HomeMy WebLinkAbout2017-00571 - windows f � CITY OF ORONO * 2 0 1 7 - 0 0 5 7 1 *
2750 KELLEY PARKWAY DATE ISSUED: 05/3]/2017
ORONO, MN 55356-
(952)249-4600 FAX: (952 249-4616
ADDRESS : 3442 NORTH SHORE DR
PIN : 08-117-23-43-0020
LEGAL DESC : LYDIARDS PARK LAKE MTKA
: LOT 017 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS �
ACTIVITY : O/S BUILDING-LTNDEF ED
VALUATION : $ 23,838.00
NOTE: REPLACE(9)WINDOWS INTO EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 418.18
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 11.92
1920 COUNTY RD C.WEST MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 432.10
(612)502-4777 Payment(s)
Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 432.10
OWNER
RAY,GERALD&KATHLEEN
3442 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 petmit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of Iaws 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.
� � 531 � � �� �1�
Applicant Permitee Signature Date Issued Signature Date
� ` I I I
� I
� �ity of �ro�no
Building Permit�App! cation for Nlaintenance / �enovation
(w� dows doors, siding, re-roof, et�.)
� M'ailiPo B $fi• Peimit nurr�ber.: 7�
Q� �`va Crystai Bay,MN 55323-006$ p8fi�rece �
� �' tr�etAcld : E7eceived b. :
2750 ley ParlcwaY k�lan revie�(ee:
���o$�' � Orono.MN 55356
� 1'otak Fee: � ,��
Main: 952-249-�1600 gax: 852- 9-4616 ' rono.mn.us ��
This applicatiQn#orm m st be oorihpfeted in futl and ait required informatton m be submitted.
Inco�p[et�ap tica�tions wfll be returned. (Please print)
GENERAL 1NFORMATION: �G�� n ` ��O�� � �I� ;
Job Site Address: �v
Will this be a Par�de of Ho�r�es,Ret#todelers howc�s�Home or o#her Display Nome? Yes No
!P y�as,s BpeClp!event permit is required�Pol)Ce De�arbnent and City COuncll approval6p dqys pl1o�fo the ev�snt. ShutNe btl9 Servlce will be
r�quired unJ68s sppllcant d �nstrates �ent on�lte parkrng is aveileb/s. Mon�ermitted evb»t�t wlll r7ot be allowed.
CpNTRACTOR/APPLICANT INFORMATION. ,
Name: 1� \ �Ar� rSe,r�
State�}cense# G13Q9 '3� ` Explration D te: 3 f 3,
Lead Certification Number. (�j �' �j� $� � Expiration D�ate: y J�c _
(far wark on homss d+at we,e c�nstr�ra�ed pN to 7878�
Phone: (oSl— o� —4•0 (office} (cell)
MailingAddress: �9�p . 1 �• •. �,�- CjtY:�v;1 � �Ip: SStI�
ContaCt Person_ Appiicant is: , ntrac�o� Homeowrter �a�e o,�o�
Erttall and/or�ax:
PROPERTY OWNER INFORMA710 :
fVame: �t .
Phone(d�y): 9$2• y = k 1
Address: � City: ZEP:
Emaii and/or Fax
PROJECT iNFORMATCON:
Type of Project: Any earth ovement may require �
0 Door(s) ❑Remodel 0 FIrB Damsge M� ^�ew 8 perrnits:
Minnehah�C k Watershed District(MCWD)
❑R�roof,asphalt �Repalr ❑Sform Damage 1$�d2 Minnetpnke Bivd
❑Re-roof,cedar ❑ReStorANon ❑Water D�mage Dee�haven, MN 55387
phone: 952-471-0590
[�Re-roof,ather(�pecify) ❑Sidin9 Q Other.(specify) FeX: 952-471-06$2
❑Wtndow(s) www.mi hshacreek.nr
Overail Pro sct Description: �CQ � lnri hp�C3W 5 �h �-2J��S �
Estimated Canstructlon Valuatlon of ProJe (excludin fan $ Q7 �3�,0
APPL[CANT ACKNOWLEDGEMENT:
. Agrees to provids afl ircFormation required vr requested by the Building De�rtment;
• Cartifies fhat the lnformatian supplied is true and oorrect to the best of his/h�r knnwledge. Ti�e applicant►,�oognizes thst the�
ar�solely responsibte inr submilfing a comgiete spp�lcatlon betng aware that upon failure to do so, the staff has no aftemstive
but to reJect It unti{it is cvmpiete;
• Some or alI of th� informa�ion that you sre asked fo prov�de on this appllcstlon is classiiied by St�ate taw as either private or
confidential. P�ivate data la tnformatlan wh�ch ger�ecally cannot be given to the pubisc but can be giv�n to the subject of the
data. Confidenta�l d�ta is 3nfqrrn�t9on whlch generaliy cannot be given to etther the public or the subject of the data. Our
purpose and intended use of this ini�mation Is ta annually update our records snd records of other govemmental egencies
ulred b law_ If u refuse to su I the inform8tion the a icatlon ma nat be issued.
An�licanYs Sianature: Date: �d����'' �
� V
DATE T1ME
CITY OF ORONO CALLED IN
INBpE�h�lON�lOT1�E a�� SCHEDULED � �'•3c�
pEp�fTNa�--e��r 1 COMPLETED �►�9
AoonEss � `�� �'���''
O'WNER TELEPHONE NO. ��� -�``�-���
CONTRACTOR ����� -b� ���
� DE8CRIPTION W ` `��``� —��'��
W D FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI p EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPHOOF ❑ PLUMBING FINAL ❑TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑WATER HOOK-UP ❑ FOLLOW-UP
W �AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
r 0 DEMO-SITE ❑ SEPTIC INSTALL
Z OINN6VCOKTAACPOR TO MEET 1f01N_Y�_NO
� COMMENT� C.or r��;o -,l �k
� ayx �� -Fi N 4 I
j
0
�
�
W
�
�
�
W
W
�
j
uoi 'o wo�c snns�►cTOAr:�oce� �aaaEcr coM�
� ❑OOqRECT YMOfi1C a PROCEED O ISSUE CERTIFlCATE OF OCCUPIANCY
W
OO ❑(ARRECT WORIC,CALL FOR REINSPECTION TEMPORAqY
V BEFORE(:dVERINO PERMANENT
❑C�FiRECT UNS/1FE OONW'T10N YVITHIN HOURS. ❑pHpTO TAKEN
INSPECTOR WILL RETl1RN
O STOP ORDER POSTED.CALL INSPECTOR ❑dTATION ISSUED
O IWSPECTION REOUIRED.CALL TO ARRAN(iE ACCESS.
caN rau�e��Za no��,��o.. (952) 249•4600
ownedcoMractor o�site:
�!/� ������ �i..��� C
n��/VV\N -�
WM1�CoP11M��"+� Giary Oopyf8lM Notle�
�✓� V
DATE TIME
CITY OF ORONO cnL�n IN
M18PECT10N NOT�E scHEou�eo � ' �
PERMR NO.��'7 � coMa�ren '
�nEss 3�P�-P�-- r�. S��p�.
OWNER TELEPHONE NO. �y �
CONTRACT�OR � �
� DESCRIPTION �n� � � " ►'� �
W ❑ FOOTIN(i ❑ DEMO-FINAL ❑ SEPTiC FINAL
� ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GHADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑WOOD BURNER/FIREPLACE ❑ COMPLAINT
� ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL
_
r ❑ DEMO-SITE ❑ SEPTIC INSTALL
Z O�WN9VOOKTRACfOR TO MEET YOU:_YES_NO
� COMMENT'� ,
� ' �,Y W i!V�?dc.� /"�lt 4 f/__Q�_/ _ .$��G$ �
o - fCr�..,..�w� iJ� N do-c.� inStg �/f � /10� �/�5��
� � �'��s ft�� �
�
� ' �c`!•S� 4 << � •1 c��<<S Ac v sp�a.� �
�
� OK � coK� � �.u�
�
W
W
�
�
�
� �WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W O C�OFiRECT W�ORIC�PROCEED ❑ISSUE CERTIFlCATE OF OCd1RANCY
00 p�CT VMOFdC,CJ1LL FOR REINSPECTION T�APORARY
V BEFORE CdVERINa PEpMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOUR3. p pHpTOTAKEN
INSPECTOR WILL RETI)RN
O STOP ORDER PO�TED.CALL INSPECTOR ❑dTATION ISSUED
O INSPECTION REOUtRED.CALL TO ARRAN(iE ACCESS.
caN ta uie ne�ct�spection u nours tn ad�►anoa. (952) 249-4600
on site:
,�,s�ector: ���-'
YY111b CoPll���� G���