HomeMy WebLinkAbout2014-00852 - windows �. CITY OF ORONO * 2 0 1 4 - 0 0 8 5 2 *
r ' 2750 KELL�Y PARKWAY DATE ISSUED: 08/07/2014
ORONO, MN 553_56-
(952) 249-4600 FAX: (952) 249-4616
i
ADDRESS : 1932 FAGERNESS POINT RD
� PIN : 17-117-23-23-0015
LEGAL DESC : FAGERNESS
: LOT 027 BLOCK 000
PERMIT TYPE : MINOR ALTEKATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 13,349.00
NO�CF.: Rt�:PI,ACE 6 WINDOWS nND 1 F;NTRY DOOR WITHIN I�X[STING OY►;NINGS
APPLICANT PERMIT FEE SCHEDULE 250.75
STATE SURCHARGE(VALUATION) 6.67
RENEWAL BY ANDERSON MAIL-IN FEE 2.00
1920 COUNTY RD C. WEST TOTAL 259.42
ROSEVILLE, MN 551 13
(612)502-4777 Payment(s)
Minnesota State License#: BUIL-BC 130983 CREDIT CARD 8788 259.42
OWNER
MARON, BARRY
1932 FAGERNESS P"r RD
WAYZATA, MN 55391-
AGRF,EMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed aceording to
the approved plans and specitications,applicable City approvals,and the
State Building Code. This perniit 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 ordinanccs governing this type of work
shall be compied with whether or not specificd herein.�fhis permit will
expire and become null and void if construction authorized is not
commenccd within I 80 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time a£Yer 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.
/ /
Applicant Permitee Signature Date lssued I3y Signature Datc
��� Ci�ty of Orono
E�uilding Permit App�ication for Mai�ntenance / Renovation
(windows, dOOrs, siding, re-roof, etc,)
Mailing Addr�ss: F'ermit number'
Q.�,O,�� PO Box BB
�
Crysta!Bay, MN 55323-0066 Dat�rQceived:
� ��' � Street Address: Received by: __ _ _ _
27501Celiey Parkway I'lan review fes'
� o�,� Qrono, MN 55356
Totat�ee:
Meln: 952-249-t►600 Fax: 952-249-�816 y�,v�,.ci.arano.rrzn_us
7his applicafion farm must be completed in fut! and aA required information must be submitted.
Incomplete applications wlll be returned. (Pleas9 prinf)
Job Sit�e Add eOSMATION: � 1��, � `��,���� �O 1 ��"` �O _ _I
c�.�,�
Wit1 this be a Parade of Homes, Remodelers Sho case Homa or ather Di�play Home? Yes No
K yea,a specia!event permlt!s roqulred wlth Po!!ce Dapartment and Gity Councll epprova!BO days prior to the event. Shuttle bus servlce w!!I be
ropull'gd unless aFRlrcant demonstrates suff'rcienY On-sKe parking is availatrfe. Non-permiKed 9venfs w111 npt be allowed.
CONTRAC�'Of�/APPLICANT INFORMATION:
Name: �+C�.u��a.\ ���-tr�er� _
State License# "�j�1�0`�g'3 Expiration Date: ��'3�
LeBd Certification Number: (`,j�'�,� ��a$� -� Expiration Date: L(�15___ _
(fi�r worlr on hqmes thaf rvene constructed prior to 99r8 ��I
Phone: �CS 1� o�(0�{-��0�` �Ar� (office) ( )
MailingAddress: 1Q'dD C . � `•G" WES�- C�tY�� ; f. Z1P: SSI 3
Contact pe�son: Applicant is: orrtra / Homeowner �ci�cfe 4ne�
Ernail and/or Fax: �
PR4PERTY OWNER tNFORMATION:
Name: 1�G��0� rn0.C O •
Phone (day): � _ )..Q s f
Address: '� �,. City: Z!F':
Email and/or Fax
PROJECT 1NFQRMATION:
'iype af Project: My earth movement may requlre
�'Door(s) ❑Remodel ❑Fire Damage MCWD revEew&permfts:
Minnehaha Creek Watershed Distri�t(MCWD)
❑ R�roof,asph8lt ❑ Repalr ❑Storm Damage 1$202 Minnetonka Blvd
[] Re-roof,cedar ❑ Restor�ti0n ❑Wafer Damage De�ph�ven, MN 55391
Phane_ 952-471-Q590
Q Ft�roof,oth$r(speelry) []SEdtng Q Other:(spscif}r) Fax: 952�71-0882
� �'Wndow(s} www.minnehahacr�ek.or�
Over'all Pro eot Description: q � c.,�S� Y� G`C �✓\
�stimated Constructfon Valuation of Projecf(excludin land $ �� 3'� ;
���r��
APPLICANT AGKNpW�,EDGEMENT: `�1
• Agreas to provlde aE!information raquired or requested by the Building Department;
• Gertifies tttat the information supplied is true and correct to the best of hisJher knowiedge_ The appiEcant recognizes that thsy
af9 SQI2iy CeSpOnSible for submitting a compiete application being aware that upan f8ilure to do so, the staff has no altemative
but to rejsct�t until i�is complele;
• Some or ail pf th� information that you are asked to pmvide an this �pp(icat�on is classi�ed by State law as e�her prlvate or
corafidential. 1'rlYate d8t8 is Inipmlation whlch generally cannot be given to the public but can be g�ven to the subJect of the
data. Confidential data is information whlch generally cannot b� given ta elther the pubfic or the subjeCt of t1°ie data. Our
purpose and infended use of th{s Informatlon is to annually update our r�Cprds and records ofi other govemmental agencles
re uired b law. !f u refuse to su 1 the informatlon the a lication ma nof be isaued.
ADoEicant's Sianature: Date: �Q �U ! y
�
� J/� V
�r�I��� DATE TIME
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED �"�
PERMIT NO. cOMPLEfED
ADDRESS � �d� �
OWNER TEL PHONE NO. "
CONTRACTOR
� DESCRIPTION � •
�
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� �CFINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
"� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
� � (���..�JS al..�`� °1����L_
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� ❑WORK SATISFACTORY:PROCEED �P�CT COMPLEfE
!�
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
O CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN
�NSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. i ''—' �
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