HomeMy WebLinkAbout2017-00141 - windows CITY OF ORONO * z 0 1 7 - 0 0 1 4 1 *
2750 KELLEY PARKWAY DATE ISSUED: 02/15/2017
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
J
ADDRESS : 2912 CASCO POINT RD
PIN : 20-117-23-31-0072
LEGAL DESC : REG. LAND SURVEY NO. 0461
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : W[NDOWS
ACTIVITY : O/S BUILDING-LINDEFINED
VALUATION : $ 7,845.00
NOTE: REPLACE 6 WINDOWS IN EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 170.34
STATE SURCHARGE(VALUATION) 3.92
HOME DEPOT AT HOME SERVICES MAIL-IN FEE 2.00
2690 CUMBERLAND PKWY SUITE 30
ATLANTA,GA 30339- TOTAL 176.26
(952)345-6057 Payment(s)
Minnesota State License#: BUIL-20268257 CREDIT CARD 0174 176.26
OWNER
BARRETT, MICHEAL
2912 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which 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 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 after 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. /�,j
, � _ � �
( �
1 � . � �-
�
�'� � � � _-�� � � �- �� / �� � . ��� .��. .-:;J ( _�/ (
, 'c. �. l � (_ � � � f L.
�- �( —
Applicant Permitee Signature Date Issued By Signature Date
FEB/10/2017/FRI 10: 17 AM Elder Jones Building FAX No, 952 854 4909 P. 002/002
City of aror�o
B�i�Eding Permit Application for Maintenance/ Replacement/ Remodel — Residential 4NLY
� (i.e.windows, doors, siding, re-roof, etc,--NQ STRUCTURAL �XPANSIpN)
Mailrng Address: �, ,� �__, r
���Q PQ eox 66 Permlt number: n� , -
Crystal Bay,MN 55323-0066 Date recelved; ?. � i-
.�
SPrest Address� Received by: f+
� � 2750 Kelley Parkway
� � Plan revleW fee: - -
��KFSHo�'� Orano,MN 5535fi ' �
�Total Fee: ���'� � �%t.'� �. ���C�
Main: 952-249-4600 Fax: 952-249-4616 ydww.ci.oronomn.us
This application form must be completed in full and all requfred information must be submitted.
Incamplete appiications witl be returned. (P/ease prinf)
GENERA�fNFORMATION:
Job Sfte Address: ���2. s[, �d {�,�'� �
Will this be a Parada of Homes,Remodelers Showcaae Home or other Display H�me? Yes No
If yes,a speclal event permif is repuired wifh PoJice DeparYment and Gity Council approval 60 days prlor ro the�vent. ShuttJe bus service wi11 be
requlred unlF-----'=---'���-^--+•��^�����l�i��+��_�r�,�„e,a.;,,,,:��yailable. Non-permlrred ev�nts will not be allowed.
CON7RACTOR!qPPI x��'`��-�o�x�e Servxce, Ii�c,
Name: 2G90 Cu�llbexland Pkwy, Ste 300
State License# � �t�azzta, GA 30339�3913 Expiration Date: �r���I'�
Lead Certlfication Num �,ic#C�Z268257 Pl�,. 7G3/542-$826 �{27(���xpiration Date: �� (�.-�p
(forwork on hom�e..j------ ------------• . (office)q5Z�3`f.S GO,S7�-..11,�,c•�•� �
Phone: cell
Mailing Address: City: ZIP; ^�
Contact Per$on: Applicant i _ Contractor / Homeowner �cireiav�a�
Email and/or Fax�f+ W���oS •��r}r�
PROP�RTY OWNER 1N�012MATfON�: p
Name: �-�(1lC�lAF_1 DG�,,rlr��
Phone(day): `�� t f 7�.�',�"�
Address: City: ZIP:
�mail and/or Fax:
PROJECT INFORMATION: Overall ro�ect description:
Type of ProJect: y earth movement may also require
❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permlts�
❑Re-roof,asphalt �Repalr ❑Storm Damage Mlnnehaha Creek Watershed Distrlct(MCWD)
❑Re-roof,cedar 15320 Mlnnetonka Bivd
❑Re5toration �Water pamage Minnetonka,MN 55345
❑Fte-roof,other(specify) ❑Siding �Othel';(speClfy) Phone: 952-471-0590
Fax: 952-479-0682
�Window(s) www. hacreek.or
�stimated Construction Valuatlon of Praject(excluding land) $ r
APPLIGANT ACKNOWLEDGEMENT:
• Agrees ta provide all Informatfon required or requested by the Sufld€ng Department;
• •Certifies that the informativn supplied is true and carrect to the best of his/her knowledge. The applicant recognizes that they are
sofely re&ponslble for submitting a complete application being awate that upon failure to do so, the staff has no a�ternative but to
reJect it until it is complete;
� Some or all of the information that you are asked to provide on this application is class)fled by 5tate law as either prlvate or
confidentlal. Private data is information which generally cannat be glven to the public but can be given to the subject of the data,
Confidential data is information which generally c�nnot be given to either the public or the sub}ect of the data. Our purpose and
intended use of thls Infor atlon is to annually update our reCords and recofds of other governmental agencies required by law. If
ou refuse to su I t information,the Ilcatlon ma not be issued.
Applicant's Signature; Data:
Owner's Signature: , Date:
Last Updated:January 2018
�
� �� � E � TIME�
CITY OF ORONO CALLED IN �
INSPECTION T E / SCHEDULED - -
PERMIT NO. '�� co erEo
ADDR � ��
OWNER � TELEPHONE NO. °�-°�� - Ov��
CONTRACTOR
�. DESCRIPTION ,
�
ty ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
Q OMINEIiICp R TO MEET Y�OU:_YES_NO
� COMMEN'T'� � ��� c�'`�
� - ��� � , o�
� '
o �� ,�,� �.1s �< < 1 6
�,
� �
° ' S� o �e � r- �,` � � �
W f�
Q S li� � I�t. �' r�f
2 ' l_. d--fi!-�c.> 'J C �J� ( �
� e'd'"�1 .G �bV r�`�'
W
�
� ` /
� ❑WORKSATISFACTORY:PFiOCEED 1$PROJECTCOMPLETE
w ❑CORRECT WORK d�PROCEED �O ISSUE CERTIFlCATE OF OCCUPANCY
0 ❑CORRECT YYOfi1C,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
O CORRECT UNSAFE CONDITION WITHIN H��• ❑pHpTO TAKEN
INSPECTOR WILL RETURN ❑�TATION ISSUED
�STOP OR�ER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca8 for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site-
Inspector: � ��
White CopyAnspectors Fih C�nary CopyISIM Notic�