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Home My WebLink About2013 - 01182 - windows III1II1111 11011111111 II CITY OF ORONO * 20 1 3 - 0 1 1 82 * 2750 KELLEY PARKWAY DATE ISSUED: 11/06/2013 • ORONO, MN 55356- • (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4550 WOLVERTON PL PIN : 31-118-23-31-0013 LEGAL DESC : FOXFYRE ESTATES : LOT MB BLOCK MB PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 57,578.00 NOTE: WINDOW/DOOR REPLACEMENTS APPLICANT PERMIT FEE SCHEDULE 741.75 PELLA NORTHLAND STATE SURCHARGE(VALUATION) 28.79 15300 25TH AVE N. -SUITE# 100 PLYMOUTH, MN 55447 MAIL-IN FEE 2.00 (952)345-6047 TOTAL 772.54 Minnesota State License#: BC645090 OWNER GHERARDI,RICHARD&LORI 2985 WATERTOWN ROAD 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. eL• Applicant Permitee Signature Date Issued By nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) -` Mailing Address: Permit number: O O i% 0 J1 . PO Box 66 / y_ `V Crystal Bay, MN 55323-0066 Date received: /I Received by: A IlirM Street Address: , V ll, p ti/1 2750 Kelley Parkway Plan review fee: ttl l �fYj F1�, c.,/ Orono, MN 55356 kEsxoi`-;- \\ 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: Job Site Address:ress: L/ T,5 0 Wo /YC'r4o ,' r /Q a Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? I I Yes I I No If 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-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: 62/3 y S • to `/7 Ju di Name: State License# Pella Northland Phone: 15300 25th Ave N. Ste 100 (cell) Mailing Address: Plymouth, MN 55447 ZIP: Contact Person: Lic#BC645090 Ph. 763/745-1400 lomeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFQRMATION: / / Name: 14 e' iiQ'n cfc Q W1, 1 c 0x Phone (day): 9 Y Q L 4 3 . 8 Y al Address: Y S'S e tj o Yc r P/ n a Cl ,� o >7 v City: ZIP: S' 5 3 $ f Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits Door(s) ❑ Remodel ❑Water Damage 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 ❑ Re-roof ❑ Fire Damage /www.minnehahacreek.orq Overall Project Description: LAN A [(v Li j ('lour rep (o U. M 4 A 74 S Estimated Construction Valuation of Project(excluding land) $ 57 S 7 8 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 information is to annually update our records and records of other governmental agencies required by law. If you refuse to supply the information,the application may not be issued. Si nature: Date: / 1 C t /t 3 Applicants ' g nature: Updated: 05-04-2009 NOV/04/2013/MON 05: 47 AM Elder Jones Building FAX No, 952 854 4909 P. 002 1.-tit /\/3, City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O?�f -�` 1 g Z it,0 i. PO Box 66 OµYK' - Y� Crystal Bay, MN 55323-0066 Date received: ) I-5 -13 v.'.,,w Received by: a, Street Address: $�{�,'i 4511PP- ,, 2750 Kelley Parkway Plan review fee: -� \`� ",y-, vc' Orono, MN 55356 Total Fee: 772 . 54 Main: 952-249-4600 Fax: 952-249-4616 www.ci,orono.rn.us This application form must be completed in full and all required information must be submitted. . Incomplete applications will be returned. (Please print) GENERAL INFORMATION: // '� Job Site Address: Li '5'a W n I ve r ila n Pia a ay H Will this be a Parade of Homes, Remodelers Showcase Home or other Displome? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approval 80 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: g57131/5 • t0y7-Jodi State License# Pella Northland Phone: 15300 25th Ave N. Ste 100 (cell Mailing Address: Plymouth,MN 55447 ZIP: Contact Person: - Lic#BC645090 Ph. 763/745-1400 lomeowner (Circle One) Email and/or Fax: PROPERTY OWNER I QqRMATION: Name: f0 -Yet f) Cfr$Y + IIeo0C Q Phone (day): r Q 10 Address: 5f 0-S 0 W o I S P 4 /l Pi a CI Cit : a/`0 >1V ZIP: 1535 Email and/or Fax - PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits Door(s) ❑ Remodel 0 Water Damage Minnehaha Creek Watershed District(MCWD) `®Window(s) Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Siding ❑ Restoration Q Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 Q Re-roof 1:i Fire Damagewww.minnehahacreek,org T Overall Project Description: til el.a tJ door rep a o. in 4 J) S Estimated Construction Valuation of Project(excluding land) $ 57, S 7 8 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 information is to annually update our records and records of other governmental agencies required by law, If you refuse to supply the information,the application may not be issued. A licant's Si nature: ��?( pJ_ Date: r �t �l Pp g Last Updated: 05-04-2009 '%ae A-3DATE TIME \/ CITY OF ORONO CALLED IN �.Z ��'/ INSPECTION NQ TICE SCHEDULED .3'o? /r y.� PERMIT NO. °CO/3' /g�-' COMPLETED ADDRESS -55-00f,e OWNER A TELEPHONE 0 j - - -8t CONTRACTOR WYM , al • DESCRIPTION `fra'u} i!a/i1M dierS W 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING • ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS �RAMING ❑ MECHANICAL FINAL / ID TREE REMOVAL 2 ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS Is ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL 5 OWNER/CONTRACTOR TO MEET YOU:_YES_NO LO COMMENTS: W Q. Ram v c, c J ., We valor / ,''t o r' 4S 2 o �sU LASIcQ — cc ° 0 &DvI4 2Nyi gee e✓irtf far rlabr IIe45Ss IQ cc 444f t KS 6 4 iwL L . fA47( As 4ç7 Ae Oe- Lcy /r4& - /4s W Z • P j V'ro u t# e e(e,�ic r ,,,,e• /1/ 'o'" ---4., C.6 er►K f a WQ ❑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 CI CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call • - . - ion 24 hours in advance. (952) 249-4600 Owne on .ctor on site: . t.0 • r12 Inspector. Iw White y/Inspector's File Canary Copy/Site Notice �A/TE TIME CITY OF O ONO 3-_.... /-1 INSPECTIONCE / SCHEDULED (�_f_—__44( /1'. PERMIT NOS= r'E/) /��U��- 1`5//C,0/PLLEETEED ...e....7 ADDRESS 155 Lf/ /0-e. OWNER TELEPHONE NO.` ^S"0 —•f/ 9 CONTRACTOR lF a— / ' �, �; DESCRIPTION Wi, a;a5 v az'-s 2iii/ Lu ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING cr ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL Q LI TREE REMOVAL • ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS '<FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v ❑ DEMO-SITE 0 SEPTIC MAINT ❑ FOLLOW-UP Lii ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOUYES_NO y COMMENTS: a pec , E. -• G�1s�� ;,, - ok o ''' au/ doors ins'4t//i.0 opa:✓ ote.,fk C r#,,v.rs o S,,�`�. --s . L /�..t6c--04.4 71/....ss- e!?y,Keer . 7Y W Q rb v Erle .0 ,e r ropiest ' ciz'`y 44 // - 2 r4dK aS of Ca O4 -( o., r''O o re�� W -- Sea/ e/Gc-4cctt /enezir ,i& -, - World r- i 6141;Ps CO?fe-1e IQ ❑WORK SATISFACTORY:PROCEED VROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY O(..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN CI CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cartf neXti action 24 hours in advance. (952) 249-4600 Owner ontractor on site: ic,Atv'OQ Inspector._____944;e____A White Copyllnspector's File Canary Copy/SIte Notice