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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�