HomeMy WebLinkAbout2013-00498 - windows CITY OF ORONO * 2 PJ 1 3 - 0 0 4 9 8 *
2750 KELLEY PARKWAY DATE ISSUED: 06/17/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 980 FERNDALE RD W
PIN : 02-117-23-44-0019
LEGAL DESC : COUNTRY CLUB ESTATES
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 17,237.00
NOTE: WINDOW REPLACf;M1�,N"I�
APPLICANT PERMIT FEE SCHEDULE 309.75
APEX ENERGY SOLUTIONS STATE SURCHARGE(VALUATION) 8.62
8400 NORMANDALE LAKE BLVD#920
BLOOMINGTON, MN 55431- MAIL-IN FEE 2.00
(651)688-2739 TOTAL 32037
PAID WITH CC# 5542
OWIVER
SAFAR, JACK& PAMELA
980 FERNDALE RD W
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perYormcd according to
[he 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 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 li�r due cause.
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Applicant Permitee Signature Dalc Issue Si nature Date
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SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
To: Page 2 of 3 20'13-06-'13"16:4�J'S6 (GMT) From_ Apex Encr�y Solutions
City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
�/��A k� Marlrng Address Permit number; � �- (�"D (�
1 V PO Box 68
� Crystal Bay, MN 55323-0066 Date received: -� 3��
� � Sfreet Address: Received py:
�, -� ,,. f
Y `�f 2750 Kelley Parkway Plan review fee:
� ��q�� µ�,� Orono,MN 55356
s t�i� Total Fe� �`��� ��
Main: 952-249-4606 Fax: 952-249-4616 v_w�nn�.cLoro�c,.mn��Js " �
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This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATION: ...
Job Site Address: ��'� �� 1�-�1�"h GjG� �'�
Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home2 ❑Yes No
!f yes,a specia!event pe�mrt is required with Po'ice DepaRment and City Counci!approval 60 days prror to the event. Shuttle bus service will be
required unless applrcanf demonstrale5 su�cienf on�site parking is available. Non-permitted ever�ts wi!!not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �1-�.cK �V���+;,{ .SLf(,t.��G'n-S
State License# ��,��:i�(� �� �k�V��-� Expiration Date: ---
�ead Certification Number:—�-��}'T - 3j 3�t 3.--� F�cpira#ion Date: yr�,�.� Zp( .r,.
(for work on homes that were constructed prior to 1978 T-��
Phone: (ceH) j�.S��l -5��-��-�'/3 i �� (office)
Mailin Address: S�I'OC� � �a�—��-Fj%U ,:Su.i Ci -... _
9 Nrrrv��w<< �l �. �1.2.L� �Y� ..Biavm�w�r'�,� z�a S�f31
Contact Person: C;,Lv`f� Cc l/�t r' � Applicant is: Contractor ! Homeowner (CircleOne)
Emaii andlor Fax: �p��,(j��-r�y �y��,��� ,��,�
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PROPERTY OWNER INFORMATlON:
Name: ��i'r1 ,Sei --�R�'
Phone{day): �'� -���- , '+��
Address: ��'(� 'V� 't-��_rtiGQ� � __._..._ CitY: (�'.��L`6'�0 ZIP: �JJ`���I
Email andlor Fax:
PROJECT INFORMATION: Overall pro�ect descri tion:
Type of Project: Any earth movement may also require
❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permits:
❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD)
18202 Minnetonka Blvd
❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven, MN 55391
Fte-roof,other s cI Phone: 952-471-0590
❑ ( pe fy) ❑Siding ❑Other:(specify)
Fvc: 952-471-0682
[�Window(s) dwo�n�minn�hahacrF��k Ofq
Estimated Construc#ion Valuation of Project(excluding land) $ /�� � � . ��
QPPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the information supplied is true and correct to the best of F�is/her knowledge The applicant recognizes that ihey are
solely 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 complete;
• Some or a11 of the information that you are asked to provide on this application is dassified by State law as either private or
confidentiaL Private data is information which generaliy cannot be given to the public but can be given to the subject of the data.
Confidantial data is information which g�nerally cannot 6e given to either the public or the subject of the data. Our purpose and
intended use of this information is to annually update our records and records of other govemmental agencies required by law. (f
_�ou refuse to su I the information,the a lication ma not be issued.
Applicant's Signature: Date: 4= /'�' �,.�
Owner's Signature: Date:
Last Updated:03/06I2013
To: Paga 'I ot 3 20'13-OC�-'13 '16_4�J:SG(GMT) From: Apex Ener-yy Solutions
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Facsimile
Building tnspection/Permits City
To: of Orono
Fax: 952-249-4616 Pages: 3 Pages Including Cover Page
Phone: Date: June 13, 2013
Re: Suilding Permit Application
� Urgent C For Review � Please Comment n Please Reply � Please Recycle
Attached is abuilding perniit�application for window rep�acements at the Safar residence at
98�W F'erndale Road.
Please either call �r email me with the e�ct amount af the permit. I wili ihen provide you with
credit card rnformation or mail you a check.
Also,are we required tu stop by to retrieve the a�plication,or are you able to mail it to our
company address?
Thank you,
Christopher M.Collar
Ch;istc�l�e,•_coliar��?�mail.eocn
612-710-1534
$400 Normaudale I.ake 13tvd.,Suite 9`LO
BloomioRton,MN S,`'i437
Phonc: l-fi,51-688-APEX(2739)
Fa�c: 1-6.5 l n305-8151
�J -5 ���--- �
DATE TIME
CITY OF ORONO f��Q CALLED IN
INSPECTION NO � _D�/7 S HEDULED
�=��r�� / MPLETED
PERMIT NO. � �
ADDRESS ��� �
OWNER TEL HONE O.
CONTRACTOR � -
� DESCRIPTION
�
t� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURE WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS
y
O ❑ FRA G ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ I ULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER flEMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTAACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in advance. (952) 9-46��
OwnerfContractor on site: ,
Inspector. '
White Copyllnspector's File Canary CopylSite Notiee
�O�� u V
! � DATE TIME
CITY OF ORONO � A/�� CALLED IN
INSPECTION NOTICE ���i�4� SCHEDULED �
PERMIT NO.�Q� C PLETED
ADDRESS
OWNER TELEPHONE NO.
CONTRACTOR
� DESCRIPTION
� W����
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ IN LATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_N
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTiON TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECT UNSAFE CONDiT10N WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 9-4600
OwnerlContractor on site:
inspector.
White Copyllnspector's Ffle Canary Copy/Site Notice