HomeMy WebLinkAbout2011-01468 - windows CITY OF ORONO PERMIT NO.: 2011-01468
� . � 2750 KELLEY PARKWAY
ORONO, MN 55356- �AT�ISSOED: 1 U30/2011
(952) 249-4600 FAX: (952) 249-4616
ADDRESS 1 : 1300 BRACKETTS PO[NT RD
PIN : 11-117-23-32-0017
LEGAL DESC : RGT ORONO POINT
: LOT 004 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 4,961.00
NO'CE: REPLACE(3)WINDOWS INTO EXISTING OPGNINGS
APPLICANT PERMIT FEE SCHEDULE 118.00
PELLA WINDOWS& DOORS STATE SURCHARGE(VALUATION) 2.48
15300 25TH AVE N. - SUITE# 100
PLYMOUTH, MN 55447 MAIL-IN FEE 2.00
(952)345-6047 TOTAL 122.48
Minnesota State License#: 20165884
OWIVER
PILLSBURY, GEORGE
1300 BRACKETTS PT RD
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfonned according[o
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 rela[ed 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 l80 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.
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Applicant Permitee Sig ure Date Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE.
Nov-23-2011 08:35am From-CITY OF f tONO +g522494616 T-295 P.002/002 F-865
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City of Orono
6uilding Permifi Application �For Internal W ark
(windows, doors� siding, re-roof, �tc.)
MailJngAddress: Permlt number. O�L�� �� ��
PO Box 66
O�"�'�a Crystai Bay,MN 55323-0066 Qate received_ � ��"` �
Received by:
� '"•T StreetAddress_
'� 275o Kelley Parkway Plan reviewf6e:
��'�;� Orono, MN 55356 / r� � (�
���'� a�' Total Fee: p� � �S
Main_ 952-249-46Q0 Fax: 952-249-�1616 wvvyr,_cl.orono_mn_us
Thls application form must be complated in full and all required information mu5t be submitted.
Incomplete appliaatlons will be returned. (P/ease prirJtJ
GENERAL INFORMATION:I�0 0 fa�Q C �L ,�0 l� 7� O
Job Sito Address: �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display HQme? Yes No
• lFyres,e speclsl evant permit is roquliBd wifh Po/fce DepcR1»ant and Gry Cou»c/f epprovs/60 dsys D!ioi lo�he evsl�I. Shutde Dus sarvres will be
/gp�i/ed 4Aless eppficant d6mo/rSflBtes�u�ficlonf on�lte parkin9�s avsilable. Non-perml�d aver,ts�wll!��ot be apowed-
CONTRACTOR/APPLICANT INFORMATION= J 0�II
Name: cs ��= ���
State License# cell
Phone: � n n � � � /' � � � 100 " ZIP:
Mai�(ng Address: �C � t -
Contact Person: iomeowner �corc�oone�
� , / �45-1.400
Emaif and/or Fax: —'
pROP�Rn OWNER INI
Name:
Phone(day): � Citv� � Y Z Q�� z�P: 5�'3 q/_
Address: _� -
Email and/or Fax ; CEder-Jones Building Permit Service, Itt
PROJ�C7 IN�ORMA1 :; �120 E. $O t h St
-�� , Any earth rnov�sment may requ7re
Type of Projecr. ���C19'i��fl� 5��; ���+� ����� MCWD review&permlts
❑Gooi(s) � � Minnehaha Creek Wate�shed Distrid(MCWp) �
W�ndow s 182�2 Minnetonka Blvd
� � Deephav2n,MN 55391
Q Slding ❑ Rastoratlon � U Other:�Sp6Gry) PhOf1e: 952-471-0590
Fax_ 952�7'I-0682
❑Re-roof � � Flre Damags�
www"minne a ac e c.o
overell Pro ect Description: W I n d a GJ �'� 0 Gt M/�,_S !� ��'/s ���4 �p��'�t -
Estimated Constructlan Valustion o� Project(excludln� land) $ � 'Q G �
APPLICANT ACKNbWLEDGEME JT:
. Agrees to provlde all information requirea or�equested by the Bullding Department:
. Cartifles that the iriforrs+atlon supp��gd is true and correct to the best uf hislher knowledge. rhe applicant recognizes that ihey
are solely responsible fof submilCing a aompletn applicatfon being aware that upon failure to do sa,the staff has no altemat�ve
but to rejed'R untfl�t is cemplete;
. Some or all of tne Ittformatiorl that you are askad to provida on this application is classified by State law as erther pr�vate or
confidentlal. Pflvate ddta is inform8tlon whlch generally cannot be given to the public qut can be given to the subjea of the
d8ta. Cprlfidential d2tz f9 Informatiotl which genarally Cannet be given to blthef She public or the Subjeot of the data. Ou�
Per��ad bn awtc�iapu�efu ef to su'�)r hA ntormation thele uDcat�o�ma narob�a3su dcordS of othef gOvernmental agenCies
Appllcant's Signature: �
/� Date: _ (�l '�` l /
I acf I InnAted: 05-04-2000
� � ���tl� DATE TIME V
CITY OF ORONO CALLED IN
�-�
INSPECTION NOTICE +,,�SCHEDULED �� ' �" '
PERMIT NO. �� I I L � L�llf-'COMPLETED
ADDRESS 1 -'Y�- ( I'-`1_ ��:� -�'�� �� �
OWNER TELEPHONF�NO. ����`' -i�� �''-� �
CONTRACTOR f � ��-[ , �-� 1���';i.�j
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>; DESCRIPTION �, �;�-1` I -- `� �-�A'11��C1 �-( � `:�
� { � -
� ❑ FOOTING ❑ PLUMBING FINAL �`j 1 j r❑,EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Z
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL' / ❑ FOUNDATION/REMOVAL
Z O�WNERICONTRACTOR TO MEET YOU:_YES�L NO
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� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED /,PS.PROJECT COMPLETE
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W ❑ CORRECT WORK&PROCEED !l ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CAIL INSPECTOR
G INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Ca11 tor the next inspection 24 hours in advance. (952� 249-46�0
Owner/Contractor on si e:
Inspector.
White Copyllnspector's File Canary CopylSite Notice