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Home My WebLink About2015-01158 - windows CITY OF ORONO * z 0 1 5 - 0 1 1 5 8 * � � 2750 KELLEY PARKWAY DATE ISSUED: 09/1 U2015 ORONO, MN 55356- (952 249-4600 FAX: 952) 249-4616 ADDRESS : 2948 CASCO POINT RD PIN : 20-117-23-31-0036 LEGAL DESC : REG. LAND SURVEY NO. 0461 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTIOK TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,594.00 NOTE: 1 WINDOW REPLACEMENT IN EXISTING OPENING APPLICANT PERMIT FEE SCHEDULE 92.93 STATE SURCHARGE(VALUATION) 1.30 PELLA NORTHLAND MAIL-IN FEE 2.00 15300 25TH AVE N.- SUITE# 100 PLYMOUTH, MN 55447- TOTAL 96.23 (952)345-6047 Payment(s) Minnesota State License#: BUIL-BC645090 CRED[T CARD 0182 96.23 OWNER JOHNCOX, PAUL 2948 CASCO PO[NT 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 wmmenced. The applicant is responsible for assuring all cequired inspections are requested in conformance with the State Building Code.This permit may be , revoked at any time for due cause. � ��—E� 1 V � �1 �_ r � ��—,�S D � j � �i( 1�� C� �� U� C7'� —( �� Applicant Permitee Signature Date Issued By Signature Date SEP/10/201.5/THU 1G: 02 P� Elder Jones Building FA� No, 952 854 4909 P, 002 � C�ty o� Orano Building P�rmit Appl�catian for Ir�tern�l Work (windows, doors, siding, re-roof, etc.) - MailingAddress: pormit numbsr� � f� I � ,-�,0�� PO Box 66 q 1 % �4� � Crystaf Bay, MN 55329-0066 Date rsceived: L 6 r� %� ., � � � � ;-;,.:��,•>. Received by: -- a�„� y`,�76:�.,;R.� �,� SfreetAddress: �--- '� 1��";��;H s, �� t.h 4 2750 f<elley Parkway Plan review fee: �\�,��i��`�,�� Orono, MN 5535s ��tEs�o�.• �� . ��,�� Total �ee: M2if1: 952-249-4600 Fax: 952-249-4fi16 v�nniw.ci.orono.�':n.us �� This ap�lication form must be completed in full and a!1 required information must be subrrtitted_ Incomplete applicatians wifl be returned. (Please prtnt) GENERA� INFORMA710N� �Y � C � Job Site Address: Wiil this be a Parade of Homes, Remodelers Stlowcase Home or ather Display Home? ❑ Yes ❑ No �f yes,a spvcia/event permit is raqurred with Pvlice Depar7ment and City Gouncil approva/60 days prior to the event. Shutt/e bus�ervlCB Will be rEpuired unlass&pp(ica�7t damonstrates sufficient on-s)te park�ng is avallab/e. Non-p�rm/i[ed events will not be a1lowed. CQNTRAGT�R 1 APPLICANT INFORMFITION� Name: �S�f�N$ • 4 b�7 _ 5tate L.icense# Pel1a N�oxtl�.land � o . , Phone: X,5300 25th AveN". Ste �00 (cel[L Mai(ing Address� _ W� Pl�mlouth,MN 5�447 ZIP: „ Contact Person: Lic#$C64$090 Ph. 763/745-1400 lomeowner (Circle One) Email and/or Fax: -- PROP�I2TY OWN� NFORNfA7! N: Nam.e: U � a Pl�on�(day)= S7 z� • l J � . Q I'"� r1 � z�P� S�3 `I1 Address: �� ,� o � G� - Email and/or Fax PR�J�C7 INFORMATION: Type of Projecf: � Any earTh movemerlL may require , . MCWP Yeview& pertnits ❑ Coor(S) I ❑ Rampdel ❑`N�ter Damage � `^� � Minnehaha Creek Watershed District(iv1CWD) `�Window(s) i�epair � ❑Storm Damage , "I H2O2 Minnetonka Blvd � Deephaven, MN 55391 ❑Siciing ❑ Restoration 'i ❑ Other.(speeify) � Phone: 952-471-OS90 Fax: 952-471-0682 I �� RE�roof � ❑ Fire QarYtaga ^ ww�n�.minneYtiaha r ek.or ' pveraEl Project Description: / � trb L b� �n� JEstimated Canstruction Valuation of Project (exc uding"Eancl) $ APPL(CANT ACKNOWL��GEMENT: • Aarees to provide all information required Or r6quested by fhe Eui[ding D9p2Ctmcnt; j . Certifies thaf the informafion supplied is true and correct to the best of his/her knowledge, Thg applicant reCognizes Ihat they � are solely responsibl9 for submitfing a complete application being aware thaf upon failure tU do so, the staff has no altemative but to reject it until it is Complete; ! . Sorrte or all of the ir,formation that you are asked to provide on thls applicatior, iS classified by State law as Pither private Or i� confidentiai. Private da;a is information which q�nerally Cannot be �iven to tlze pubEiC bUt can be given to the subject of the � data_ Gonfideniial daia is information which gen2rally cannot be given to eith2r the public 0� the subject of th� data. �Ur i purpose and inienctsd use of this informafion iS t0 ani�ually upd2te our recordS 8nd records of other governmen;al agencieS � required by I�w, ff you refuse to supplV the inforrnation the a IiCatiOn ma nof be�Ssued. Applicant's Signature� '" V � ___ pat�= � L � D L 1 s � Lasi Upda?eU QS-04-2009 DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED —�� PERMIT NO.o�LS � OII�J� COMPLETED � b �! / ADDRESS aZ 9�f�' �trc. �"`� /Pl�. OWNER TELEPHONE NO. CONTRACTOR /'el�� t� � DESCRIPTION �� ' W ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �INAL ❑ WATER HOOK-UP �FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dWNERICONTRACTOR TO MEET YWJ:_YES_NO � COMMENTS: /��r�c•� /�af�cv ,l�a./�o� �' C.t l� �o.� �r 4 f'r.taL t�ls�ec�io� j o � � l�v.�/,�Od 2en /_ — �5�� _s�Z� � 5 Z`y!c o � l�, � �s� i•y� .esr�rJe.t�. - LtJor� W Q Qd /S !�j' wt/l�G�� 2 � ;dcL.+��" ��1�'lcao � � , � ❑VYORKSATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT YMORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT YYORK,CALL FOR REINSPECTION TEMPORARY V BEFORECdVERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advanoe. (952) 249-4600 OMrr�erlContractor on site: Inspector: � VYhiN CopyAnspecta's Fila C�nary CopyISIN NoNa