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Home My WebLink About2017-00366 - windows CITY OF ORONO * Z 0 1 7 - 0 PJ 3 6 6 * � • 2750 KELLEY PARKWAY DATE ISSUED: 04/18/2017 • ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDR�.SS : 1270 BRIAR ST PIN : 10-117-23-31-0038 LEGAL DESC : CRYSTAL BAY M[NNETONKA : LOT O10 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIY TYPE : WINDOWS ACTIVITY : O/S BUILDING-LINDEFINED VALUATION : $ 545.00 NOTE: RF_PLACE 1 WINDOW IN EXISTING OPENING APPLICANT PERMIT FEE SCHEDULE 29.66 STATE SURCHARGE(VALUATION) 0.27 CRAFTMASTERS REMODELING MAIL-lN FEE 2.00 2495 MAPLEWOOD DR#314 MAPLEWOOD, MN 55109- TOTAL 31.93 (651)757-4100 Payment(s) Minnesota State License#: BUIL-BC627243 CREDIT CARD 8204 31.93 OWNER RANGE, JOHN 1270 BRIAR ST 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 l80 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. ,, �,< � l �� ,L �- � �� ' �r_, � ( l i 'r l � �`� i Applicant Permitee Signature Date Issued By Signature Date .• � City ofi Orono Building Permit Appt�cation for Maintenance / Replacement I Remodel — Resider�tial ONIY (i.e. windav+is, doors, siding, re-roaf, etc.—NO STRtlCTURAL EXPANSI�N) /�— Ma�ling Address: Permit number: ��-'G�� C� �` �� / �Q�j PO Box 66 _ � 0 Crystal Bay,MN 55323-0066 Date recelved: �� Rece�ved by: �� Sfreet Address: 1 y � 2750 Kelley Parkway Plan review fee: �� Orono,MN 55356 , C-� �� "�k�SHOF' I, Total Fee: Main: 952-249-460� Fax�. 952-249-4616 www.ci.orono.mn.us " This application form must be completed in€ull and all required information must be submitted. Incomplete applications will be returned. �Please print) GENERAL IIVFORMATIOAf: � ��_ ;�,,2�� `�--�- � Job Site Address: � ''�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? [j Yes o !f yes.a spec�a!ever+t permii rs required wrth Po/ice Depa�iment and Crty Council approval 60 days prior to the event. Shuftle bus service wi!!be repuired un�'ess aAplicartt aemonstra[es sufficient on-srte parking is avaifable, N'on-permitfed events will not be alJowed. CdNTRACTOR�P�P,LI�.CkANT INFORMAT}QN��` � Name: �. (�'LCcS-1�n-� 'ti�.� � State L�cense# _ Z'�Z, � Expiration Date: ��3i 1 Lead Certification Number: ��{��--- �'Z�'�"�`�- Z Expiration Date: �--4 � � (for work on homes fhat were constructed prior to 79T8 _��j--�� Phone: (cell} (office) (�`7l Mailing Address: L � • ls:��.�' � '�" �j1 - City:, _ l�'G'�L_ Z��: `��'�1c�r Contact Person: �} s Applicant is: ontractor 1 Homeowner �CircleOne) Emai1 and/or Fax: �..0. `-�-�Ylr�b��tZt u�fl'`l� ��-� � ' �'�� PROPER7Y OWNER INFORMATION:�} � � Name: '�C�!1 4L-�` , z.. Phone(day): ' `"�7�" 7 Cv(� 1 �.� Z�� - c Address 1 Z.7�; 1��-• , City: "� ZIP: �J J� i 1 Email andlor Fax: PROJECT INFORMATION: Overall project description: _ Type of Project; Any earth movement may also require MCWD review 8 permits: ❑ Door{s) ❑Remodel ❑Fire Damage Minnehaha C�eek Watershed Disirict{MCWD) [-'j Re-roof,asphalt ❑ Repair ❑Storm Damage 15320 Minnetonka Blvd ❑ Re-roof,cedar � Restoration ❑Water Damage Minnetonka,MN 55345 Phone: 952-471-a580 ❑ Re-roof,other(specity) ❑ Siding ❑Other: (specity� Fax: 952-471-0682 �lYindow(s) �- �- '�'', . f .�i\�-` �j wwwmi�nehahacreek.orq Estirnated Constructian Valuation of Project(excluding land) $ � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required�r requested by the Building Department; • Certifies that the information supplied is true and correct to the best of hisfier knowledge. The applicant recognizes that they are solely responsible(or subm�tting a complete application being aware that upon failure to do so, lhe staff has no altemai'�ve bu;to reject it until it is complete; • Some or aIl of the information that you are asked to provide on this application is classified by State law as either psivate or confidential. Private data is informafion which generally cannok be given to the public but can be given to the subject of the data. Confidential data is inforrnation which generally cannot be given to either the public or the subject of lhe data. Our purp�se and intended use of this information is to annually update our records and records of other govemmental agencies required by law. lf ou refuse to su I the information,the a lication ma nol be issued. �__ i L� - 12. - l�1 Applicant's Signature: �— �� ` �� Date: Owner's Signature: Date: Last Updated;Jarvary 2C1 B _ Z'd 90��LSL 6S9 6ui�apouaa�saa�sew��ea� �/ � nMe " � OF ORONO CAILED IN __�� IN8PECTION scr�eou�en _ �.�,—��] � PERMR NO. "�-� coM�rED AuoR�s f 7� �L� � OMINER TE PHONE N CONTRA R � DEBCRIPTiON �l/G ��tJ �! �Yl� 1y Q FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVMaRADIN(3IFILLINO Vf ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TAEE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION I' � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � O INSULATION ❑ WOOD BURNERIFIREPLACE � COMPLAINT I Q O FINAL ❑ WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL � dwN�11CONTRACTOR TO MEET V�U:_�_NO � COMMENT'� � , / 1 4 ��O'u L✓ ✓'��J�Gi G G �n�7 GZ.�ta�.v�5' Go m��.► j O � � W aC � F: W W OC , ��YYiOR1C SA7ISFACTORY:PROCEED �PFiOJ�'f COMPLETE W �wofnc a�oc�n issue c�mRc�►�oF ooa�w►►�cr o ❑OORREC'T W�OfiK CALL FOR FiE1NSPECTION TBiAPOMRI/ �1 �� PERMANBVT O OOFiFiECT UNSAFE OONDITION WRHIN HOUR3. ❑PHOTO TAKEN INSPEC70R WILL RETl1FiN ❑STOP ORDER P08TED.CALL IN3PECTOR ❑CITATION ISSUED O INSPECTION f�OUIRED.CALL TO ARRANdE ACt�3S. c.M�or tne ne�n tnspece�o�2�nours in s�►anoe. (952) 249-4d00 on si� h�sPecta: �`�� L ' _ Yllhlb CuP11�� Camry Co�/8M�Node�