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HomeMy WebLinkAbout2016-01127 - windows iiiiiiiiiiiiiiiiiiiiiillillillillillillilliililins CITY OF ORONO * 2 0 1 6 - 0 1 1 2 7 2750 KELLEY PARKWAY DATE ISSUED: 09/15/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)2494616 ADDRESS : 2505 OLD BEACH RD PIN : 21-117-23-22-0018 LEGAL DESC : THE MARSH AT LAFAYETTE LOT 005 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 78,843.00 NOTE: REPLACE(55)WINDOWS WITHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 944.44 STATE SURCHARGE(VALUATION) 39.42 RENEWAL BY ANDERSON 1920 COUNTY RD C.WEST MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 985.86 (612)502-4777 Payment(s) Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 985.86 OWNER SHERMAN,MR.&MRS. 2505 OLD BEACH RD 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 /fes revoked at any time for due cause. Applicant Permitee Signattfre I Date Issued By Signature Date City of Orono Building Permit Application for Maintenance I Renovation {windows, doors, siding, re-roof, etc,} Mailing Address: Permit number: D/ �e ' I ay 0 PO Box 66 � Crystal Say, MN 55323-0066 Date received: I Street Address: Received by: 2750 Kelley Parkway Plan review fee' Orono, MN 55356 Main: 952-249-4600 Fes ,piJ� Total Fee: ' 952-249616 www.ci,orp�o7n. This application form must be completed in full and all required Information must be submitted. Incomplete appiicatlons will be returned. (Please print) GENERAL INFORMATION; ��O� � TN C) Job Site Address: _ __ _ CSC L-, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El Yes ❑ No N yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-stme parking Is available- Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: tYl [S l -,&,A A �rSe N State License# Expiration tate: f Lead Certification Number: �--�1 �-a g -_1_ Expiration Date: I f 5 (for work on homes that were constructed prior to 1978 Phone: (0S 1— a gff- per„ (office) (call) Mailing Address, IgGta CC), weg+ City: ZIP: SS1 3 Contact Person: Applicant is: [Contradowl / Homeowner (circle one) Email and/or Fax: PROPERTY OWNER INFORMATION: Name; Lx- ty-el;n-e— fvyG n Phone(day); Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door s El Remodel Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt i ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd © Re-roof,cedar ❑ Restoration D Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑Re-roof,other(specify) Siding ❑Other (specify) Fax' 952-471-06$2 El Window(s) I �r www,rninnehahaeek.org Overall Project Description* k ( V; pc tJS W e ry -e X;S "rte Estimated Construction Val uati6k cf Project(excluding land) $ 8,6p APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all Information required or requested by the Building Department; • Certifies that the Information supplied Is true and correct to the best of his/her knowledge_ The applicant recognizes that they 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 classified by State law as either private or I confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data- Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information Is to annually update our records and records of other governmental agenci&s required by law. If ou refuse to supply the information the application may not be issued. ADDlicant's Sionature: 6;_Y� Date: Is �� 1 5` ' - A �� TIME V CITY OF ORONO CALLED IN f INSPECTION 1� E / I V SCHEDULED — PERMIT N�`� ' `D COM ' eA ADDRESSPM— OWNER LXPHON N CONTRACTOR DESCRIPTION Iy ❑ FOOTING ❑ DEMO-FINAL ❑SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILUNG C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS 13_lNsuLAnON ❑WOOD BURNER/FIREPLACE ❑COMPLAINT -JFINAL ❑WATER HOOK-UP ❑ FOLLOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE [3 SEPTIC INSTALL OWNERWONTRACTOR TO MEET YOU:_YES_NO COMMENTS: tot. ' Aem-ars �/n� ,.tee-e a/ wr.L_s 22W,&C_ 74./ctZ� Q 6a-d W ��SA7>ISFACTORY:PROCEED J PROJECT COMPLETE W O CORRECT WORK&PROCEED / ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY C,,t BEFORECOYERINO PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ca for the next h pecum 24 hours in adnanoe. (952) 249-4600 OwnsfiConftctor on sit Inspector. `h yyMft Cq"napecbw%File Cary Co"Mft Nafte