HomeMy WebLinkAbout2018 - 00527 - windows RI I I III III III II IIII IIIII I I II II
CITY OF ORONO * 2018 - 00527 *
2750 KELLEY PARKWAY DATE ISSUED: 04/26/2018
ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 999 WILDHURST TR
PIN : 07-117-23-21-0005
LEGAL DESC : UNPLATTED 07 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
VALUATION : $ 9,800.00
NOTE: 2 WINDOW AND 1 PATIO REPLACEMENT IN EXISTING OPENING
APPLICANT PERMIT FEE SCHEDULE 201.32
PELLA NORTHLAND STATE SURCHARGE(VALUATION) 4.90
15300 25TH AVE N. -SUITE# 100 MAIL-IN FEE 2.00
PLYMOUTH,MN 55447- TOTAL 208.22
(952)345-6047 Payment(s)
Minnesota State License#:BUIL-BC645090 CREDIT CARD 0182 208.22
OWNER
GRAY,MIKE&DIANE
999 WILDHURST TR
MOUND,MN 55364-
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. /I
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Applicant Permitee Si a� Date Issued B ature Da e
pP � Y �
A,R/20;,;2018/THU 10:03 AM Elder Jones Building FAX No, 952 854 4909 P. 002/002
City of Orono
Building Permit Application for Maintenance/ Replacement 1 Remodel — Residential ONLY
(Le.windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) c
�{YQ Mailing Address: Permit number: -0`a - J��
tylty_
PO Box 66
Crystal Bay, MN 55323-0066 Date received: 2.(Q—!
Street Address: Received by:
2750 Kelley Parkway Plan review fee: '
`� c Orono,MN 55356
`"IktasH00' 461
g ,
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ctorono.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:��t� �r /
Job Site Address: ld huKs-]--Fe I
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yeso
If yes,a special event permit Is required with Police Department and City Council approval 80 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.
CONTI Pella Northland
Name: 15300 25th Ave N Ste.100
State L Plymouth MN 55447 Expiration Date:
Lead C 763-7451400 pis)7Fc? —/ Expiration Date: i/- 7.-
(for BC645090 expires 3/31/19 1978
Phone: keen) (office)
Mailing Address: City: ZIP:
Contact Person: July- -3 - ,6 S Applicant is Contractor Homeowner (circle one)
Email and/or Fax: FJ`uf ie., e, f,r-co,Le5.c 0-14,-\
PROPERTY OWNR INFORMATION:
Name: 1.601 6.
Phone(day): 4212,—,9-70--V/V
Address: City: ZIP:
Email and/or Fax: -
,. r
PROJECT INFORMATION: Overall project description:o?ItJ/f ;,u• I if 1' . ', / ' ' ' t' l.P.r; i
Type of Project: An' earth move ant may also require
ElDoor(s) I=1 Remodel ❑ Fire Damage MCwp review&permits;
Minnehaha Creek Watershed District(maw))
❑Re-roof,asphalt ❑Repair ❑Storm Damage 15320 Minnetonka Blvd
❑Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345
I=1 Re-roof,other(specify) 11Siding 1:1Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
`y[Window(s) www.minnehahgr�reek orrt
Estimated Construction Valuation of Project(excluding land) $ gS
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 information 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 sus.ly th information,the .plication may not be Issued. �/ I p
Applicant's Signature: Date: '7 f U
Owner's Signatur:. _ Date:
Last Updated:January 2015
sC_-D Dia
E TIME
CITY OF'ORONO CALLED IN L
INSPECTION 1I OT,I9rE ' / SCHEDULED I-16- /4 O? 8'0
PERMIT NO.6/0/`f—1)400 `.1g COMPLETED
ADDRESS q99 W//d hurSt"
OWNER �' TELEPHONE NO.763 24, 8' 7
CONTRACTOR //� 5°- " 4 it/
DESCRIPTION S 'L 42000A4..
i ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS
h 0 FRAMING 0 MECHANICAL FINAL
0 TREE REMOVAL
Z
0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
Is 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT
v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
IT
LU 0 DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
v 0 PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL
2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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2 WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE
W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ 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
Owner/Contractor on site: J7d/ e (at 7��Y'
Inspector. S C(s` Y
White Copy/Inspector's File Canary Copy/Site Notice