HomeMy WebLinkAbout2015-00409 - windows CITY OF ORONO * Z 0 1 5 - 0 0 4 PJ 9 *
- 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2015
� ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 3475 LIVINGSTON AVE
PIN : 17-117-23-43-0068
LEGAL DESC : NAVARRE HEIGHTS
: LOT O10 BLOCK 005
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 9,093.00
NOTE: 7 WINDOW REPLACEMENTS IN EXISTING OPEN[NGS
APPLICANT PERMIT FEE SCHEDULE 201.36
STATE SURCHARGE(VALUATION) 4.55
THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00
2690 CUMBERLAND PKWY, STE 300
TOTAL 207.91
ATLANTA,GA 30339-
(763)542-8826 Payment(s)
Minnesota State License#: BUIL-CR268257 CREDIT CARD 0174 207.91
OWNER
REIGSTAD, BRIDGET
3475 LIVINGSTON AVE
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 permi[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 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer 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. - �
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Applicant Permitee Signature Date Issued By Signature Date
APR/09/2015/THU 03: 06 AM FAX No, 952 854 4909 P, 002
� City af Orono
Bui[ding I�ermit Application for lnterna� War�C
{windows, doors, siding, re-roof, etc.)
Mailing Address: P�rmit number. � l S J�� �
/�/ d,�. PO Box 66
/O �� a Crystal Bay, MN 55323-0066 Date received: _�/� •-C �
II ��� � Received by: �
,� �;�_��';^�,:�� a Stre6t AddrQss:
��,����'��� �4`' 275D Kelley Parkway Plan review fee:
�e��s�o�;,�v Orono, MN 55356 .
�= 7otal Fee: ,��,�� , Cj f � (
Main: 952 249 4600 Fax: 952-249-461 o www.ci.orono.mn.us �
� This application form must be corn�leted in ful{and aEl required information must be submitted. �
�ncomplete applications will be returned. (Please print)
GENERAL INFORMA71dN: / 1
Job Site Address: � y�7'J� L ! V t/� Q �T C�/� V�� �/�
Will this be a Parade of Homes, Remodefers Showcas Home or ofher Display Hame? ❑Yes ❑ No
lfyes,a speclal event perm/t!s required with Po�fce Departmeni and Cl��Councll approv�l 60 c�r�ys prior to the event. ShutEle bus service wlll ba
requlred unless applicant demonstrates sufficienf on�siCa parking!s ava!!ahl�. Non-permitted evenls wi��not be ai�owed.
CONTRACTOFt/APPLICANT INFORMATION; 4���,�
Name: Tv1e. {—l�ri� c""Ff"� �` -._ Q'�2 3YS•L 0 y
State License# ��^ � 'T' At-Home Service, Inc, o ��
Phone� ___ 269p Cumberland Pl�wy, Ste 300 "„ (cell)
Mailing Address: Atlanta, GA 30339-3913 Z�p
Cantact Aerson� LiC#CR268257 Fk�.. 763/542-8826 ►omeowner (Circle One)
Email and/or Fax:
PfiOPERTY OWNER INF�RMATION:
Name: ,�I'I C�Q !. � �Q ! C�j"��G d
Phone (daY): �Z 0 � � I���7 . [,�3Q 'Z (y'�(�l ZIP: 'rJ'S�
Address: ti Y C �� � 3 �/
Email and/or Fax
PROJECT INFORMATION: - A
Type of Project: - Any earth rnovement may require
' MGWD review&permits
❑ Door(s) ❑ Remodel ❑W.ater Damag2
Minnehaha Creek Watershed�Isirlct(MCW�)
indow(s) ❑ Repair ❑Storm Damaga 18202 Minnetonka Blvd
, D6ephaven,MN 55391
❑Siding ❑ ReStOC&ti0fi ❑Other:(specify) . Phone: 952-471-0590
Fax: 952-473-0682
d Re-roof ❑ Fire Damage www,minnehahacreQK,�4
Overafl Project Description: i} !j 1 �!! /
^ �stimated Construc#ion Valuatidn of Project(excl ing land) $ � � Q �
,
l�PPL1CANT ACKNOWLEDG�MEN7:
• Agregs to providE afl information required or requested by the Building Department;
� Certif,es that Yhe information supp€ied is true and correct to the best of his/her knowledge. The applicant recognizes that they
, ' are soiely responsible for subrrlitting a complete application being aware that upon failur�to do so, the staff has no altemative
but to reject it until it is complete;
• Sorne or au of the information that you are asked to provide on this ap�lication ls classlfled by State law as either private or
confidential. Private data is information which generalfy cannot be given to the public but can be given to the subject of the
data. Gonfidential data is informa�ion whlCh generally Cannot be given to either the public or ths subject of the data. Our
purpose and intended use of tnis information is to annually update our records and records of other governmental agencies
re uired b law. If ou refuse to su I the information,the a lication ma nof be issued.
ApplicanYs 5ignature: ���� Date: [ 1� C l S
�a�t Updated: 05-04-20Q9
DATE TIME "
CITY OF ORONO caLLED IN
INSPECTION TICE SCHEDULED � !�J ___�
PERMR NO. �� COMPLETED
ADDRESS 3� � �
OWNER ' EL HONE o �o ag����
CONTRACTOR dYylQ- �.Ol�
� DESCRIPTION I /v //���� �I�
W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FI AL ❑ WATER HOOK-UP ❑ FOLLOW-UP
= AS B T-SURVEY ❑ S ER HOOK-UP ❑ FOUNDATION/REMOVAL
v D MO SITE ❑ PTIC INSTALL
OWN NTRACTOR TO MEET YOU: YES_NO
cn ENTS:
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W ❑W01iKSATISFACTORY:PROCEED OJECT COMPLETE
� O CORRECT VI�RK 8 PROCEED SSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECONERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REW IRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours' advanc 49-4600
OwnerlCorriractor on site:
Inspector:
WhiM Copyllnapector's Ffle Canary CopylSite Notioe