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Home My WebLink About2013-00074 - windows * s CITY OF ORONO * Z 0 1 3 - 0 0 0 7 4 * 2750 KELLEY PARKWAY DATE ISSOED: OU30/2013 ORONO, MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 3580 NORTH SHORE DR PIN : 08-117-23-34-0020 LEGAL DESC : BALDUR PARK : LOT 007 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 7,458.00 NOTE: REPLACE(5)WINDOWS WITHIN EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 162.25 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.73 1920 COUNTY RD C. WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 167.98 Minnesota State License#:BC 130983 OWNER DAVIS,WADE 3580 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 sepazate permits. All provisions of laws and ordinances goveming 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 cau e. � ��d ��-3 / � �D� /3 Applicant Perrnitee Sig re Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � - Ci of Oron � I'� tY o Building Permit Application for Maintena ce / Renov�tion (windows, doors, siding, r�-roof, �tc.) ,�"o� Manl�BQ g�. REC�IVED ermitnumber: � / fJ7�J7 0 � Crystal Bay, MN 55323-0066 e��W�; � �_ _ .3 ' a s�,ee:A�,,►��: JAN 2 9 2013 ��by: ��g '. �t+'� 2750 Keliey Parkway �� $exd� Ornno, MN 55356 (�Y 0�ORONO �� --� �,..._ Q Main: 952-248-4600 Fax: 952-249-48i6 T ��F�� / � �� %O �w.ci.orono mn u� This appllcation form rnust be comp�eted in full and all required info tion must be submitted. GENERAL INFORMATION: 2 5�p�ete appll�atlons wlll be retumed. (Plea prinf) Job Site Addresat: J a 1��.�.� ��{,�, '��;�� th�s be a Parade oi Homes, Remodelers ghowcase Home a.o�her Dlsplay ome4 Yos No M 1^�,a apecie!evenf perm7!is�equired wNh pylce Departmer�t ana►CI(j,Cou»a7 ePprove/gp deya nr to the e►�nk Shultl�bus servioe wpl be reqWred unlesa epplkant demnnsnatea suMcie,rt on_a�Ye p��s a�b�. �n p��d eKenfs wrll not be aJlow�ed. CONTRACTOR!APPLICANT INFORMATION: Name: 1�. � A�t�Serv State License# �$C1309 3 Lead Certification Number. Expir tion Datie: 3I 31 �'AT- o� o�S 3 -1 Expi tion Date: t��5 (1f�r►Mwk on hornea ihet„yere eonstroci�ed prlor to 197d -- Phone: (05 I- oZ -y� `} (office) - Mailing Address: � .. �� e� Ci (�I�) Contact Person: �� ; �, ZIP: S I Email and/or Fax: APP��nt is: n / Horneowner �crrd.a,.� PRQPERTY OWNER INFOR ATION: , Name: �S Phone (day): ' O� Address: LSi ' Email and/or Fax C�� ZIP: . ,. , RROJECT INF�RMATION: -- _ _ Type of Project; -__ . -._.__ ❑ Door(s) ❑Remodel A^Y�rth movs n!may requtre ❑ Fire Damape MCWD review d�p�m�; ❑Re-roof,aaphalt ❑ Repair Minnehaha Creek Watershed Dlstrid(MC�fp),_,,_ - _,. ❑Sb��Damage. :. _ .._ _..-_ �- 1�8202 Mlnnetonk8 Bfvd`'" ��. : .�. ...... _ Re�+oof;cadar ❑Restoration ❑Water Damage Deephaven,�1AN 55391 ❑R�roof,other(spocly) ❑S;�f� ❑��: (s��) Phone: 952-471-0590 Fax: 952-4�1-0882 ��n��s� yvu�yi r.minnehahacreek ora Overall Pro act Descriplion: � � � Estimabed Construction Valuation of Project excluding land s � APPLICANT ACKNOWLEDCiEMENT• I • A9►'aes to provide ell informatlon requlred or requested by the Buikling Department; � Certl6es that the information supplied is true and con�ect tp�}� �gt of his/her know�edge, The epplicarrt reoognlzes that they e�e so�ely ►esponsible for submitting a complete app�ication betng aware thal u but to reject it until it is oomplete; Pon faiture to do so, the staff has no aHernative � Some or all of the Information that oorrfidenlial. P�ivate data is informa�t�on whlch generaplly can�ot el glven�to the publ csbut can be 'ig ��e�sub P��',or data. Confide�tiel data is lnfiormatio� which generally cannot be � jec:t of e P�rP�e and irrtended use of this Informatlon is to an�ually update ou�records antl r��r,�d$a�he�'9a mmeMal�� nci,r ►e ulred b law. If ou refuae to su I the infomiation, !he lication ma not be issued. � � �oolicant's Sian8lure• p,r� ' oatg: a�� Z 'd 06T9�G9TS9 3�Ih?J3S 1IW213d Q R S I� T i ��i £i0Z 6Z UeC 4��3 _[�4S TIME ✓ CITY OF ORONO CALLED IN L INSPECTION NOTIC� SCHEDULED 3 ' -� PERMIT NO. �� COMPLETED ADDRESS �� N�T`� �Y�'� �� OWNER TELEPHONE NO. �5� 2�`� T�� CONTRACTOR ��.�G(.�L[�l T�f ��-P-f�-B� �: DESCRIPTION - �� l�u (J�S � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSU�ATION ❑ WOOD BURNER/FIREPLACE ❑ S�TE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O � � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED ��iOJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor or�Site: Inspector. � �7 � � - White Copylinspector's File Canary CopylSite Notice