HomeMy WebLinkAbout2016-01276 (Windows) CITY OF ORONO * Z 0 1 6 - 0 1 2 7 6 *
2750 KELLEY PARKWAY DATE ISSUED: 10/10/2016
' ORONO, MN 55356-
` (952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1271 ARBOR ST
PIN : 10-117-23-31-0033
LEGAL DESC : CRYSTAL BAY M[NNETONKA
: LOT 000 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 16,919.00
NOTE: REPLACE 12 W[NDOWS IN EXIST(NG OPENINGS
APPLICANT PERMIT FEE SCHEDULE 309.75
STATE SURCHARGE(VALUATION) 8.46
RENEWAL BY ANDERSON MAIL-IN FEE 2.00
1920 COUNTY RD C. WEST
ROSEVILLE,MN 55113 TOTAL 320.21
(612)502-4777 Payment(s)
Minnesota State License#: BUIL-BC 130983 CREDIT CARD 8788 320.21
OWNER
RICHARDSON, STEVEN& SARAH
1271 ARBOR ST
WAYZATA, MN 55391-
AGREEMENT AND SWORIY STATEMENT
The work for which this permit is issued shall be performed according ro
the approved plans and specifications,applicable City approvals,and Ihe
State Building Code. This permit is for only the work described and docs
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 afier 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. � �ji �
�' �' �' � ' ��f.� � �X� A--�'� ,�_—�'�_��_��: � � � � � ���
� �.� ( � C� � � fi--� � / 4C
Applicant Permitee Signature � Date [ssued By Signature Date
C�ty af �rano
� Building Permit Applic�tion for Maintenance 1 Renovation
' (windows, doors, siding, re�roof, etc.)
Malling Addr�ss: Permit number: �,/', '1:, ��.�-�' �
. �.�,C�,�.� PO Sox 66 y
Crystal B�y, MN 55323-0066 Date received: �
Sfreet Address. Received by. ��' u
275Q Keiley Perkway Plan rev{ew fee: �
Orono, MN 55356 —�
��o�' I
Total Fee: � �; �;� ,�1
Main: 952-249-4600 F�: 9�v2-249-d616 wtn�w.ci.orona.mn_us - � �
This applicat€on form must be corrzpleted in full and a(1 required infarmatian must be submitted.
Incomplete appllcatlorts will be returned. (Please print)
GElVE12AL I(�FaRMATION: ��� , � t �Q� �����
Job Site Address:
Will this be a Parad�vf Homes, RemQdelers Showcase Home or other Display Home? [�Yes [] No
!f yas,s specla!evenY perm#Is requlr�d wtth Police Depanment and GrYy Cpuncll approva!60 days prior to the evenf. Shuttle bUs s�t'IhCe W(11 be
r�quired unle8s appJJCa»t demon5traies su(flcieni on�sife paricirrg is avarlab(e. Plon pennitted ev�nts wlll not 6s allowa�l.
CONTRACTOR/APPLlCANT{N�ORMATION:
Name: �'�-E.r�f.x,..'�a.1 �l 'AY�c��.'�Se� - -
State Llcense# '�$C\30�f$3 Expiration Date: '?j���
Lead Certiilcatlon Number� �j��� o`I��-c�`�� +.l, --- --- ExPiration Date: ��15 - ---
(far work on homes Hrat rvere constructed prinr to i978
Phone: (e�l— r�i ��O$�- �sc r. (office) (cell)
Maifing i4ddress: tq� C . � '�C,�, ���- City: � �, 21P: S�� 3
Contact Per'sor►: Appllcant Is o tractor / Hpmeowner �ci�ie ona�
Email andlor Fax:
PROPERTI(OWNER IN�ORMATION:
Name: {j-�'�,V..�� '`�ti ;[},�r�SDYI
Phone(daY)' RS � - � 3
Address: (S; � , � City: ZIP:
Email and/or Fax
PROJECT lNF�RMA'TION:
Type of Project: My�arth mev�ma+nt may require
❑Door(s) ❑ Remnde! �j Fire Damage MCWD revfew&parmlfs;
Minnehahs Creek Watershed Dlstri�t(MCWD)
❑Re-roof, asphelt ❑ R�pair ❑Storm Damaga 18202 Minnatonka Blvd
❑ Re-roof,cedar �Restnratlan []Water Damage �e�Ph2ven,MN 55391
Phone: 852�71-0590
[]R�roof,o#her(apoclfy) ❑Siding �OkhQr_(spec4fy) Fax: 552�71-0682
�Window(s) �„��CQ. �a {�n W� w'�'�v.m:��habaG.reek.o[�
�verall Project Descri�Elon: G�v -e��S��Q 4���'r� •
, ---.._...__. __.
Estimated Construction Valuatian of Project(excluding Eandj $ J q. DO
AF'F'LICANT ACKNdWLEDGEM�NT:
. i�grees to provide ali iniormatian requfred or requested by the�uilding Department; j
- + Certlfles that the informati�n supplied [s true snd correct to the best of hislher knowiedge. Tha appiicanf recognizes that they
are aolely responsible for submitting a campiete applfcatlan being awarsa that upon faiiure to do so, the s#aff has na altemative
but to reject it until it is compEete;
• Some or all of the information that you are ssked to provide on this appiicatian is classified by State Iaw�s e�ther private or
Cfln�dentl�i. Private data is ini�a�rr►ation whiCh gG>nerally cannat be given to the p�blic but can be given #o the suhject of the
data. Confldentlal data is infvrmatian which generally cannot be given to either the public ar the subject a� the data. Our
purpose and intended use of this inf�orm�tion is to annually update our records and r�cards of other govemmen�tal agencies
re u#red tr law. If ou r�fuse ta su i the irrformatlon the a llcatlon ma not be issued.
AoDliCant's Sianature:� � �'� Date: ���/�
/0 ��,,�'
;
���j DATE TIME �,
CITY OF OR NO CALLED IN '
INSPECTION O ICE SCHEDULED ��` �"
PERMIT NO.s � � ' COMPLETED
ADDRESS I Z,�]l �-�f" ��c '� 1�:�-
OWNER TELEPHONE NO. ��'� `�'Z��� y C���
CONfTRACTOR . /`�- � �'�-�--�-t--c.-! �3v ,�
' —�--�,
'' DESCRIPTION �l i I Gl � ���:� !f'lc��'Zv �, �
t�N ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLINO
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_ ❑ DEMO-SITE ❑;�EPTIC INSTALL
�1
2 OWNENCONTRACTOR TO MEET YiOU:X YES_NO
y COMMEN'T'S:
� � _ ;
� � �(J� �t7c1cJ �KSrr�S ln�� C��s��K'�
j -
O
).
� `
O - %r�l tc.I1 %�lSuLd�'�K� u✓C� [r.�c..� G���l kk'U c.�,S' t
W ,
QSC��/r�r� �x�.f�'✓�c,.��s -_
� �e 5 t �s,� �
a •
� �� r��G � � �c?r �-� �s�r�/��.0
o�
j
� ❑WORKSATISFACTORY:PROCEED ,�`�'PRWECTCOMPLETE
�
CORRECT W'ORK 8 PROCEED �❑ISSUE CERTIFICATE OF OCCUPVINCY
0 ❑OORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERINa PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHpTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN for the next inspection 24 hours in advanoe. (952) 249-4800
OwnedContractor on site:
Inspector: �
c/
Whits CopYAnspeetor's Fils C�nary CopYlSib Hotics