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Home My WebLink About2015-00817 - windows � CITY OF ORONO * z 0 1 5 - 0 0 8 1 7 * 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2948 CASCO PO[NT RD PIN : 20-117-23-31-0036 LEGAL DESC : REG. LAND SURVEY NO. 0461 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : W[NDOWS ACTIVITY : O/S BU[LDING- UNDEFINED VALUATION : $ 4,590.00 NOTE: 3 WINDOW REPLACEMENTS IN EX[STING OPENINGS APPLICANT PERMIT FEE SCHEDULE 123.91 PELLA NORTHLAND STATE SURCHARGE(VALUATION) 2.30 15300 25TH AVE N. - SUITE# 100 MA[L-IN FEE 2.00 PLYMOUTH, MN 55447- TOTAL 128Z1 (952)345-6047 Payment(s) Minnesota State License#: BUIL-BC645090 CREDIT CARD 0182 128.21 OWNER JOHNCOX, PAUL 2948 CASCO POINT 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 governing this type of work shall be compied with whether or not specitied 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. / / Applicant Permitee Signature Date Issued By Signature Date JUN/23/2015/TUE 01 : �5 AM Elder Jones Building FAX �10, 952 854 4909 P, 002 , City of Qrono Building Permit App[�cation �'or Inte�rnal Wor-k (windows, doors, s'rding, re-roof, efic.) -CL,�,� M�//�Pb Bo�r66 , Permit number: � i ~ //Dy- � Crystal Bay, MN 55323-0066 Date received: � r�'- 1.;;,��,� Receive� bY- I� �`� :" ,� Streef Address: � rn�� '�,��:;-- ,�, ;�}�� G� 2750 Kellay Parkway Plan revie�vfA9' ��'�� Orono, MN 55356 � ��ES�I� Total Fee: � Z,g' , Z� Main: 952-249-4600 Fax: 952�249-4616 www.cl.orono.mn_�s This application form must be completed in full and all required informatian rriust be submitted. fncorrtpl�te app(ications will be returned. (Please prinf) GEN�RAL [NFORMATION: Job Site Address: �� Q �j C 0 �4 /l�.� �� Will this be a Parade of Hames, Remodelers Showcase Home or otf�er!]ispiay Home? Yes ' No ff yes,a special event permlt is r�equired with Po/ice Dapartment and Clry Counc!!approval o�days prior to tha evenl. Shuttle bus scn�ica wrl/be requi�ed unless applicAnt demon.sfrates su(ficiant cMsite pa�king Is available, Non-permitfed ev�nts wlll nof be allowed, CONTRACTOR!/aPPL.1GANT i1V�Ot2MATION: q 5� �y S� G e y 7 Na�ne: � state ucense# �el�a Noz-�hland Plicn�: 15300 25th A�ve N_ Ste 1 p0 cell Mailing Address: Plymouth, MN SS447 ��p= contact Person; - - Lic#BC645090 Ph. 763/745�140Q �omeowner (C�rcle One� Email and/or Fax: Nam�e:��OWNE��OR;ATIqo:� n C � K � Phona(day): � C . / � 1 Acdress: �� ( 6 L�SI o _0 a Q Gi ;W GZ' Q. j-� ZIP: J�� mail and/or Fax PR�J�C7INFORMATION: - i Type of Project: � Any earth mOv�mant may require MGWD revieW&peXmits ❑ Ooor(s) ❑ Ramo�ei ❑W8t6r Damage Minnehaha Crezk Watershed Distr'iCi(MCWD) `�Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 , ❑Si�ing � ❑ Restoration ❑ bther:{specify) � Phane� 952-471-0590 Fax; 952-�!'�1-0682 ❑ Re-roof �] Fire Damage w�nnN.minnehahacr22k.Q� Overall Project Description: '� �� Estim�ted Construction Valuation vf Aroject(exclu ng ]and) $ 'rj' APPLIGANT ACKNOWLEDG�M�NT: . Aorees to provide alf information requir'ed or rAquested by fhe Building DepafimenY; � CeRifes that the information supplizd is truE and correcf to the best of hislher knowledge. The applicant feCOgnizes that they are solsly responsible for submitfing a Complete application being aware that Upon faiiur�to do so, the staff has no alternative but to rejeGt rt until It is compleEa; • Sorrte or all of t1�a information that yau are asked to provids on this app[ication is classified by State law as ei�her private o�- confidential. I'rivate data is information which generally Cannot be yiven fo the public buf Can be given to the subjs�t of tne data. Gonfidential data is informatiorl whiclz gen�rally cannot tre given fo either the public or the subjeCt of th0 data. Our ' purpose and intertded use of this information is to an�ually update our recbrds and records of other govemmental agencies � required by law. If you refuse Yo supply tlie information,the application may not be issued` _� Applicant's Signature_ � Date- � �l a �` � � _ast Updatetl: U5-04-2009 C�V DATE TI E CITY OF ORONO CALLED IN INSPECTIO O ICE p SCHEDULED c�; � -�� PERMIT N . O��'`� ' UC� �J� � COMPLETED ADDRESS 2�t�-C� �C-��U �I��- ��I OWNER TELEPHONE NO.��"� � ��'-U 'z-Z �� CONTRACTOR r� L�C� I��'t.�� -4� ��c� � DESCRIPTION � ��-n�'� 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q , � �AL ❑ WATER HOOK-UP ❑ FOLLOW-UP �4 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL � ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � . a ,3 lv��r�o� rca l��..�•�c�s � � � o _ 1 . p� v�Gtl�lE ,jlZ G w .�J�� ' .5/ 9�G i�►/ O ' � �xc 5t� `�3 D�.�SS• W � Q zI✓ti f� •�D.o�•e�S �'o�p/.�L W � t � �.�� GW ❑WORK SATISFACTORY:PROCEED �T COM PLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspecto �� / White Copyflnspector's File Canary CopylSite Notice