The URL can be used to link to this page

Home My WebLink About2016-00690 - windows - - CITY OF ORONO * Z 0 1 6 - 0 0 6 9 0 * • 2750 KELLEY PARKWAY DATE ISSUED: 06/16/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 100 LUCE LINE RIDGE PIN : 31-118-23-34-0009 LEGAL DESC : PAINTERS CREEK : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-L7NDEFINED VALUATION : $ 22,980.00 NOTE: WINDOW&DOOR REPLACEMENT IN EXIST[NG OPENINGS APPLICANT PERMIT FEE SCHEDULE 402.69 STATE SURCHARGE(VALUATION) 11.49 SCHERER BROS LUMBER TOTAL 41418 10751 EXCELSIOR BLVD Payment(s) HOPKINS, MN 55343 CREDIT CARD 3281 414.18 (952)277-1600 Minnesota State License#:BUIL-BC239369 OW1vER PASSOW,MR.&MRS. 100 LUCE LINE RIDGE MAPLE PLAIN,MN 55359- 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. '� � ) n ' � ' �� lt{ f':�C�'�c � {-� ; �_�f��. � � 1 ;�� 1 � C �� i1 �� i / �,., Applicant Permitee Signa ure Date Issued By Signature Date Ju�,, ?5. 2016 2; 15PM No, 2722 P, 3 City of Oror�o Su�ldin Permit A plicat�on for Maintenance I Replacement 1 Remodel Reslden��' - g p tia101�,�.� • • ION) (�.e,w�ndows, doors, sedin re-roofi, �tc.^NO STRUCTiJP�AI, EXP�NS � Malling Address: Perrj{��t��umber � ' �L�� PO 9ox 66 ' � 7 D � C slal Ba , MN 55323-0066 Date d � � _ rY Y . -. . ,, recelVe St/eet Add�ess: �eceived by y �C' 2750 Kelley Parkway �lan f£v�e�++!fee A � G` Orono,MN 55356 � �sH��`�� Tofal�e� �� ,�� Main: 952-245-46Q0 Fax; 952•248-4616 ci.or .mn.us : 7his applicatian form must be completed in full and all required Intormativn must be submitted., Incomplete applications will be returned. (Please print) GENERAL IN�ORMA710 :� • V Job Site Address: Will thls be a Parade of Ho►nes, Rernodelers Showcase Ho or other bisplay Home? Yes No !/yes, a spec�a!euent pemdt!s required with Pol�ce Deparfinent and GPy Council apprnva!60 ciays prlor to fhe event. Shuftle bus s , ilf he Iequlred unJess applicanf demonstrates sufBcient on-site parking is availabla. Non permllted events w!!1 not be alloweci. CONTRAC70R/A�LI ANT INFORMA710N: � Name� r State License# Z Expiration Date: �2a Leatl Certification Number: Q • Expiration Date; S ~�j (for work on homes that were consirucied prlor to 1978 phone: (cell} � � (Q � (offfce) Mailing Address: � City; � ZIP� � Contact Perspn� Applicant is: ractor• l. Nomeowner tc�r�ia o�a� Email and/or Fax: • PROPERTY OWNER 1N�OR ATIO ' Name: � �AS� Phone(day): � y �� Z1P:�� j� Address: �� .� �it � " `� =-'L—` Email and/or Fax: , PROJECT IN�ORMATION: Overall pra ect descri tion: ( CX�� -� �� lS�� h�� Type of Project: , Any eart movement may also requlre MCWD review&permlts: ❑Door(s) ❑Remodel ❑Fire bamage Minnehaha Creek Watershed Distr(ct(MGWD) 0 Re-roof,as.phalf ❑Repair ❑Storm Damage 15320 Minnetonka�Ivd ❑Re-roof, cedar ❑Restoratian [�Water Damage Minnetonka,MN 55345 ecif Phone: 952-471-0590 ❑Re-roof,other(gpe�lfy) ❑Sidinc� ❑Other�(sp Y) Fax: 952-471-0682 indow(s) .minn2hahacreek,Qrq Estimated Constructio Valuat�on of ProJect(eXcluding land) $ � � APPLICANT ACKNOWLEDG�MENT: . F�grees to provfde all information required or requestetl by the Building Department; Gerlifies tliat the fnformation supplied is true ar�d conect to the bast of his/her knowledge. The applicant recognizes that they are solely responsible For submitting a compiete application being aware that upon failure to c!o so,the staff has no altemative bui to I-eject it until it is complete; • Some or all of the information [hat you are asKed to provide on this application is Classified by State law as either private or confideniial. Privata data is inform�lioa�which generally cannot be given to the public but can be c�iven to the subject of the data. Confdentfal data is Information which generally cannot be given to either the publle or the subject of the data. �ur purpose and intended use of this information is to annually update our records and records of other c�overnmental agencies fequir�d by law. If ou reFuse lo su 1 the i f rmation,l e a lication ma not be issued. ApplicanYs Signature: h� Date: � � Owner's Signature: pate: Lasl Updatetl;Januery 2016 I / �� c�'C/` TIME DATE ✓ CITY OF ORONO CALLED IN /D - INSPECTION N TICE SCHEDULED — — �•�D� PERMIT NO. G� —� � COMPLETED ADDRESS `� � OWNER T EPHONE NO.�"fs��7'Z �P a 7S CONTRACTOR � �S � �� '' DESCRIPTION �` �� ❑ FOOTING ❑ DEMO-FINAL / � INAL - � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(3 O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL ERICO RACTOR TO MEET YW:�YE8_NO � COMMENTS: ` � S yr/UK,¢. -� �o a�c�a.ls �O�'ovr han — j 0 � /�f j W�fk CG��I�G ( 0 W � Q � 2 � � .n�/�''',�C �r!4�c� , � � � ❑NlORK SATISFACTORY:P1iOCEED ,�$PROJECT COMPLEfE � ❑CORRECT NlORK a PHOCEED ❑IS�SUE CEFiTIFIC/1TE OF OCCUPANCII O ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY V BEFORE(:OA/ERINQ PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN INSPECTOR VYILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next Mspection 24 hours in advance. (952) 249-4600 r on site: Inspector: ��'''' VYhiN Copyllnspecto�'s FII� C�nary CopylSlb Noties