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