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Home My WebLink About2015-01514 - windows CITY OF ORONO * Z 0 1 5 - 0 1 5 1 4 * � 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015 ` ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3443 CRYSTAL PL PIN : 17-117-23-43-0005 LEGAL DESC : NAVARRE HEIGHTS : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 5,167.00 NOTE: REPLACE(6)WINDOWS APPLICANT PERMIT FEE SCHEDULE 139.36 STATE SURCHARGE(VALUATION) 2.58 THE HOME DEPOT A.H.S. TOTAL 141.94 2690 CUMBERLAND PKWY, STE 300 ATLANTA,GA 30339- Payment(s) (763)542-8826 CHECK 73204 141.94 Minnesota State License#: BUIL-CR268257 OWNER ZIMMERMAN,MATTHEW& LOR[ 3443 CRYSTAL PL 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 separa[e permits. All provisions of laws and ordinances goveming 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[he State Building Code.This permit may be revoked at any time for due cause. � � ) _ ��I�-� , C+ �-�,"�� i�� --J :L i -� i l � !_.; Applicant Permitee Signatu e �� Date Issued By Signature Date DEC/02/2015/WED Ol 0� ..:'�'. Elder Jones Building �.... °' , ��_ °�". :��9 P, 09? . �'� City of Orono �` � �3u'rldi�tg Permit Apprication for Main#enance / Repl��ement / Remodel (i.e. �rri�dav��, door�, �6d�r��, r-e-rc��o�, e��c. — IVQ ST'RUC�'l3R�L ��C��h��t�� y � �a�l f PO Bo�r66� Permit numberb� — �� Crystal Bay, MN 55323-006F� Date received: I�Z" � , Street Address: Recelved by: r � � I 2750 Kelley Parkway Plan review fee� ' �t �' I Orono, MN 55356 '�k s�oF`�. ' Total Fee: �-j Main: 952�249-4600 Fax 952-249-�616 www.ci_orono.mn.us ' � r / This appliC�tion form must be completed in full and all required infor��atian must be submittod. Incomplete appllcatlans wll� be returned. (Please print} �� GENERAL INFORMATION: / Job Site Address' , � �� /' �C� � �/ Q ( �, Will this be � Parade �f Hames, Remodelers howcase Home or other Display Home? ❑ Yes o /f yes,a special event permit is required with Police Department and Cify Council approval 60 days prlor to the event. ShUttla bus service will be required unl�ess applicant demonstrates sufticlenf onslte parking!s airallable. Non-permi�t�+d�+v�nts will nof be allowsd, CQN7RACTOR/APP�ICANT INFURMATI��1: PVame� State License# i THI�At- Home Set'��iee, I�Zc, Expiration Date_ Lead Certification Numl er 2690 Cumberlai�d�kw�, Ste 300 Expiration Date: �'� (for work pn hpmes�hat w Atlallta� GA,34339-3913 Phone: (cQll) Lic#CR?68257�'h. 763/542-8826 '��'� � Mailing Address� Git ' ZIP_ Contact Person: q'f? �yf. (,q y � Applicant is: Gpntracto / Homeowner (Gircle One) �mail and/or Fax: �� t c�� r j b n c s. Cro M _� PROP�l7'TY OWNER II�IFOR�M1ATEON: Narrte: j� Q?! � � �'1 1�'� � !' n'1 4 � Phone(day): Z►i�',3 ,'�0 3 . j Q 7 y. Address: 3;Y 4l '� �,� G� Pl Q C i. City: �G�/ T G 'f�� ZIP: S 5+3 $ I ..`_ Email and/or Fax: PROJEGT INFORMATIQN: Overall projec�descriptian: Type af Project: � Any earth movemenf may also requlre ❑ Door(s) I �] Remodef ❑ Fire Damage MCWD review$ permits: ❑ Re-roof, asphalt �, 0 Repair ❑Storm Dam$ge Minnehaha Creek Wat�rshed Qistrict(MCWD) 18202 Minnetonka BEvd � ❑ Re-roof,cedar � ❑ Restoration ❑Water Damag� I]eephaven, MN 55391 '' ❑Re-roof,other(speciiy� ❑ Siding ❑Other. (specify) Ph one: 952�71-0590 Fax: 952-071-0682 E '�Window(s) � www,minnehahacreek.orq Estlmated Constructipn Valuatlon of Project(excluding land) $ APP�ICANT ACKNdWL�bG�MENT: . Agrees tv provide all informafion required or requested by tl�e Building Department; • Certifies Chat the in rmation supplied is true and correcf to the best of his/her knowledge. The spp(ic�nt recognizes thaf they are solely responsible f�r submitting a comp(ete 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 iinforrn�tion that you are asked to provide on this app€ication is classif[ed by State law as either private or confidential. Privai�d�tt� is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is'iinformation which generally cannot be glven to efther the public or the subject of the data. Our purpose and intended use of this'information is to annually update our records and rer,ords of other governmental �gencies required by law. If i ou refuse to su 1 the in'Form�ti n, th plication ma not be issued. Applicant's Signature: ' � � Date: �!�� l� S Owner's Signature; �i Date: L�st Updated:January 2�15 T ' � ,��ii�� DATE TIME � CITY OF ORONO CALLED IN 7�� INSPECTION N TICE�Ol�.��CHEDULED /1� _1� PERMIT NO. 6 cOMPLETED ADDRESS OWNER EL PHONE NO. �a��-3 �Z'� CONTRACTOR a DESCRIPTION �L�"`�'� ��s/ � ly ❑ 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 ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ D -SITE ❑ SEPTIC INSTALL OWNE ONTRACTOR TO MEET YOU:�,YES_NO � COMMENTS: � a � l��no w s - rQ�/� - S�r.Yte 5 �ac, , � l-..�c wt� S L�y�e - t �%-w �QQ r c �i � 0 � � 0 W , �N'l0� � c_6 r'C�dfJ6h J'1'10 Kp�C.��P �.a ec..��sv � �r�vu��cP - , Q � � l,Jo r� Co ,�c��,�� ' W * � ,,r�.�v �c�� ;�r.c le� � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFlCATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: inspector. /1,-... ite Copyllnspector's Ffle Canary CopylSite Notice