HomeMy WebLinkAbout2010-01093 - windows ,. CITY OF ORONO PERMIT NO.: 2010-01093
` 2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUEn: 1 U12/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3188 NORTH SHORE DR
PIN : 09-117-23-32-0011
LEGAL DESC : CRYSTAL BAY PARK
: LOT 000 BLOCK 004
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 1,655.00
NOTE: REPLACE(1)WINDOW INTO EXISTING OPENING.
APPLICANT pERMIT FEE SCHEDULE 64.00
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.00
1920 COUNTY RD C. WEST TOTAL 69.00
ROSEVILLE,MN 55113
(612)502-4777
Minnesota State License#:20130983
OWNER
ROSATI,JAMES&DEBRA �
3188 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 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 causc.
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Applicant Permitee Signature Date Issued By nature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE.
Nov-OB-2010 12:38p� From-CITY OF ORONO +9522494616 T-616 P.002/002 F-026
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' Building Permit Application for Internal Work �
(windows; doors� sidin , re-raof, etc.
MaNing Addrass:
�•�� PO gox 88 Permit number:
Q � Crysta�6aY�N►N 55323-0086 bate 1�e�lved: �� C7
� �'�`` � Sfreet Add�S� Reoehred by;
2750 Kelley Patkway Plan rev�aw fee:
�! O►ono,MN 55358
Main: 5�249-4600 F�c: 962-Z49�d816 Tota)Foa: �g• �
This applicaqon i�rm must be completed in f�fl and all�requlred infarrnalion rr►ust be aubmitted.
Incon�pt�ta applicatlons will be retumed. (Please pr�nf)
GENERAL INFORMATION:31�� �O .'�'v1 ��0�(
Jnb Sito Addross: � {"±
iMl!this be a Parade of Homes, Remodele�s Showcase Home or other Display Mame? Yes No
M�a,e aqd�/�vsnt pemM/s�uqvirsd wRA Polia OspaRn�ne ond C�y Counp/eppmw160 deya p�ror!o the o�t S►wnla bus asrwea wl�Y b�
roouirear unbes appllcant asn,onar�ess euAk/ant on-sNe psrlr�ip is avsuebd�. Non-psa,dtroa evanta wiAnof be a/�bwvd.
GONTRACTOR/APPLtCANT II�aRMATION: �
Name: Renewal By Ander�en '
State License�i 1920 Count Road "C" West � E��on�Dab�:
Phone: Y
Mailing Address: Roseville, MN SSl 13 _ (celil
Corrta�t Person: License#20130983 C� � ZI�P:
Email and/or Fax: � 6S l�264-4777 �t is: Coniractor / Momeowner �cr�we o,,.�
PROPERTY QMINER INFORMATION:
Nan�e: OSo..
pr,one�aay)� 9�'�—_y� — � -----.
Addreas: ��� C� ZIP:
�mail andlor Fax •
PROJECT INFORNATION:
Typ.of Proiect
An�►oaMh movemeAt may Ioqulre
❑Door(s) q Remode� , 0 Water damage MCWD ievlew&peRn11�
O�Ni�dow(s) ❑Repair p Storm Dama e ���°�'�Creek Watershed Diatrlct(MCWD)
A 18202 Mlnnetonit8 Blvd
[�Sidin � �zp�v�,MN 55391
9 ❑Restoration ❑Othor(sAeciTy) phono: 952-471_pg90
D Re-�oof Fax: 99z-r71-0882
❑Fite DsmsBe �r,minnehohacreek n.n
Over�ll Pro�t Oeswi 'on: ���S ' .
Estima�ed Construation Valuatlo of Pro oet oxdudin IN�d s '
.
APPUCANT ACKNOWLEDGEMENT: .
• I1�rPe=to provlde aN information�equi�ed or requeatod by the Buflding pepartmenl;
• CertiNes thart the inforrn�tion �upplied IS true and oorrect to the best of his/her lc�owle�e. The Applioant recognizas Ihet the�r
are aolely re�ponsible far eubmittting a Complete eppNca�tion bAing 8ware thet upon tailure tc� do so, the staK haa no al�rnativa
hUt�o re�ed�t untfl it is CorTlplete;
' 8cme or all of the informatbn lhat you ere eeked fo provide on this appljc�tion ie dasalfied by 8tats law as eith6�prn��e or
confidenUal. Privale data le intonn6don wlt;c►i'Aenarally cannat be a;ve� to the publlc but can ba g�en tp tl�e subject ot Qle
d�b. Confidential Oeta is iMonnatbn wFqch generelly canno� be g;van to eith� the pubGc or Il�e subject ot the dets. Ou�
pu�po6e end infended us of this irnpm�at�pn i� m annually update our reoords and recorcfs oi pther po�rrn�eMal���s
ra wred b laW, li u f se to I the h�fo tlon the ion ma�nat be issued.
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Appltcant'e Signat�re; Dete:
L�u Upda�d: OS-04•2008
Z •d 06i94G9T59 3�IA213S llWb3d Q 9 S f� LT �9T OTOZ SD �oN
D� TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED a-l7-//
PERMIT NO�D��-DiDg3 COMPLETED
ADDRESS 3��p /l�'�r�i ,SG:o� �t�
OWNER TELEPHON NO. ��7� � �'�' ��
CONTRACTOR �����-v� `�
� DESCRIPTION � `�� ��
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS
y ❑ FRAMING p MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED OJECTCOMPLEfE
W �CORRECT WORK&PROCEED ���UE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFOREC�/ERING PERMANENT
❑CORRECTUNSAFECANDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION�SSUED
O INSPECTION REQUtRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
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