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HomeMy WebLinkAbout2017-01270 - windows CITY OF ORONO 'I 111I 'I' * 2 0 1 7 - 0 1 2 7 0 0 2750 KELLEY PARKWAY DATE ISSUED: 10/06/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3135 JAMESTOWN RD PIN : 28-118-23-33-0016 LEGAL DESC : LIBERTY ACRES : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 63,289.00 NOTE: REPLACE 38 WINDOWS WITHIN EXISTING OPENING APPLICANT PERMIT FEE SCHEDULE 826.24 STATE SURCHARGE(VALUATION) 31.64 RENEWAL BY ANDERSON MAIL-IN FEE 2.00 1920 COUNTY RD C. WEST ROSEVILLE,MN 55113 TOTAL 859.88 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 859.88 OWNER ROYAL,DAVID& STACEY 3135 JAMESTOWN RD LONG LAKE,MN 55356- 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 cause. maJ t et4ec /4 / h /17 Applicant Permitee Signature Date Issue Signature Date ! City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re.root, etc.) Marling Address: Permit number: i,i(C(7' C(� - PO Bax f36 y > -i----- 1 7 Q I Date received: ,� �"<$° '�� Crystal Bay,MN 55323-0066 ! Received by: /vt u"`- ----�� �r„ Street Address: 4.79 2750 Kelley Parkway Plan review fee:Orono,MM 55356 G ...0,,Q- -461 �qg . - Total Fee: 4�`7 / U 0 Main: 952-2494600Fax: 952-2494616 . .or•1•_m ...s , This application form must be coMpleted In full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: 31.3 5 -ck,nncS %ti.. I"c.).Job Site Address: 1111 Will this s a Parade of Homes, wit ith p llee D patttrnnent ens c�Council approevalC60 day prior to the event.Shutle bus service will be If yes,a specie!event permitC required unless applicant demonstrates sufficient an-opts policing is available. Non-permitted eventr3 will not be allowed. CONTRACTOR l APPLICANT INFORMATION: Name: ..?-re. -Wo.\ - 0 •,e'C ' Expiration Date: 'S 1 51 State License# �C,1�a09 a Expiration Date: Y� � Lead Certification Number: (vj j - a'+•a$3 (for work on homes that were constructed prior to 1978 (cell) C.,phone: (b51- alp -40'T ;- .a..(office) CI v'1 , Ztp: '3 Mailing Address: 1• . b , t • '� `' w= " City: .m,,, . Applicant Is: 0, •r / Homeowner (circle One) Contact Person: Email and/or Fax: PROPERTY OWNER INFORMATION: , \ Name: Phone (day): `)5'• City: j ZIP: Address: Email and/or Fax PROJECT INFORMATION: , Any earth movement may require Type of Project: MCWD review&permits: 0 Door(s) ©Remodel ©Fire Damage Minnehaha Creek Watershed District(MCWD) Storm Damage 18202 Minnetonka Blvd ©Re roof,asphalt ❑Repair 0 Deephaveh,MN 95391 12 Re-roof,cedar 0 Restoration 0 Water Damage Rhone: 952-471-0590 0 Other:(specify) Fax: 952-471-0682 (_]Re-roof,other(specify) Siding mi ha c e _or 0 Window(s) __Overall project�escri•tion: ,, , ' C.t.. . ..+. �. k' +.. Estimated Construction Valuation of.Pro'e_ct(excludln! land . " " . AFP DANT ACKNOWLE._GFM.ENT: • Agrees to provide all information required or regl>tieated by the Building Department; i recognizes that they • Certifies that the Information supplied is true and correct to the beet of his/her knowledge. The applicant8 are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative but to reject it until it is complete; • Some or all of the Information that you are asked to provide on this application Is ciatfified by State law as either private or confidential. Private data is Information whih generally l Gannet bbeggivenven to a therpublic pu but can or the e given to subject the the data.subject eta Our the data. n intended ddata Is information whichgenerally purpose and intended use of this irttorrnetion is to annually update our records and records of bother governmental agencies -•uire• b law. If o refus- to su••I the info ation the a.•iicatlon Ma not be issued, .D Date: 5 0C-41.)1;a4 I I Aoolicant's Slanature: / 6 7 1 DATE TIME \/ ,/'CITY OF ORONO CALLED IN INSPECTION N TIC . SCHEDULED /,- --‘,-/ 7 .�Oc —0/PERMIT NO. COMPLETED ADDRESS J 71/3 ` 614AS- „-- �:-T- _ OWNER TELEPHONE NO. Cas(- �" 2v CONTRACTOR K '4 4 ��Lw' DESCRIPTION /----/ .,I W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING h ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q ❑ FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT J / RNAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL Z v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO cc., COMMENTS: cc • cl. 02 ' �H its - ole /4 f( awt— rye,/ - er, 60iere 5, . c ° - C6niV.ofia✓✓ to,77(easy /sct et--)/I CJ WCC �� ,,, v . Q / ) 7ti re, f 61 55 . D• ,... bir.ris• v.L. -4- WC� / s_iO • ~- co . 1r- L_ L , ► CD4rtcf�r S CC ep r see- & !/,ae. . c s.- It4F/cs.� IQ ❑WORK SATISFACTORY:PROCEED Grer2iaOJECT COMPLETE W 69RRItT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY CI 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. I Jv 7l White Copy/Inspector's File Canary Copy/Site Notice