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Home My WebLink About2011-00707 - windows • � CITY OF ORONO PERMIT NO.: 2011-00707 ' 2750 KELLEY PARKWAY ' ORONO,MN 55356- DATE ISSUED: 07/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 380 RUANN RD PIN : 36-118-23-32-0008 LEGAL DESC : WAKEFIELD FARMS 3RD ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,445.00 NOTE: (1)WINDOW REPLACEMENT IN EXISTING OPENING APPLICANT pERMIT FEE SCHEDULE 118.00 PELLA WINDOWS&DOORS STATE SURCHARGE(VALUATION) 2.22 15300 25TH AVE N.-SUITE# 100 PLYMOUTH,MN 55447 MAIL-IN FEE 2.00 (952)345-6047 TOTAL 122.22 Minnesota State License#:20165884 OWNER SCHiIMACHER,JAMES J P.O.BOX 25556 ST PAUL,MN 55125- 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 consuuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. /'��-r^'"'� �Il� / / / / Applicant Permitee Signature Date Issued By ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) ---- Mailing Address: Permit number. /j�L,� J1� PO Box 66 �O1 �V Crystal Bay, MN 55323-0066 Date received: � O Received by: �,� r��;`;�� ;.: �, Street Address: '$`,F, ,�'i�,+�;'ij�+"ii �ti 2750 Kelley Parkway Plan review fee: �l��:i;r��i Orono, MN 55356 ��--kEsxo�,� �--= - Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION� �� _/ / O n � � �i� �� 3 $0 �Q� � n � ��) Job Site Address: « �' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a special event permit is required wilh Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: J0�( 4� El�«' Jo n.� s State License# Pella Windows & Doors 4� � 3yS • G o V 7 Phone: 15300 25th Ave N. Ste 100 (cell) Mailing Address: Plylnouth, MN 55447 ZIP: Contact Person: Lic#20165884 Ph. 763/ 745-1400 �omeowner (Circle One) Email and/or Fax: PROPERTY OWNER OF�IATION: Name: �Q t/? S� � G !�4 C � l l' Phone (day): 7 5' - 3 2 � [ / 1_ G�n Z o r� ziP: Address: �ll> �l O,n �y �Q (.� � C' City: � Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits ❑ Door(s) ❑ P.emodel ❑ Water Damage Minnehaha Creek Watershed District(MCWD) indow(s) [-�-�epair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: 4.+I/1 C��I.J /'eP a G M/� �n �'1'i � � n Q� ��1�1 �n C/ Estimated Construction Valuation of Project (excluding land) $ y Y y�' 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 appUcant recognizes tna[ iney 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 confidential. Private data is information which generally cannot be given io 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 agencies re uired b law. If ou refuse to suppl the information,the application ma not be issued. --' � �2 ��// ApplicanYs Signature: �� Date: � Last Updated: 05-04-2009 � �� DATE TIME v �� / � CITY OF ORONO CALLED IN I I INSPECTION NOTICE SCHEDULED � F� PERMIT NO.�C�� I �C� 7C'� COMPLETED ADDRESS .��5��i TZ--�.�Gt�7 t � �-d OWNER TELEPHONE NO. �5� `�-� -�10 CONTRACTOR ��(� � ��1 ��,��C �: DESCRIPTION �- �l/l� I W l 6'l('I i�U;rj � '��C � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � J i O � � O � W � Q � Z W � W � � � d W� ❑WORKSATISFACTORY:PROCEED ,ef"PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED � INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 Owner/Contractor on site: Inspector. Q�l White Copy/lnspector's File Canary Copy/Site Notice