HomeMy WebLinkAbout2015-00455 - windows � CITY OF ORONO * 2 B 1 5 — 0 0 4 5 6 *
2750 KELLEY PARKWAY �ATE ISSUEn: 04/23/2015
` ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 2765 CASCO POINT RD
PIN : 20-117-23-23-OO19
LEGAL DESC : SPRING PARK
: LOT 132 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-LINDEFINED
VALUATION : $ 26,436.00
NOTE: (12)WNDOW REPLACEMENTS IN EX[STING OPENING-(1)WINDOW IS A BAY WINDOW
APPLICANT PERMIT FEE SCHEDULE 45623
STATE SURCHARGE(VALUATION) 13.22
PELLA NORTHLAND MAIL-IN FEE 2.00
15300 25TH AVE N.- SU1TE# 100
PLYMOUTH, MN 55447- TOTAL 471.45
(952)345-6047 Payment(s)
Minnesota State License#: BUIL-BC645090 CHECK 47907 471.45
OWNER
PUTNAM, MR. &MRS.
2765 CASCO PT RD
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 goveming 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. �/�,n
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`�, �' � ��YVIC�� �f �Z�� �S
Applicant Permitee Sign ture Date Issued By Signa ure Date
APR!?0/2015/MON 11 ; 17 PM FAX No, 952 854 4909 P. 002/003
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Ci�y of arono
Building Permit Application for ln�er��al Work '
(wii�dows, doars, siding, re-roo�F, e�c.)
rLlarling AddrC�Ss: Permit numbet: � ' S�
� � PO Box 66 '/
�O� �� Crystal 8ay, MN 55323-0066 Date received: `�-' �� �
�'�i�:+::�r�,, l�eceived by-
� ' »,�� ) Sfreef Address: �
�� G����,.:;��,„- a,
,�, ;E1, ' «*.,� Gti 2750 Kelley Parkway P;an revieW fee: �
L�'k��'�N��/ orono, MN 5535fi
L �'Lsx��
Total FeA: ��l �� � �-
Main: 952-249-4600 Fax: 952-249-4646 www.ci.orono.m�.us /
Tnis application form must be completed in full and all required information must be submitted. �'t� �
Incompfete applications will be returned. (F�lease printJ �(�,•��0
GEN�RAL 1NFURfUTATION: b � � �� a �
Joh Site Address: � 7 G � �a �r� _ � � „ -
Will thiS be a Parade of Homes, Remodei�rs Sl�owcase Home or other Display Home? � Yes ❑ No
lf yes,a spacia/evsnt permit is roquired with Pollce Departmenf and Cliy Council approva!60 da��s prror to the evenf. Shuftle Dus sen�ice will be
required unless appllcanf demoristrates sufficient on-�Ife parking is available. Non-permitted evants�a�ll!not be allowed,
CONTRACTOR/APPLICANT IN�ORMATION� �f�j'� 3YS •Gti �f ]
Name:
5tate License�t Pella Northland m o
Phone: 15300 25th Ave N. Ste 100 � (cell) _
Mailii�g Address: Plymout�, MN SS447 Z1��
Cantact Person: x,iG#BC645U90 Ph. 763/745-1400 {omeowner �c�rci�oRe�
�i�ail and/or Fax: _
PROPERTY OWIV�R FOR ATIpN-
���r�: �� a r a� �u�� a M
Pnone{day): b f 2 � ��
Address� a O Gi : �Q T ��a zIP: �S� `�
Email and/or Fax �
PROJEG�' INFORMATION: - �
Type of Project: " . Any earfh movement may require
MCWD review&permits ,
�] Door(s) ❑ 1�emodef [,,WatBf Damage
Minn9haha Creek WOte:-shed D',strict(MCWD)
�Window(s) �� 'C,�, .Repai� ❑Sform Dam�ge ' 18202 M[nnetonka 81vd
Deephaven, MN 55391
[]Siding � ❑ Restoration ❑Other:(specify) I'hone: 952-471-0590
Fax: 952-479-0682
� [� Re-foof ❑ �ire Damage � � Www.minnehai�acr Icor
Overall Project Descriptian: J G+l R e u J` S J / � l !n �rS 4
Estimated Construction Valuatiort of Project excluding land) $ L �! l+ b��
APPLIGAN7 ACKN�WLEDGEM�NT:
- Agrees to provide alf mformation required or requeSCed L�y the Building Department;
• Ce�tifies thaf the info�mation supplied is true and Gorrect to the besf of hislher knowledge. ThQ applicant rBCognizes that they
a�e Soleky responSiblo for submitting a complet�8pplication being aware that upon failure to da so, the st2fF has no aliernative
but to reject it�ntik it is complete;
' . SOme or all of tPie infonmation that you are �sked to provide Of1 this application is classifed by 5tate (aw as either private or
confidential. Private data is information which qenerally ca��not be glve�� to the public but can be given to the sub;ect of the
data. Con�identia� data is information which gen2raliy cannot be given to elther the public or the subject of the data Our
purpose and intended use of this information is to annually update our reaords and recorclS of other gOvernmenfa! agencies
re uirEd b law. If Ou refuse to su I the informatiDn,the appliCBtion ma not be fssued.
AppiicanYs Signature: ��
T Date: � � 2v ` ! ✓
Last Updated: O5•04-2009
^.?R�'?0/?015/MON 11 ; 17 PM FAX No, 952 854 4909 P, 001/003
� , . •
9120 East 80�'Street,Ste.#29 9;Bloomington,MN 55420 � _ � � �
952345-6047—Direct 952-8154-4909-F�
- - •
To: Orano, City of Attn: �Idg. Dept. �'ror�:
�a�c: 952-249�616 . Pages:
Phone: 952-249-�600 Date:
Re: Building Permit{s) CC:
❑Urgent ❑ For R�vi�w �Please Comment X Please Rep1y 17 pleass Recycle
• Comments:
Please calE when the permit fee(s)'have been figures. So I can cut a check
-�-, -- �- -
Thank Ypu,
(��C�/
952-345�047
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G��� DATE TIME�
CITY OF ORONO CALLED IN I ��
INSPECTIO OTIC SCHEDULED � `- :�_
PERMIT NO. � - � COMPLETED
ADDRESS J�°�I C(.�� �C'.f-S C d � � _1
OWNER TELEPHONE NO�� ��5 ���`i�
CONTRACTOR ' � � � ' a` r
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� DESCRIPTION
�
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� ❑ iNSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO j' '
(p( �- t=1(� �'- (pC�(o
c�.� COMMENTS: �--._,_ �'
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W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail forthe next inspection hours in advan 2) 249-4600
OwnerlContractor on site: �
Inspector.
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