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Home My WebLink About2017-01583 - doors CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 7 — 0 1 5 3 DATE ISSUED: 12/06/22 017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 3065 WATERTOWN RD PIN 04-117-23-22-0033 LEGAL DESC WALNUT CREEK LOT 002 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,000.00 NOTE: 2 PATIO DOOR REPLACEMENTS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 216.81 PELLA NORTHLAND STATE SURCHARGE(VALUATION) 5.50 15300 25TH AVE N.-SUITE# 100 PLYMOUTH,MN 55447- Payment(s) TOTAL 222.31 (952)345-6047 CHECK 79301 222.31 Minnesota State License#:BUIL-BC645090 OWNER DAHL,JEFFREY&LOIS 3065 WATERTOWN 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. C Applicant Permitee Signature Date Issued By Sig-natft Date ooNd0 ,0/2017/THU 04:32 PM Elder Jones Building FAX No, 952 854 4909 P, 002/002 City of Orono Building Permit Application for Maintenance / Replacement/ Remodel -Residential ONLY (i.e.windows, doors, siding, re-roof, etc.-NO STRUCTURAL EXPANSION) A, Mailing Address: Permit number: l PO Box 66 Crystal Bay,MN 55323-0066 Date received: — -17 Street Address: 0 I I' Received by: ' � c• 2750 Kelle y Parkwa /� Plan review fee: sHo�``` Orono,MN 55356 1 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. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: -3 " Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes No If yes,a specfal event permit Is required with Police Repartment and City Council approval 80 days prior to the event. Shuffle bus service will be required unless applicant demonstrates sufficient on-aft parking Is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Lead Certification Number: /.57/782- _ Expiration Date: (for work Pella Northland ' Phone: 15300 25th Ave N Ste.100 (office) Mailing Add Plymouth MN 55447 City: ZIP: Contact Pei 763-745-1400 Applicant is: Contracto Homeowner (circle on•) Email and/c BC645090 expires 3/31/19 �'�� (P&-1d k2r'gi22K. C8W PROPERTY OWNER INFORMON: Name: ZAA Phone(day): d 1.2 70 Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project descri ions 41 Type of Project: Anf earth movement may also requir Vift [9-Door(s��) ❑Remodel ❑Fire Damage MCWD review&permits: ❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) ElRe roof,cedar 15320 Minnetonka Blvd ❑Restoration ❑Water Damage Minnetonka,MN 55345 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehoh=eek.org Estimated Construction Valuation of Project(excluding land) $ 27. 61D 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 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 informs' n which generally cannot be given to either the public or the subject of the data. Our purpose and Intended use of this infor tion is to annually update our records and records of other governmental agencies required by law. If you refuse to su 1 t information the application may not be issued. Applicant's Signatur Date: /,� —l/-7 Owner's Signature: Date: Last Updated:January 2016 - N430/2017/THU 04:32 PM Elder Jones Building FAX No. 952 854 4909 P. 001/002 DATE TIME FAX TRANSMISSION FORM PLEASE DELIVER IMMEDIATELY TO: NAME: CITY OF ORONO Building Dept. COMPANY: FAX#: 952-249-4616 FROM: JULIE FIRTH, PERMIT SERVICE PHONE: 952/345-6457 EMAIL: julief@elderjones.com NO. OF PAGES FOLLOWING: RE: PROJECT#: NOTES: Please call or Email with permit fee Thanks DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS OWNER TELEPHONE NO. ��'� CONTRACTOR P �— r-?\ g4j 3: DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION DRAIN TILE ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ LATHE ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL �j [I DEMO-SITE ❑ SEPTIC INSTAL Z OWNERICONTAACTOR TO MEET YOU:_YES_NOJ COMMENTS: r Q; W cc Q W 41 ❑WORK SATISFACTORY PROCEED OJECT COMPLETE It W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY C O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN CITATION ISSUED D STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next. 24 hours in a nae. (952) 249-4600 aMn>IartContractor opsit . 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