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HomeMy WebLinkAbout2015-00135 - windows , � ` CITY OF ORONO * z 0 1 5 - 0 0 1 3 5 * 2750 KELLEY PARKWAY DATE ISSUED: 02/02/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1837 FAGERNESS POINT RD PIN : 17-117-23-23-0020 LEGAL DESC : MAPLEGATE INLET : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 17,000.00 NOTE: REPLACE(9)WINDOWS IN EXISTING OPENINGS RESIDE WITH NEW SOFFIT AND FASCIA APPLICANT PERMIT FEE SCHEDULE 309.79 STATE SURCHARGE(VALUATION) 8.50 PURPOSE DRIVEN RESTORATION MAIL-IN FEE 2.00 18334 JOPLIN ST.NW ELK RIVER,MN 55330- TOTAL 320.29 (763)633-4737 Payment(s) Minnesota State License#: BUIL-20636655 CREDIT CARD 5790 320.29 OWNER RADEMACHER, PATTI 1837 FAGERNESS PT RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT Thc 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. / � � � „ �` _ , „ . � `�G� �S ' i ��� l�l� ,�: Applicant Permitee Signat D e Issyk By Signature Date 01-30-'15 10;27 F�OM-purpose driven restr +763-633-9751 T-939 P0002/0002 F-111 � r City af (arono Building Permit Application for 11Aaintenance / Replacement / Remodel (i.�. windows, doQrs, siding, re-roof, etc. — NO STRUCTURAL �XPANSION) ,���TO Mailing Addre�s.� P�rmit number: . Q / �{� PO Box 68 Crystal eay, MN 55323-0066 Dabe received: �—���/ Strsel Address: Received by: � � 2750 Kelley Parkway Plan review �: `nl G Orono,MN 55356 qKFst(0�� Tot81�ee: ���• p� ! M�in: 952-249-4800 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplet�applications will be returned. (Please print) GEN�RAL INFORMATION: -7 ;^� Job Site Address: ���( �vc�L'l�1GG'� •�o�r�" � _ Will this be a Parade of Homes, Remo�t' elers Showcase Home or other Oi$play liome? Yes No If y�s,a specla!�vpnt pBrmit is required wdh Police Department and C/ty CounGl approVa/80 days prior to the ewent, Shuftle bus service wll/be �qulr�tl un/oss appliCant d�monstrates su/ficrent o»�Aa parking is ava�labfG. Non-permitted evenis wiN not be allowed. CONTRAC70R/APPLICA T INFORMATIO : Name: ��,L �,�y� ���io�'� State License# � Expiration Date� ?� �'j� �p(�j� Lead Certification Number: �-`�9a Q�.� ExpiraEion Date: ���� •�p�� (for work on homas that wors construct�d prlor to 1978 Phone' (cell) f2- �}����}� (o�c6) ��'�-�;���y 7J 7 Mailirtg Address: ��rj" ;� �j(- (� City:�tl� y'�" ZIP: �"'j'�;3:�Q ContaCf Person: p�y,n �,n Applicant is: Con ractor / Homeowner (c��c�o ons► Emailand/orFax: ��,� ttiw�.(�,��,n o�- �-l03�-�'7�1 PROPERTY OWNER INFORMATION: � _�� Name: ��� c�C �a'�i �.�.►+nc�c�v��' Phone (day): ., ��� (���j- g '� Address 3'j e�,�c�-, „r, City:�Cov�c> ZIP: ������ Email and/or Fax: ` PROJECT INFORMATIQN: Overall ro�ect dsscri tion:� ' ' i fi�7�,"�c�e � �:`�1.d�, 11�ri�i'�j�' Type of Project: Any�arth movement' ay also require � ❑ Door(s) ❑ Ftemodel ❑ Fire Damaga MCWD r@vi�w S,permits: ' Q Re-roof,asphaft ❑ Repair [,�Storm Damag� Minnehaha Creek Wat�rsh�d District(MCWD) 98202 Minnetonka Blvd � Re-roof,cedar ❑ Restoration �Wat�r Damage Deephaven,MN 55391 � A �) � g ❑ ( p �) Phone: 952�71-0590 ❑ Re-roof,other s eci Sidin Other s aci Fax: 952-471-0682 �Windaw(s) www.minnehahacreek.orq Estimated Construction Valu�tion of Project(excluding land) $1'7,OUC>.�0 APPLICANT ACKNOWLEDGEMENT: £� Agr�es to provide all infomiation required or requested by the Building Depsrtmeni; f� Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are svlely 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 oomplefe; �1 Some or all of the informaSion that you are asked to provide on this application is classified by State law as either privat� or confideniial. Private data is information which generally Gannot be giv�n fo tho public but can be given to ths subjecf of the data. Gonfidential data is information which generally cannot be given to either the public or th�subject of the daCa. Our purpose and intended use of this intormation is to annually update our records and records of other governmental agencies required by law. If ou rafusa to su I the infonnatio th fication ma not be issued. AppliCanYs Signature: d�v� � �� bate: � �✓0 1J� .. _ Owner's Signature: Date: Last Updat6d=J�nuay 2015 n i �:C� TIME V �/ CITY OF ORONO CALLED IN INSPECTION N��CE��/�CHEDULED � PERMIT NO. �'�JIJ PLETED ADDRESS < �? � � OWNER LEPHON 07 � � CONTRACTOR � DESCRIPTION ' ` /" (�����-S 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 ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q�INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUI�T-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � � a � (,�f Q/,oOt.�-ZS d ( �tro� ►'col� � J O �' - eKt,S�,ac O�N,c'.�. - `J'.e�t.e Siz¢� ` � ° �li wt e ���!,e - W � Q Z5 wc s !1� .�,� ��•���--� �v � W �1 � A/I�U f/1QQ — � IJo r � C6�►�.0 6�� }��i�.,�� �r,�.l� j - d � O WORKSATISFACTORY:PROCEED �IOJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WOHK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pf{OTOTAKEN INSPECTOR WIIL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-4600 Owne ontractor on site: /L � � o✓ spector. /� White Copyllnspector's File Canary CopylSite Notiee