HomeMy WebLinkAbout2014-00519 - windows , CITY OF ORONO * 2 0 1 4 — 0 0 5 1 9 *
2750 KELLEY PARKWAY DATE ISSUED: OS/28/2014
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADD.�iESS : 2580 FOX ST
PIN : 04-117-23-41-0009
LEGAL DESC : BEAU MARAIS 2ND ADDN
: LOT 001 BLOCK 001
1'ERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
,�/�l� GC-�c.�� � �.
VALUATION : $ 7,000.00
NO"I�E: REPLACE(8)SKYI,[GHTS
APPLICANT PERMIT FEE SCHEDULE 147.50
STATE SURCHARGE(VALUATION) 3.50
SELA ROOFING& REMODEL[NG, INC. TOTAL 151.00
4100 EXCESIOR BLVD Payment(s)
ST. LOUIS PARK, MN 55416-
(952)915-7227 CHECK 343101 151.00
Minnesota State License#: BUIL-QC1050
OWNER
MARKS, JAMIN & MARIA
2580 FOX ST
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
I�he work for which this permit is issued sl�all 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 hereia'I'his permit will
expire and become null a void if construction authorized is not
commenced within 1 day$of the date of issuance,or if construction is
suspended for e � d of 1�0 days at any time after work has commenced.
'fhe applica is sponsila(e for�jsuring all required inspections are
requested i co Ybnna �witl�tNe State Building Code.This permit may be
revoked at n time �clu �se.�
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pplica P mi[ e Si a re Date Issu y Signature Date
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City of Orono
Building Permit Application for Maintenance / Replacement / Renovation
(No structural expansion. Only windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
��/`j PO Box 66
� Crystal Bay,MN 55323-0066 Date received:
Received by:
Street Address:
� ,� 2750 Kelley Parkway Plan review fee:
'�r v� Orono, MN 55356
1'�ktSHo��` Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 vuww.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: , �\��I�
Job Site Address: -� � C'
Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑Yes o
If yes,a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttfe bus service ill be
required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR 1 AP�LICANT INFORMATION:
Name: �1 Expiration Date: Fj
State License# Expiration Date: l
Lead Certification Number: � - �
(for work on homes that were constructed prior to 1978 �p�Ce) • ' � ����
Phone: (cell) s pK, ZIP: �
r City:
Mailing Address: �
Contact Person: Applicant is: ontracto / Homeowner (Circle One)
- - Email and/or Fax: '
PROPERTY OWNER INFORMATIO (
Name: i ��'1 �� � J ���� � � ��
Phone(day): _ � City: � ��� ZIP. ��
Address:
Email and/or Fax: � ��
� ' �
PROJECT INFORMATION: Overall pro'ect description: � ''Y ► �/V� Y ' ` � �'
Any earth movement ma so r quire
Type of Project: MCWD review&permits:
❑Door(s) ❑Remodel ❑Fire Damage
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof,asphalt ❑Repair ❑ Storm Damage 18202 Minnetonka Blvd
Water Dama e Deephaven,MN 55391
❑Re-roof,cedar ❑Restoration ❑ g Phone: 952-471-0590
❑Other: (specify) Fax: 952-471-0682
❑Re-roof,other(specify) ❑Siding - �,minne hacreek.or
' Window(s) _��K� '
Estimated Construction Valuation of Project(excluding land) �
APPLICANT 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 his/her knowledge. The applicant recognizes that they 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 all of the information that you are asked to provide on this application is classified by State law as either private or
confidential. P ta aseinformation which genelr II y can ot be g ve ntoge ther t e p ublbcl obthe subje clof the�dataSuOur purpose and
Confidential da
intended use of this information is to annually u date our records and records of other governmental agencies required by law. I
ou refuse to su I e�i ation,th "" lic 'on a not be issued.
Date:
Applicant's Signature:
Date:
Owner's Signature:
Last Updated:03106/2013
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DATE TIME�
CITY OF ORONO CALLED IN �
INSPECTION NOTICE SCHEDULED
PERMIT NO.�t�/4 'Ci�i'�7�/ COMPLETED �IS
ADDRESS �� �C� /-c�,� S� .
OWNER TELEPHONE NO.
CONTRACTOR S��`4 r�\% )'' ,I�P���`-�����1� ,
� DESCRIPTION -� �� `-�'��/i�� ����s
lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANDS
�
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
��{PFAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE � SEPTIC MAINT. �FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
,, q INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
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� � Ca�l for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContra�tor on site:
Inspector. �
ite Copyllnspector's File Canary CopylSite Notice