated Construction Valuation of Project (excluding land) $
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
solefy responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to
reject it until it is complete;
• Some or all of the information that you are asked to provide on this applicafion is classified by State taw 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 n to either the public or the subject of the data. Our purpose and
intended use of this inform tion is to annually upda our re ds and records of other governmental agencies required by faw. If
ou refuse to su I the i,"form�tion, e lic ' '� no� e issued.
Appficant's Signature: G �� Date: ��_- ��� �- jL�
Owner's Signature: _ Date:
�ast Uodatec 03/06/201�
/� �( �� DATE TIME''
L� CITY OF ORONO CALLED IN
INSPECTION ypTIC�� D /�// �SCHEDULED _����/ / : �D
PERMIT NO. LO l�L "'`� COMPLETED
ADDRESS � 1 J� �u n CDI�C� �_Q_ �+ �
OWNER TELEPHONE NO.�L�--?O�-Z-7g'Z
CONTRACTOR � � �eO��-r� ���,
� DESCRIPTION �� �7 a-� ��� `� �� eC�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ F ING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑�TIC INSTALL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU: YES_NO
c�.� COMMENTS: -
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W WORK SFACTORY:PROCEED �PROJECT COMPLEfE
� ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP OfiDEN POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContractor on site:
Inspector.
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