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Home My WebLink About2014-01178 - replace 1 window CITY OF ORONO * z 0 1 4 - 0 1 1 7 B * � 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2014 , ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3080 NORTH SHORE DR PI� : 09-117-23-32-0019 LEGAL DESC : REG. LAND SURVEY NO. 1457 : LOT 000 BLOCK 000 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BU[LDING-UNDEFINED VALUATION : $ 2,617.00 NOTE: REPLACE 1 WINDOW INTO EXISTING OPENING APPLICANT PERMIT FEE SCHEDULE 88.50 MINNESOTA RUSCO, INC. STATE SURCHARGE(VALUATION) 1.3� 5558 SMETANA DRNE MAIL-IN FEE 2.00 MINNETONKA,MN 55343- TOTAL 91.81 (952)935-9669 Payment(s) Minnesota State License#: BUIL-2173 CREDIT CARD 7460 91.81 OWNER REARDON,LAURIE&JANET 3080 NORTH SHORE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shali 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 pertnit 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. . /,�'"' � ( e,dl �� Applicant Permitee Signature Date Issued By Signa re Date 16/69/2014 14:45 952-935-9544 MN RUSCO PAGE 02 . . � City of Orono Building Permit ,Appficafiiort far Main#enance / F�eplacement ! Renovation (Na structural expa�sion. Otlly w�ndOW3, daors, siding, re-roof, etc. ' .....:............. A,. 1�emiif°rturrtbe�� ;`'�'`'';� g' �. Mailing Address: � „ ; .:';r;�..�i :�-.4;'�i�?�'. � �,V PO Box 66 ?,.� ;_;�': ;��c• �� ,a�;,,,Maa�r;��i;:.,; " � Crystal�ay ; ; �r, ,`c,;;.,�,,.,s::;� ,MN 55323-0086 �-Date;rec�ivedi;��.;; ?�;,��.�,I�,� �'a'�`�'��'°. I�� ,:,�,;, ;�� ''!�"' .l',� r.�piiil��;,i� M' •.r�.� ��1:�.�' �Reoeivecl��by;��; '• �'r'"' �;� Street Address: `I" " - :�:,_;�:�� ia ..�;;,�, � : '��, �' 2750 Kelley Parkway :.Plan:,revi9V�l.fi�e; µr�"i;�� ';�'"ii�`�`:=�-'�.' � Orono,MN 55356 �;y,�;;::;�;. ;:�� ,i:;,��r;r:;:r�:�::i��,,,�,,; ;.;v;:;;�r:�;,;,.:,�;,:,,:._, tH; � a.�:,�-r.:r.:,�� <'�`� �:I:r' ,�,�`�'^�.;�I�- ;r,��" I� .G;;:r �� o ,.Tot�I.Fee:i�r'�:!`'I'�;; �.,,. ,�'� ��.:,,'�'I.+"� ':I�+y�-�. '�� s.N� il:�: .: �,i. �d .��.��.:;� Main: 952-249-0500 Fax 852-249-4B16 www.ci.orono.mn.u� ��;?;:,��" ��' ,�� _ �.��"°'L"` "�'° '� � ;;,:;: i., :!,.:,��, ;�,; `;;;� _, ,..,. ,.. ,�,.,; ,...,,.,. .. 'This appli�2ition form must be c�mpleted in full�nd afl requ'treci informafion must be submitted. Incampl�te applicat�ons wiif be returned. (Please printJ GENERAI.IN�ORMATIO{1E: r1^ 01r f� ��✓ I Vl1 DY��O �l 1/ '� �J Job Site Addr�ess: .JV Will thls be a Parat[e of Homes,Rernodelers Showcasc�Home or other l�isp ay Horr�e? Yes o If pes,a SpeCia!avcnt permlt is fequlrod wlth PGIce Depertmorrt arrd C!ty CounCr7 ppprova!80 dayJ prfar to the event ShuM/e bus seMce w/ll be IBqufred unless eppnCant dmmonsfrates Stlf�ipent or►-sA'e parking IS avar7able, Non-permRfed events will not be alfaw�ed. CC�NTRACTORlAp LICANTINFO TION: /1�� Name: �� Q��'� ---- -- - State License# p0,�� Expiration Date: . Q3•,�� Lead Certific�tion Number. ��3}��Q �xpiration Dafe: ��/� _ - (for work on homes tl�at were consfrrlcted pnlor#01978 Phone: (celp rjZ� �}�5' � (office) 9�' ��p' �f�,� Mailing Address: J�t¢,�. City: ZIP: � Corrtact Person: �� _ Applicant is: on fa o / Home�wner �c„s�oa,.t �mail and/or�'ax: ��,v�—'�o?�.,J��,�aS�J�r(,�r rn• • PROP�R't`Y OWNER INFOFtMAT10N: Name: �/�I4Q�� Phone(day): Q5Z- Address: " `� City: ZIP: � � �meil and/or Fa�c PRQJECT lNFORMAT�ON: Overall ro ect descri tion: � �►LG►� l� l� . Typa of Project: Any earth movemenit may aiso requiro� �J Q/ AACWD revievu&permlts: "''�� Door(s) (]Remadef ❑Fire Damage U ❑Ra-roof,asphalt �Repair ❑Storm Damage Minnahaha Creek Watershed Distrid(MCWd) • 18202 Mihn9t�nka Blvd ❑Re-roof,cedar [I Restoratfon ❑Wat�r Damage Deephaven, MN 58391 � R9-roof,other(spec�iy) ❑Syiing ❑Gther:(specify) Phone: 352-471'0590 Fax: 852-47i-�62 m�Window(s) www.minnehahacreEkto� Estimated Construction Valuation of Praject(excluding land) $��7^—�-" APPLICANT ACKNQVYLEOGEMENT: • Agr�s fi provide all Information required or requested by She Building bepartment; • Cerdfies that the information supplled is true and Carreet to the best af hfs/her Imowledge, The�pplicar�t rocognizes that they are + ` solaly rospcnsible fa�submitting a complete applicatfan being aK+are that upon failure to do so,the staff has nfl altemativva but to rejec�It until it is complete; • Some or all of the intermation that you are asked#a provide on thls appfication is classified by State law as either private or CollfideTltial. Prfvate dat8 i9 itlfoRnation whlch goneralty oannot be given ta�e publlc bu!qn be glwn to the subject of the data. Cor�AdeMial datg is inftsrmat(san w ' generally cannot be given to elther the public ar#ha suDj�ct of the data. Our purpose and ir�tended use oi this infarmation is annualty update our rec�rrls and records of other gov�mmental agencies required by law. If ou refuse to su I the info a' the a 'ca n ma not be issued. ApplicanYs Signature: Date: � Owner's Signature: Date: Last Updated:03l0612013 ;� �� DAT ` ��T�ME CITY OF ORONO CALLED IN �� ! I INSPECTION NOTICE SCHEDULED �� /U %� PERMIT NO. -��Q�`�- �� COMPLEfED ADDRESS 3��r� �/[1_ S�� - OWNER TELEPHONE NO. 9�5�--�7� '?,Z� CONTRACT�R .D � DESCRIPTION l �G✓!� � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC INAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: a �/ 1X/f�cJ rQ.�J�lLeMe•c� — o7rr� .�� - � SGnrt _ S�zc ��'fe�l /sti ��ccG`�j'� � < " t r►v✓ Gt e.�i / O _�� W � Q z 1l�� QD,��/S �'om.t7�� W � W � � J � ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED �ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector.�� White Copyllnspector's File Canary CopylSite Notice