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HomeMy WebLinkAbout2016-00864 - windows CITY OF ORONO * Z 0 1 6 - 0 0 8 6 4 * 2750 KELLEY PARKWAY DATE ISSUED: 07/22/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3405 CRYSTAL BAY RD PIN : 17-117-23-44-0022 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 17,235.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 325.24 STATE SURCHARGE(VALUATION) 8.62 SCHERER BROS LUMBER MAIL-IN FEE 2.00 10751 EXCELSIOR BLVD HOPKINS,MN 55343 TOTAL 335.86 (952)277-1600 Payment(s) Minnesota State License#: BUIL-BC239369 CREDIT CARD 3281 335.86 OWNER SWEET,CATHERINE 3405 CRYSTAL BAY RD 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 separate 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 the State Building Code.This permit may be revoked at any time for due cause. '' .�! �z� � �.Z�7 �� Applican rmitee Signature Date Issued By gnature Date , �,�1, 22, 20'�� 6 9; '�RN1 No, 2840 P, 1 ca� �� � � � � ,ty of rono _ _ ._Buil�ing P�r.mit.Application for Maintenance/ Replac�ment I Remodel Re,s��ie'ntial ON�,1( (i.�. windvws, doors, siding, r�-roof, et�. —NO STRUCTURAL �XPANSION) n Mailing Addr�ss: permit numb�r; c�� ���� CO sai Ba ,MN 55323-0066 Ra.e�eGe�Y.. , �:. d ::: � ` rY Y t': e � � StreatAddiass: Received byi �, ti� �� 2750 Ketley Parkway Pl�n fev��w fee^ Orono,MN 55356 �'Kes t�a�'` � �'ot21 Fee � ��` Nlain' �J52-249-4600 Fax' 952-249•4616 www.ci.orono.mn,us ,,.. �. .. This a lication Fdrm must b@ completed in full and all required informatian must be s' .. . ...... .. ..... .. pp ubmitted. Incomplete a plications will be returned, (Please print) GEN�RAL INFORMATION: � Job Site Address: Will this be a Parade of Homes,Remodelers Sho case Home or ather Di lay Home? Yes No 1P yes,a special event pem�rt is required wrth Polrce Department and Clty Counc!!approval 6p days prror to the evenf, Shuftle bus rvica wpl be required unless applicanf demonstrates sufflclenf onsNe parking Is avallable. Non-permitted evenfs wi!!not be a!(owed. CON7RACTOR 1 A�ICANT' tYFORMATION; ' Name� State License# Expiration Date: w Lead Certification Number: � Expiration D�te: (for work on homes that were cons ructed ior#0 197 J Phone; (cell �� � �p� (off1Ce Mailing Address, f' . � � Ci ZIP� � Contact Person; A II ant is: ntr ct r / Homeowner �circie one� Email and/or Fax; J PROPERTY OWNE INFORMATION: �� Name: Phone(day); � nI / /� /��_� � Address: Clty' �Un� ZIP: � �/ � � Email and/or Fax� ��J PROJECT INFORMATION: Overal� ro�ect descri tion� Type of Project: Any earth movement may afso require ❑ Door(s} ❑Remodel ❑Fire Damage MCWD review 8,permits: ❑Re-roof,asphalt ❑Repair []Storm Damage Minnehaha Creek Watershed Disfrict(MCWD) 15320 Minnetonka Blvd ❑Re-roof,cedar 0 Restoration ❑Water Damage Minnetonka,MN 55345 Re-roof,other a eci Phone: 952-471-0590 0 ( P fyy ❑SidinB �Other:(specify} Fax: 952-471�0682 indow(s) www.mfnnehahacreek.ara Estimatecl Construction aluatlon of Project(excluding land) $ � APPLICANT ACKNOWLEDG�MENT: • Agrees to provitle alf information requlred or requested by the euilding Department; . Certifies that fhe information supplied is true and correct to the best of hislher knowledge. 7he appiicant recognizes ihat they are Solely responslble For submitting a compl�fe appfication being aware that upon failure to do so, the staff has no alternative but to rejecl it until it is camplete; • Some or all of the information tha� you are asked to provide on this appiication is classified by State law as either private or confidential. Private data is information whiGh generally Cannot be given to the publlc but can be given to the subject of the clata. Gonfdential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and fntended use of[his information is to annually update our�eCords ancl reCo�ds of other c�overnmental agencies required by law. If ou refuse to su ! the i rmation he a lication ma not be issued, Applicant's Sic�nature: �l. Date: ' / Owner's Siynature: Date: Last Updatad:January 201E ; i i � � ! � J DATE TIME \ / CITY OF ORONO CALLED IN 9—/2 �� �� INSPECTION NOTICE /�J r�HEDULED �— —� PERMIT NO. —`'� �`�/ OMPLETED ADDRESS -3 O S � OWNER �� E HONE NO.1-5 �'-��� ��� CONTRACTOR � ��� ������� � DESCRIPTION �� ���� — l � `��"�-` ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO �O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ���FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP � 4Q1 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O'WNEAICOI�fTRACTOR TO MEET YW:_YES_NO � COMMENTS: _ � �✓r lJ�Ooc� r�0�• - S�rrt e 5�z e , S�cNl�c p �S�L��c. /� ClX/�fiKS d.���• � ). � ° L,ap r C ��,�"���- W CC Q h W � -- �' � �GL/rX�i '7'�/IIt�C� J � O W04iK SATISFACTORY:PROCEED �` N ECT COMPLEfE W ❑CORRECT WORK S PROCEED ❑ISSUE CERTIFICATE OF OCCUP14NCY � O CORRECT WORK�LL FOR REINSPECTION TEMPORARY V BEFORE CONERINQ PERMANENT ❑OORRECT UNSAFE CONDITION WITHIN HOURS. p p�{OTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Csfl for the next inspectlon 24 hours in advance. (952) 249-4600 o�rc«�v��a►$he:�I/a�/� �nspector. J �"- Ife CopYAnspeetor's Flls C�nary CopylSlfs Notie�