HomeMy WebLinkAbout2014-00524 - windows CITYOFORONO * 2014 - � 0524 *
{ " 2750 KELLEY PARKWAY DATE ISSUED: OS/29/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1932 FAGERNESS POINT RD
PIN : 17-117-23-23-0015
LEGAL DESC : FAGERNESS
: LOT 027 BLOCK 000
PERMIT TYPE : M1NOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 28,205.00
N01'I;: RIiPLnCE?(9) W[N[)OWS. (I) GN"I�RY DOOR,AND(2)PATIO DOORS Wl"I'11IN F,XIS"I�ING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 456.00
STATE SURCHARGE(VALUATION) I 4.]0
RENEWAL BY ANDERSON MAIL-IN FEE 2.00
1920 COUNTY RD C. WEST
ROSEVILLE, MN 551 13 TOTAL 472.10
(612)502-4777 Payment(s)
Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 472.10
OWNER
MARON, BARRY
1932 FAGERNESS PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMEIVT
The work for�vhich 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 pennission for additional or related work which requires separate
permi[s. 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[ime atter 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 Permitec Signalu � Dat Issu l3y Signature Date
, � City of Orano
Building Permit A,pplication for Maintenan�e I Renovatiorr
(windows, doors, siding, re-roof, etc.}
Mafling Address: p��m�t number p70/ �—�D��
�,�Q�Q Po aox ss �': a _
Crystat Bay,MN 55323-0066 Date received:
Recelved by'
� ,r Street Add�ss:
� ' � 2750 KeEley Parkway Plan revi�w fiee:
L��;sao�G Orono,MN 55356 , /'� . /�
7ota1 Fee: �f
Main: 9�2-249-d600 Fax: 952-249-4616 ci.aro mn.us
This applfcation form must be completed In fuli and alf required Info�rnation rnust be submitted.
Incomplete appllcafsons wi11 be returned. (Pteas�print)
GEN�RAL fNFC?RMATION: 4G} � �� .�o t 1'1eSs �Q►I(t� ►�C.�� • .r
Job Site Address: j �
Wilf this be a Ps�ade of Homes, Remodelers Showcase Horr��or other Display Home? Yes Na
1!yes,a Specia!event pemtft�s requir�d wrth Po11Ce Departmenf and City Council approva160 ddys Pnor to the event. ShUttle bus seN1G9 wBf b9
rigquiried unless applFCant demCnstrates sUfflcient Onsife parking is aVallable. lVon permltted events w�Jl not be alJowed.
CONTRACT�R/APPLICANT INF�RMATION:
Name: �t.�f�b.� �l �`�t'(S�`N
State License# $G\�09 3 Expiration DatE: �j 3(
Lead Certl6cation Number� �j �[� � �$� � �xp9ratEon Date: �
(far work on homes fhat w�ere consb~rrcted�ricr fo�978 (cell)
Phone: �DS�� c�r ��(�O�� ,ti (offiCe)
Mailing Address: � ••�,•• UJeSk C'{Y��Dscv; � ZlP: 'SS I +3
Contact Persort' Agplic�ant is: rrtr� r / Horneowner (Ct�c�a ano�
Email arid/or F�X:
PROP�I2TY OWNER IN�ORM11�1.TION:
Name: 1��h ��� d '
Phone (day): �01� �- � �1
Address: City: �IP:
�maii andlor Fax
PROJECT INFORMATION: ulre
Type of Project: Any earth mov8ment may�q
MCWD review d�perrnits:
� Ddor(s) ❑ Remadel ❑Fire Damage Minnehaha Creek Watershed District(MCWD)
1$202 Minnetonka Blvd
0 Re-roof,asphalt 0 Repair ❑St�rm Damage Deephaven,MN 55391
❑ Re-roof,cedar ❑ ResiOrat�on ❑Water Damag� p�pne: 952�71-0590
Fax: 9b2-471-0682
❑Re-roofi,other(spoctiy) ❑Sid�ng �Other. (specify) minn hahacreg .ar�
[��IVindow(s)
Qveratl Pro'ect Pescrlption: lLti S i n� oc�r � a pc�#; o a �'
Estlmated Canstruction Vaivatlon of Project(excluding land) � � 0 5• D b � ,
��
A�PLiCANT ACKNQWLEDG�MENT: �
� . Agrees to provide a41 in{nrmativn required or requested by the 6uilding DeparU'nent;
. Cer�lfies that ih� information supplled is trcie and �orract to the best of his/her icnowledge. The appGcanE recognlzes th8t they
arA Solefy rAsponsible for submltfing a Gomplete applicatifln being aware that upon failure to do So, the Staff has no altem�4�ve
but to reject it unti!it is complete;
. Some or alt of tha information that you are asked to provide on this appllcation ls class�led by State law as efther pnl�ate or
confldential. Priwate data is informati�n wh�ch generally cannot be givsn to the publlc but c�n be gtven to the subJect of the
data. Confidential data is information which generally qnnot bA glven t0 either the publiC or the subject of the data. Our
purpose and intended use of this Information �s to annualty update our reCords and records of other goverrtmentai agencles
re uired b law. 1 u retuse to su ! the infiormation,the a licatfon ma not be lssued_ /
AoolicanYs Sianature: �� Date: � �)I� /
� - � �'��� ,i
7 pqTE/ TIME
CITY OF ORONO CALLED IN 'e�"�
INSPECTION N ��/�� SCHEDULED ']�' .
PERMIT NO. �� COMPLETED
ADDRESS p
OWNER TELEP N NOf���
CONTRACTOR
� DESCRIPTION "G,L/i�'LGC.�' �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERlFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
=/I�FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
��0 DEMO-SITE � SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERfCONTRACTOR TO MEET YOU:_YES_NO
c�., COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE C01/ERINCa PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
II for the next inspection 24 hours in advance. (952) 249-460�
Owne ontractor on site: Ill���� ��''d'�
nspector. �-
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