HomeMy WebLinkAbout2017-00336 - windows CITY OF ORONO * 2 pJ 1 7 - 0 0 3 3 6 *
` 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2017
ORONO,MN 55356-
� (952)249-4600 FAX: (952)249-4616
ADDRESS : 1950 CONCORDIA ST
PIN : 18-117-23-14-0016
LEGAL DESC : FAGERNESS
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
VALUATION : $ 30,000.00
NOTE: WINDOWS,AND STUCCO
APPLICANT PERMIT FEE SCHEDULE 490.12
STATE SURCHARGE(VALUATION) 15.00
TREASURED SPACES INC. TOTAL 505.12
822 ARIZONA ST NW Payment(s)
LONSDALE,MN 55046- CREDIT CARD 2683 505.12
Minnesota State License#: BUIL-BC591556
OWNER
PETERS,WILLIAM&KAREN
1950 CONCORDIA 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 goveming 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 1 ays of the date of issuance,or if construction is
suspended for a period 80 days at any time after work has commenced.
The applicant is respons le or assuring all required inspections are
reque ted in conformanc i the State Building Code.This permit may be
revok at any ti for d u e.
f� � , ,� ,��
Applicant Permitee Signa ure Date Issued Signature Date
C��y o� ��°oa��
��i6c96n� �err�it Application for F1�aintenance / R�piacement / f2emodel — Residential Ot���
��.�� �wir���a��, cEa���y ���:p�my c�������y ���e @ ��� �Y����`"4���;� ��f���!�E��a
, �o�o Mailing Address: Permit number:
PO Box 66
Crystal Bay, MN 55323-0066 Date received:
a �
Street Address: Received by:
tiF G� 2750 Kelley Parkway Plan review fee:
�,yk�SNO��, Orono, MN 55356
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 w��,�4��..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 IIVFOITMATION:
Job Site Address: 4�� GQ�/1(',�'I�j'�i� �y�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �o
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/�OPPLICANT INFORI�IATION:
Name: '� <- ' P(�. �- �S
State License# �" 5 Expiration Date:
Lead Certification Number: Expiration Date:
(for work on homes that were constructed prior to 1978
Phone: (cell) �`( (office) ` � Q���
Mailing Address: - ^,•2 �' City: � ZIP:
Contact Person: , Applicant is: Contract / Homeowner (Circle One)
Email and/or Fax: e_� `
PROPERTY OWNER INFORMATIO :
Name: ''�'�� �� ��o��V'
Phone (day): — SS
Address: G' 5C` , V � �yf-- �„� City: ZIP:
Email and/or Fax: '7Ca--� —�� _����`�c�
PROJECT IIVFORMATIONl: Overall project description:
Type of Project: Any earth movement may also require
❑ Door(s) � Remodel ❑ Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑ Re-roof,asphalt �pair ❑ Storm Damage 15320 Minnetonka Blvd
❑ Re-roof,cedar [�'�estoration ❑Water Damage Minnetonka, MN 55345
❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
Window(s) �vww.minnehahacreek.ora
Estimated Construction Valuation of Project(excluding lanci) $
i4PPLICANT 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. Private data is information which rally cannot be given to the public but can be given to the subject of the data.
Confidential data is information which ge rally ca ot be given to either the public or the subject of the data. Our purpose and
intended use of this in rmation is to annu Ily u at our records and records of other governmental agencies required by law. If
ou refuse to su I t inf rmati n,the a licati a not be issued.
Applicant's Signature: Date: L( ✓ 1 Q _1 �
Owner's Signature: Date:
Last Updated:January 2016
pp -7 TIME V
CITY OF ORONO CALLED IN � � /
INSPECTION N TIC /SCHEDULED S�� `� �
PERMR NO. �` 3 / ��`�
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� OESCRIPTION ������'Z�
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Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAVK3RADIN(iIFIWN(3
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL � TAEE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� � FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� � INSULATION ❑ WOOD BURNERIFIREPLACE 0 COMPLAINT
Q ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
41 ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
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❑IN8P�TION REOUIRED.CALL TO ARHAN(iE ACCES3.
caN tortn.next r�spection 2rt no�s in sd�►ano.. (952) 249-4600
on site:
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED '
PERMR NO. ` - 7'� ��' COMPLETED
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OWNER TELEPHONE NO. ��- /�' ��
CONTRACTOR ����C�c� L L!'�P�
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� DESCRIPTION / /���� L�--���'1�C'�tf �
4~j ❑ FOOTING ❑ DEMO-FINAL Sj�y L�-��-�❑ 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
v�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
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v ❑ DEMO-SITE ❑ SEPTIC IN ALL
2 OWNERICONTtUCTOR TO MEET YOU:_YES�110
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W ❑WORKSATISFACTORY:PROCEED 'iOJECT COMPLEfE
� ❑CORRECT VYORK 8 PROCEED �O ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call br the next inspection 24 hours in advance. (g52) 249-46�0
OwnedContractor on site:
Inspect /�►^� �
White Copylinspector's File Canary CopylSite Notice