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Home My WebLink About2015-01393 - windows ! " CITY OF ORONO * 2 0 1 5 - 0 1 3 9 3 * 2750 KELLEY PARKWAY DATE ISSUED: 10/29/2015 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 365 FERNDALE RD N PIN : 36-118-23-41-0002 LEGAL DESC : LTNPLATTED 36 l 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 2,500.00 NOTE: REPLACE(1)WINDOW INTO EXISTING OPENING APPLICANT PERMIT FEE SCHEDULE 92.93 STATE SURCHARGE(VALUATION) 1.25 THOMPSON CONSTRUCTION LLC TOTAL 94.18 505 COUNTY ROAD 19 Payment(s) MOLJND, MN 55364- CREDIT CARD 2641 94.18 (952)393-5349 Minnesota State License#: BUIL-BC686985 OWNER TERRILL, DONALD&KIMBERLY 365 FERNDALE RD N 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 no[grant permission for additional or related work which requires sepazate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whe[her or not specified herein.This permi[will expire and become null and void if construc[ion au[horized 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 permi[may be revoked at any time for due cause. �� /B�'e2��'�� 1� l� l 1—_J Applicant Permitee Sig re Date Issued y ignature Date � • � City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) �O� Mailing Add�ss: Permit number: �b�5 � v( � O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � Street Address: Received by: ti�, G� 2750 Kelley Parkway Plan review fee: t Orono, MN 55356 �kESHO�� , �� 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: ' / Job Site Address: 3G.5 r�t�Q�� !�O r q Za� �J�/ SS39/ 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 approva/60 days prior to the event. Shutt/e bus service will be required un/ess applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be a/lowed. CONTRACTOR/APPLICANT INFORMATION: Name: T�ov�n(.�So� �ohs"frtic��{7on LL�L— -- or��c.h �o��Sor1 State License# �G,686 p8c�' Expiration Date: — 3�— 20! � Lead Certification Number. ,�/,C��-- ,C`¢��8l�... � Expiration Date: //— /�— a0! q (for work on homes that were constructed prior to 1978 Phone: (cell) q5Z— 3—S3 (office) � Mailing Address: o$ o n f- ,P / City: o Z�I': ttjit/SS Contact Person: ,�� or,,� o Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: or �an o e 6 a PROPERTY OWNER INFORMATION: �^ � Name: �ohn � IC i +�►� I �.�-,ri � Phone (day): 5I Z- gaq �'g2.l3 Address: �.. � ,� ,f/�./� c�ty: � � z�P: S 5 3� 1 Email and/or Fax: 4 �,., � m PROJECT INFORMATION: Overall pro�ect description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Window(sj�l� www.minnehahacreek.or4 Estimated Construction Valuation of Project(excluding land) $ d ---- 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 ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: ` Date: !O — o?4�' 20! 5 Owner's Signature: Date: Last Updated:January 2015 �� DAT�S TIME � CITY OF ORONO CALLED IN 11� INSPECTION NOTICE SCHEDULED //- 13 � :.3 d PERMIT NO. �-5 ��y� COMPLETED ADDRESS 3 S ' � /� � OWNER TELEP NE NO gSOZ��3 S3y�-� CONTRACTOR � � � DESCRIPTION u L`� �'1�-'�L�� ll� ❑ 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 ❑ FR ING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ I ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP = AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTAACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � j • W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ SUE 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. Ca11 for the next inspection 2a hours in advance. 5 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSlte Notice C �- (� DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO.��—D�.�q� COMPLETED ADDRESS � �b S ��"7',Y1�c� ��' h�i/ �� OWNER TELEPHONE NO. J-� ��g�"�� CONTRACTOR � f�r�,,��2Sd j2_� ,, , � DESCRIPTION /��,�/1�� f/�c�j , t1� ❑ 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 � �NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL 2 OWNERfCONTFiACTOR TO MEET YOU: '' YES_NO � COMMEN •'T� ,C��a �(�-,-�_`��/J,'�— /-(� O a �"_�� 6� }�p L' ,�G2�1�;� • � J O 1 � ��U� /vl4`��1 e L�.��e✓�Q 'D ✓� o • `� !�/C�✓!�J-� c aeQr Cd�,n a/t.�-s c �G4�^r� W • Q GG«ec.� -� c4G� �o� ��,n s��c� �_, � z W � W � j d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED /�t9PE6T10N REQUIRED.CALL TO ARRANGE ACCESS. !/ Ca11 forthe next inspection 24 hours in advance. (g52) 249-460� OwnerfContrac on s�te: Inspector. ��"-' White Copyllnspector's File Canary CopylSfte Notice