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Home My WebLink About2011-01088 - windows . CITY OF ORONO PERMIT NO.: 2011-01088 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 09/23/2011 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 ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 9,677.00 NOTE: 1 ENTRY DOOR 1 WINDOW APPLICANT pERMIT FEE SCHEDULE 191.75 PELLA WINDOWS&DOORS STATE SURCHARGE(VALUATION) 4.84 15300 25TH AVE N.-SUITE# 100 PLYMOUTH,MN 55447 MISC FEE 0.00 (952)345-6047 MAIL-IN FEE 2.00 Minnesota State License#:20165884 TOTAL 198.59 OWNER SCHUMACHER,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 sepazate 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 consuuction 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. �`�r a.�.P�d.� 9� � � ,� `�, � i�� Applicant Permitee ignature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. SEP/20/201.1/TUE 12; 08 AM Elder Jones Building FAX No. 952 854 4909 P, 002 � City of Orono . Buitding Permifi Application for Infiernal Work (windows, doors, sidin , re-roo�, etc.) MailingAddress: Permit number: �Dl/— �/D$ 0,�,�� PO Box 66 Crystal Bay, M N 55323-0066 Date received: -Z�- � ( ''�r S�-eet Address: Received by: � S �� 2750 Kelfey Parkv�ray Plan review fee: ��.�E�o$,1� Orono,MN 55356 ,,�/,�.�.o Total Fee: �'8 ,�j� �r-�• �� Main: 952-2d9-4600 Fex: 952-249-4616 www.ci.orono.mn.Us This application form must be completed in full and all required information must be submii�ed. Incomplete applications wi11 be returned. (P/ease print) G�NERAL INFORMATION:� 8� u Q� �O 4 �(e �l c� (��(1� L on� �� 1�d� Job Site Address: Wifl this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No !f yes,a specia/avent permlf is repvired wlth Pollce Department and Clty Couna/approval 60 days prior to the event Shuttle bus aervice wlll be required urtless app�icant dvmonstrates suflrcient on-slte parking is evailab/e. Non•pennitted evenis w111 nof be allow�ed. GONTRACTOR/APPLICANT IN�ORMATION: Name: Jb�[ ED �� /�i/'/�/ State License#� Pella Windows &Doors S� 8Y 5� �y7 , Phone: 15300 25th Ave N. Ste 100 (cell) � Mailing Address: plym.outh,M1�T 55447 Z�P' Contact Person: Lic#2016�884�h. 763/745-1400 lomeowner �c�ni.o�a� Email and/or Fax: PROPERTY OWN�R I ORJIfI�TION: �C� � � C Name: b •F Phone(day): '��+� '� f • �� Address: ?� _ O __l.�a�!1 D a a/ c�t,,: 6�d n o _ z�P: �'s�g 1 Email and/or Fax PROJECT INFORMAT(ON: Type of PI'Oject: Any earth movement may require MCWD review 8 pennits �.Qoor(s) O D Ramodel ❑Nlater Dam2ge Minnehaha Creek Watershed District(MCWD) Window(s) � �Repair ❑Storm Damage 18202 Minnetonka Blvd DeephaVen, MN 55391 ❑Siding ❑Restoration ❑Other. (specify) Phone: 952-471-0590 Fax: 952-471-0682 � Ft�loof ❑ Fire Damage tNvvW.minnehahacreek.Ofc] � Overall Project Description: /q N o u�" /`t a G A�1 �' � � Estimated Construction Valuation of Project excludin land S t 7 7 � r1 lJ /'t�l4!1 /�l� � APPLICANT ACKNOWL�DGEMENT: . Agrees to provide all it�formation required or requested by the Building Departmerrt; • Certifies that the information supplied is true and oorrect to the best of his/her knowledge. The applicant recognizes that they are solely responsible for�ubmitting a complete application being aware that upon failure to do so, the staff has no ahemative but to rejeCi it urrtif it is complete; . Some 0�all of the information that you are asked to provide on this application is classified by State law as e'rther private or confrderrtial. P�iVate data is irttormation which generally cannot be given to the public but c2n be given to the subject of the data. CorrFdential data is information Whlch generally cannot be given to either the public or the subject of the data. �ur purpoae and intended use of this iriformation is to annually upd�te our reoords and records of other govemmental 8gencies re uired b law. ff ou refuse to su I the infotmation the a IiCdtion ma not be issued. Applicant's Signature: ' `� Date: ` ��p�� i��►��„�A,��+- �F_na.�nnq � � T TIME " CITY OF ORONO ALLED IN �� I INSPECTION NOTICE /'`� Q'�CHEDULED / PERMIT NO. �v � C MPLETED ADDRESS 3�� Q'�'� OWNER E EPFii E N . 5� 5�� CONTRACTOR � S �: DESCRIPTION �(/ � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � � � ❑WORK SATISFACTORY:PROCEED /��ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnedContractor on site: Inspector. White Copy/lnspector's File Canary CopylSite Notice