HomeMy WebLinkAbout2016-00482 (windows) CITY OF ORONO * Z 0 1 6 - 0 PJ 4 8 2 *
2750 KELLEY PARKWAY DATE ISSUED: OS/OS/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3229 A CASCO CIR
PIN : 20-117-23-43-0002
LEGAL DESC : REG. LAND SURVEY NO. 1333
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTNITY : O/S BUILDING-UNDEFINED
VALUATION : $ 26,349.00
NOTE: REPLACE(7)WINDOWS AND(1)PATIO DOOR WITHIN EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 456.25
STATE SURCHARGE(VALUATION) 13.17
RENEWAL BY ANDERSON MAIL-IN FEE 2.00
1920 COUNTY RD C. WEST
ROSEVILLE,MN 55113 TOTAL 471.42
(612)502-4777 Payment(s)
Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 47L42
OWNER
CARLSON,DAVID PARUPSKY&
3229 CASCO CIR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifica[ions,applicable City approvals,and Ihe
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 Date Issued B gnature Date
City of Orono
Buiiding Permit App�ication for Ma�ntenance 1 Renavation
(windaws, doors, siding, re�roof, etc.)
M�lling Address: Permit numt�er. �O��� _ .�
Q��'`~� Crysfal Bay, MN 55323-0066 Date rece(ved: .Jr�J���
�' Sfreet Addr'ess' Fieceived by:
,� �' ��-� �
'� • �� � �/ 2750 Keiley Parkway I Pian review fiee:
Z����oq,rv Orono, MN 55358 �/
�_ � Tota1 Fee: � �
Main' 952-2dB-4600 Fax= 952-249-4618 v�w��.ci.��:,no.I;7� i
Thls application form rnust be completed in fuEl and all required inform�tion must be submitted.
Incomp{ete applicatlons wil! be returned. (Please pr�rtt)
GEN�rtAL lNFORMATION: ���� (` �+, S �1 ( I� � � �
.lob Site Address: �''��
Wil{thls be a Parade of Horr�es, Remadelers Shawcas�Home or o#her Dlsplay Hor�te? Yes No
lf yes,a speoial evsn[�ermit is requfred wlth Police Departmsnt artd CPty Counci!approvsl 60 days prlor to tha ev�nt. Sh1�ttJe bus service wld be
required unless applicant demonstrar�s su�cianf on�slte parking is�vallable. Non permlttad events wll!nof 6e ailnwsd.
CONT}2ACTOR J APPLICANT iNFC7i7MAT10N:
Name� �r,�.�s.��.o � �1v�d��s�e� r
State License# ��.1'3t��� Expiration Date: � ('3s
L.ead Certiflcation Number: � '�� �'�a�3 - Expiration Date; �
(inr xrork on homes that were constrrrci�ed Arfar to i978
Phone: f.�S}�- c��At.�_�.��- � � (of€ice) {cell)
Mai}ing Address� �,1p1'�t'� r C� �t� "G„ L�..le� V CitY'�S�.t,S�'►1� zIP� SS
Gonta�t Person: Applicant is: �ontr�ctor / Homeowner (CiYG�e One)
Email and/or Fax: —
PROPEFtTY OWNER INFORMATION:
Narne: (�S
Phone (day): �S�-�� ��'�'
Address: �� Ci�+: ZIP:
Emali and/or�ax y
PROJ�CT INFORIV[ATION: �
Type ofi Project: Any earth mov�ment may require
MCWD revlew 8 permits: i
❑ Daor(s) ❑ Remodal ❑Fire D�mage M��nehah8 Creek Watersheci Dlstrict(MCWD)
❑Re-roof, a�pheit Q Repair �]Sform Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑ Re-roo#,cedar ❑ Restoration ❑Wat�r Damage pnd�e: 952-471-0590
�R�roof,ather(specify) �Siding [�Other:(spectfy) Fasc: 952-471-0682
�� 5 � 1 wVna�.:ninn i,a;�acreek.or
j�Window(s)
Qverall Project Descrlption: Q,,,kSo C� W1�+��� Q�"'`; .
Est{mated Construction Vaivatian of Pr�o;ect(excluding fand) � 4/ .0
APPLICAN7 ACKNOVIiLEDGEMENT:
. Agrees to prov€de all information requfre or requested by ihe�uilding Department;
. Certifies that the information supplled is tru� and correct ta the best of hislher knowledge. The applicant rFacbgni�es that they �
are sofely respdnsible for svbrnitting a complst� �pp[lcation being aware that upon fallure to do so,the staff has na alternative I
bUt to reject it untl�it is compiefe; �
' • Some or all of the infarmetton that you are asked to provide on thls application Is classified by State law as either privats or
canfEdentiai. P�ivate dats is informatian whlch generally csnnot be given tn the public but can be given ta the subject of the
data. Confidential data is information which general(y cannot be giv�n ta elther the public or the subject of the data. Qur
purpose and intende� use of this information is to annually update our records and rr�cords of other governmentaf agencies
re uirsd b Eaw. If ou ra#use to su I ihe Fnforma#ion the a lication ma not be issued. M„
Ao�licant's Sianature: Gy-�--� �ate: ��p u� /�
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(� DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED __�%���i �
PERMIT NO.� '�lc (�%G���� coMP��E�
ADDRESS -��� �� l��Ot.��C: �� Cl�
OWNER TELEPHONE O.__�� ��'��r����
CONTRACTOR ��-����'�-� ��l�
� DESCRIPTION ���� l 1'����Ll� �� 1�1�'� �
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING F�NAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � I
� COMMENTS: c�[. L' � �`��Y`� �J� Z
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� ❑WORKSATISFACTORY:PROCEED J�ROJECT COMPLETE
W ❑CORRECT 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 WlLL REfURN ❑CITATION ISSUED
❑STOP OFDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_
Call for the next inspection 2a,hours in advance. (g52 j 249-46��
OwnerlContractoronsite: �� ►�''
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Inspector.
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