HomeMy WebLinkAbout2016-00435 - windows __ CITY OF ORONO
2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 4 3 S *
• DATE ISSUED: 04/26/2016
ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 3105 NORTH SHORE DR
PIN : 09-117-23-32-0016
LEGAL DESC : REG.LAND SURVEY NO.0670
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 10,519.00
NOTE: REPLACE 2 WINDOWS& 1 PATIO DOOR IN EXISTING OPENINGS �
APPLICANT PERMIT FEE SCHEDULE 216.81
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.26
1920 COLTNTY RD C.WEST 1�IAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 224.07
(612)502-4777 Payment(s)
Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 224.07
OWNER
FRAHM,TOM
3105 NORTH SHORE DR
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 dces
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. ��
�
( b �� � � ��_� L � Z ���
Applicant Permitee Si ature Date Issued By Signature Date
• ..
�' �ity of Orono
Building Permit Applica�ion for Maintenance / Renovation
(windows, daors, siding, re-raafy etc,)
Mailing Address: Permit number:
�,L�.j� PO Box 66
� „ Q Crystal 88y,MN 55323+0066 Date received:
� "' a Stre�f Address: Rece�lrad by: �/�._
�` �$o�' 2754 Ke{Igy Parkway f�lan review fee:
-��s� Orono,MN 5�356
�- Tataf Fee: ���, � �
Matn: 952-249-4600 Fax: 952-249-4636 w��.ci.orano.mn.us
This applicatlon forrrt must be completed in full and a[I required irzfpmis�otl must be submitted.
Incotnple#e applicatlons will be re#urned. (Ple�se print)
GENERAL INFORMATI(yN: ' 1��
Job 5ite Address: ( '�� ��� �����
Wil1'this be a Parad9 of Homes, Ftetttodelers ShoWCase Home or pther bisplay Home? Yes No
!f yres,a specf8/eyent peimit is requlred wfth Police DspartmeM end City Cound!approV�!60 days prior to the event. 5hutUe bus service wll!be
required unless applicarrt demonstrat�.a au/f'rcierrt oR-sr7e pa�king!s�vailabie. Non perml(ted�vanta wil!not 6e allowed_
CONTRAC70R/APPLICANT 1NFOt�MAY1pN:
Narne: � \ �t °(�r��CSe�N
State�.icense# �G 1�0`��3 �xpir&tio�1 Date: � ��
�eed Certification Number: � � �"�.a$3 r E�cpiration Date: �f�c
(for work cn hanes tbat were conatruci�ed�ui�r tv i978 "
�hone: (nS j� a�(� --��Q�- (office) (cell)
nna�lcn�Aaaress: 19� , i� ,° ,. w�s+ �i�v:"�u ;11� Z1P: S l3
Contar,t Person: Appllcant is: ontractor / Homeowner �c�rcr�ocm�
�mail and/pr F�x:
PROPERTY OWN�R INFORMATfO •
Name:
Phane(day): _�I-Cy�(�(.P
Addt'ess:
�maii and/or�ax C,�� Z���
PROJECT IN�ORMATION:
�'ype of Pro�eet:
/�ny earth mcvement may require
[]Door(s) ❑RsmoBe! ❑Fire Damage N�CWD revlew 8 permits:
0 Re-roo'F,aspha[t ❑Re air Minnshaha Creek Watershed D(str�t(MCWD)
p �Storm pamage 18202 Minnetonka Slvd
❑Re-roaf,ceclar ❑Ftesforat(on 0 Water Da�r►age ��phaven,MN 55$91
Phane: 952�71-0590
Q R�roof,other(speclty� ❑3id�ng �]Ofher:(specify) Fex: 952-471-0682
���a�s� v�,minnehai�acrsek,or
Overal[ ProJect bescription: � C�J� � rY"l, r Y�
Esttmated Constructton Valuation of Project(exciuding land) ; Q. � �
APPLICANT ACKNOWl.EDG�MENT:
• Agrees to provide all ininrmation required or r�quested by thg Buifding DepaRment;
• Certifies that the information suppEl� ls true snd mrrect to the best of hts/Fter knowledge_ "fhe applicant rec�gnizss that they
are solely responsible for submitting a c�mplete application being awars that upon fsiiure to do so,the staff has no alfemsbve
but to rejsct it urrti!it!s compiete:
• Some or all of Y,he information that you are asked to provide on thls application is classlf�ed by State Eaw as either privete or
confidential. Pri►rate data is information which general�y cannof be giMert to the public but can be given td the subjecf af the
data. Gonf�dential dat� is informa�on which generalfy cannot be glven #p either the publtc or the sub)ect of the data. Our
purpose and intended us@ of this infiormation ls tp �nnually update our rec;ords and records of other govemmenta( agencies
re ulred b law. If ou rpfiase to su ! the information,the a licetton rr� not be issued.
An�licant's Sianature: �� Date: pl� ��� ���.l�
�� �� ✓
DATE TIME
OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED _� `�� %
PERMIT NO.��'���"rC�<�J COMPLETED
ADDRESS '� ( �� `�� j� � _S�'1�e'�� ��
OWNER TELEPHO N0. �'� r ��' �� � �
CONTRACTOR l
� DESCRIPTION / ��l� � I,l�� � < '7.c C
ty ❑ FOOTING ❑ DEMO-FINAL ❑ 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
� �TfNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ $EPTIC INSTALL
2 OWNERICONTRACTOR TO MEET YiOU:�YES_NO
� COMMENTS: � `'(� � �'�,� f��fr�
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C� e/N'�'LY �.KQ�t� —
W� ❑WORK SATISFACTORY.PROCEED '�QJECT COMPLETE
W�RRE6T V1fORK&PROCEED ��ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR NALL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
t inspection 24 hours in advance. (952� 249-46��
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