HomeMy WebLinkAbout2017-00785 - windows , . CITY OF ORONO * 2 0 1 7 — 0 0 7 8 5 *
2750 KELLEY PARKWAY DATE ISSUEn: 07/10/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 335 HOLLANDER RD
PIN : 25-118-23-43-0009
LEGAL DESC : REG. LAND SURVEY NO. 1429
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 8,745.00
NOTE: REPLACE(5)WINDOWS INTO EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE i85.83
SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 4.37
10751 EXCELSIOR BLVD MAIL-IN FEE 2.00
HOPKINS,MN 55343 TOTAL 192.20
(952)277-1600 Payment(s)
Minnesota State License#: BUIL-BC239369 CREDIT CARD 3281 192.20
OWNER
ERICKSON,WALTER&NANCY
335 HOLLANDER RD
WAYZATA,MN 55391
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved ptans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires separate
permiu. Ali provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified hereia 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 l80 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�1it.a.�-�..�.. � �.dG 7 � �v i �7
Appiicant Permitee Signature Date Issued B ignature Date
�ul, 7. 2017 i2; 05?M No. 37�5 P. 1
, , .
City of Orono
Building Permit Application for Maintenance/Replacement/ RemQdel �t�p�`�,��r�#���`;Q�y�;�
(f.�. w[ndows, doors, siding, re-roof, etc.— NO STRUCTURAL EXPANSION)
�Ay� Mailing Address: psrrii�t aum4��
;VO PO Box 66 - �� ei�r��
Crystal Bay,MN 55323-0066 Aa��[�.c�lv��l;, . � �'f�
Strsef Addr�ss: Rece.'lved by ,
��, � 2750 Kelley Parkway Plan tevteW fee
G Orono, MN 55356 ' ; � �
��hESHa�"�
Tpk�l'F�� � G�'� ��j
Main: 952-249�fi00 Fax: 852-Z49-A616 www.ci.orono_mn.us ,�
This application form must be completed in full and all required information must be submltted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: �� Q �
Job Slk9 Addre9s;
Will this be a Parade of Homes, R$mqdelers Showease Home vr other Display Home? Yes Na
!t yes, a specla!�vent parmllls iequlred wlth Pollce Dgp�ffm9nt and Gity GoUncl!approve!60 days prror to the evenL 5huftle bus seNrc i11 be
requlrsd unless appllcanf demonstrate9 su(Nc(ent on�ife parkrng ia available. Non permitted evenfs w!!!nof be allowed.
CONTRACTOR 1 APPLIC T I FOR ATION•
Name: �
State License# G'� �xplr'2flon p�te: �v �
Lead Certification Number: Explration Date:
(for work on hom(fhat were constructed prlor to 1978 ( ) �� � � � �
Phone� cell ofFice
Mailing Addres3: City: ZIP: �/�
Contact person: p licant is: n ract Homeownar {ci�c�e one� �
Email andlar Fax�
PROPERTY OWNER INFORMA ION: � � /�.�-.
Name� � A �/,T�.� C' 4�.V�C�/ ��7,�,,f�--r] U�
Phone(daY): �� [� /�� f�/ � 3�,P
Address: � ` � y City: ZIP:
Email and/or Fax�
PROJECT INFORMATION: Overall pro ect description� �
Type of Proj�ct: Any earth movement ma also requlre
❑Door(s} ❑Remadel ❑�ire Damage MCWD review&permlt9:
�Re-roof,asphalE ❑i2apair ❑Storrn oamage Minnehaha Creek Watershed Disirict(MCWD)
15320 Minnetonka Blvd
❑Re-roof,cedar ❑Fiestorafion ❑Water Damage ' Minnatonka,MN 55345
❑Re-roof,other(apecify) �Sldln4 ❑Other.(specfiy) Phone: 952-471-0590
Fax: 852-471-Ofi92
Window(s) wvvw.minnehehacreek.orq
Estlrnated Constructlon Valuatlon of ProJect(excludlnd land) $ —a
APPLICANT ACKNOWL�dG�M�NT:
• qqrees to provlde ell InFormetlon requl�d or requested by the Bullding Departmeni;
. Certifies lhat the information suppliad is true and correct to the best of hislher knowladga. The applicant recognizes that they are
solely tiesponsfble fot submllting a complete applfcetion being aware fhat upon fallure to do so, the staFf has no alfernative but to
raject il unti�it is complete;
• 5ome or all of the informalion that you are asked to provide on this application is classified by State law as either private or
confidential. Private data is information which generally cannot be gi�en lo the public but can be glven to the subjeet of the det�.
Confidential dala is informalion which generally cannot be given io either ihe public or the subject of the data. Our purpose and
intended use of this inPormation is io annually update our records and records oF olher g �ermm �tal agencles requlred by I�w. If
ou reFuse ta su I he InF rmet n e a Ilcatlon ma not be Issued.
Applicant's Signature� !1� Date� � �
Owner's Signature� Date�
Lasl Updaled:January 2018
7E TI
CITY OF ORONO CALLED IN — / E
INSPECTION NOTICE l rS SCHEDULED — 4P-!-1 7/ 0-6
PERMIT NO. �Q COMPLETED
ADDRESS'' //r/ / t(Acitd-U ) / /1/
OWNER W' iV / r /i CCS LEPHONE NO. g52- V73-26/5
CONTRACTOR
DESCRIPTION WL/K5 --(-5)
Lai 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q 0 FOUNDATION WATERPROOF El PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
IX ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
Z
❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
-4, jJAL ❑ WATER HOOK-UP 0 FOLLOW-UP
149 0 AS BUILT-SURVEY ❑ SEWER HOOK-UP 0 FOUNDATION/REMOVAL
.1 ❑ DEMO-SITE IDSEPTIC INSTALL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
cc ku
r f_ (A) iI4t�c,.is ,N cif.stI45 Turfs
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01r,P Cap 0 ro cs., 1 em
0O
cc I,JI�r K cc,P ea..75 ,,,rte! c
Q /'
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1410• ❑WORK SATISFACTORY:PROCEED SOJECT COMPLETE
CC
W IIICORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COHERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL RETURN
LISTOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector: (-- -)Yo'-'
White Copyllnspector's File Canary CopyISfte Notice