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Home My WebLink About2013-00468 - windows iiiiiiiiiiiiiiiiiiiiiillillillillim y CITY OF ORONO * 2013 - 00468 * 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS 1000 WILLOW DR S PIN 10-117-23-21-0004 LEGAL DESC UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION S 12,828.00 NOTE: (5)WINDOW REPLACEMENTS IN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 236.00 PELLA NORTHLAND STATE SURCHARGE(VALUATION) 6.41 15300 25TH AVE N. -SUITE# 100 PLYMOUTH,MN 55447 MAIL-IN FEE 2.00 (952)345-6047 TOTAL 244.41 Minnesota State License#: BC645090 OWNER KLOMBIES,LINDSAY&ANNA 1000 WILLOW DR S WAYZATA,MN 55391 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 witlLthe State Building Code.This permit may be revoked at any time Afor 1ue cause. Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A . e " City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: OPO Box 66 \ ` Crystal Bay, MN 55323-0066 Date received: O( O Received by:I :;,;. Street Address: 2750 Kelley Parkway Plan review fee: Orono, MN 55356 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: ** / n Job Site Address: /000 IW i [ (/O t✓ Dove Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ 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: Joe// g1213VC-6oV7 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 INFORMATION: ll Name: b n d s a V 1��o l 414' S Phone (day): 4121 44 i. 04s- & Address: /o e p (J, •W TI V C S City: t;Q y t Q'7�C ZIP: 'S53 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) �SWindow(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.minnehaliacreek.or Overall Project Description: 5 W 1A O W /',f p d Q ,/ S Estimated Construction Valuation of Project(excluding land) $ 2 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. -)plicant's Signature: Date: Ipdated: 05-04-2009 DATE TIME v CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. 2 'A -Oo i"bJK COMPLETED ADDRESS ZQ22 kJ j,Aft J D n-- S OWNER TELEPHONE NO. CONTRACTOR J?&kbt-O l—19 AI DESCRIPTION Aj /esol ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q [I TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS bi(FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT MU.QLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS- u! r✓�w� ✓ GJ/ lJitlbo�J Q�ve j O "r K Ctrouw} c'oyaa/,�� 0 W OC Q ujZ W j LU ❑WORK SATISFACTORY:PROCEED Q4RQAECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerfContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice