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Home My WebLink About2010-00302 - windows CITY OF ORONO PERMIT NO.: 20�0-00302 , ' 2750 KELLEY PARKWAY f ORONO, MN 55356- DATE IssUED: OS/1U2010 952 249-4600 FAX: 952 249-4616 ADDRES� : 785 FERNDALE RD N PIN : 36-118-23-11-0012 LEGAL DESC : REG. LAND SURVEY NO. 1031 : LOT 000 BLOCK 000 PERMIT TYPE : M(NOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUiLDING-UNDEFINED VALUATION : $ 6,218.00 NOTE: REPLACE(2)WWDOWS AND(I)PATIO DOOR WITHIN�XISTING OPFNINGS APPL[CANT PERMIT FEE SCHEDULE 147.50 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.11 1920 COUNTY RD C. WEST ROSEVILLE, MN 551 13 MAIL-]N FEE 2.00 (612)502-4777 TOTAL 152.61 Minnesota State License#: 20130983 1 L OWNER CULLUM JR, M[CHELLE&THOMAS 785 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 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 specificd 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 atter 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 fqr due cause. i�� lC, / / (!j�i/I�1,� l l �.,--�� Applicant Permitee Signature Date Issued B ignature � ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � City of Orono . , . Building Permit Application for Internai Work windows, doors, siding, re-roof, etc.) Meiling Address: �0� PO Box 66 Permit number. a(?!' ! r'" �,,f'- . 0 � Crystal 8ay, MN 55323-0066 Date received; �` �,''C.i � a r � Street Address: Received by: _��,� � �� 2750 Kelley Parkway Plan review fe�: �r ��sxo�� Orono, MN 55356 ,,� Main: 952-249-d600 Fax: 952-249�616 wvuw,ci.orono.mn.us Total Fee: '�' �� This application form must be cornpleted in full and all required inforrnation must be submitted. �%y Incornplete applications wlll be returned. (Please print) � �="�� '' �"` GENERAL INFORMATION: Job Site Address: �$cj �, ,� � � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No Kyes,a specia!evanf permlt is required with Pollce Department end City Council approval 60 days pno�to the event. Shuttle bus service w�/I e raquired unless applicant demonstrates sulficient on-site perfcing/s availab/e, Non-permJtted events wil/not be a/lowed. CONTRACTOR/ APPLICANT INFORMATION: Name: Renewal By Andersen Phone:icense# 1920 County Road "C" West Expiration Date: Mailing Address; Roseville, MN 55113 (cell� License#20130983 C�� ZIP: Contact Person: �t is: Contractor / Homeowner Email and/or Fax: 651-264-4777 ' ��'"'e o"e► PROPERTY OWNER INFORMATION: `- ��11 U �� Name: '(\(� �(�1.��,e Phone(day): , y b Address: � . Ci , Z�P. Email and/or Fax � PROJECT INFORMATION: � Type of Project; Any earth movement may requlre ❑ Door(s) ❑ Remodel N�CWD review 8 permits ❑Wat�r Oamage ❑Window(s) ❑ Repair Minnehaha Creek Watershed District(MCWD) ❑ Storm Darnage 18202 Minnetonka Blvd ❑Siding ❑Restoration ❑ Other: (specify) Ph neaV952 4N1 0590 ❑ Re-roof Fax: 952-471-0662 ❑ Fire Damage w�w.minnehahacreek ora overall Project Description: p`� � � •o �� i Estimated Conatruction Valuation of Project(excluding land) $ � . (� i APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Departmenl; • Certifies that the inforrnation supplied is true and correct to ihe best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upvn failure to do so, the staff has no alternative but lo reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by 5tate law as either private or confidential. Private data is informatiqn which generally cannot be given to ihe pu6lic but can be given to the subject of the data. Confidential data is information which generally cannot be given to eithe� the public or the subject of the data. Our purpose and intended u5e oi this information is to ahnually update our records and records of other governmental agenaes re uired b law. If ou refuse to su I the information the a lication ma not be issued. ApplicanYs Signature: Date: � J� Last Updated; 05-04-2009 • , Z 'd 06i9trL9TS9 3�I11213S 1IW213d Q '8 S �1 OE =9T OTOz EO �eW 1 �. ,., , � �4fi . . < ,t ,, � ,r�'}� 74 '� � �f� i �`�� f�"��`�(��rf �',, UU S � D Permit Service 9533 — 367`h Street; North Branch, MN 55056 Phone 65 I-674-1766 — Fax: 65 I-674-6 l 94 952-249-4616 - Fax CiTy of Orono, Please ftgure out the building permit fee for this job and call me with the fee arnount so that I may come to the city and pay for/pick up the permit. Also,please call if you have any questions. Thank You, G� Kara Benson 6�1-674-1766 C�SI -C��-4- �I 10 -�a�c �. . ,5 , ��.� ��t 0/ 6�.� � a �/ �,�n-��.,�� . wl . , � . � � ��.,�. �`'�`��c.- �,� � _ � � � � �`r y � �,,��`.,�.�(^�,�.�.� �� ,� �� ,,�C , � Z 'd 06T9�L9IS9 3�IA�13S 1IW213d Q '8 S f� OE �9i OTO� EO �eW ' ' Confiirmation Report — Memory Send Time : May-04-2010 02:07pm Tel line : +9522494616 Name : CITY OF ORONO Job number . 013 Date . May-04 02:O6pm To . 6516746190 Document pases . 002 Start time . May-04 02:06pm End time . May-04 OZ:07pm Pases sent . 002 Status . OK Job number : 013 *** SEfVD SUCCESSFUL *�* �i'-" ...i. 'S%I�G7�'n-: �iJ,::�,�l��r�91 - :.+f� W 5 S � Permit Service 9533 — 367`^ Street: Nonh Branch, MN 55056 Phone 65 1-674-!766 —Fax: 6S 1-B74-61 90 952-249-4616 - Fax CiTy of Oroao, � Plea.sa figure out tl��building pernzit fe� for Yhis job,aad call rao with tlae fc�e arnouat so that I rnay coauic to thv city arsd pay.for/;picic up'cl�e porxriit_ Also,please call if yoti have any questiona_ 1'tianlc You, � K;iB 502160II � 6s i-67a-i-�66 [..o51 -Cv�L,l- �1�'1� -��c ' w l�� /�.1-� �:�/�o? . �v/ /��. c_�c ��-�' � _ � � c__./��`-s �� .. �� . �C� ' l � — .c..c� . ; ; j -d 06T9iL9 i59 3�I AZ135� 1I W213d Q 9 S 1`I OE =9T OT Oz EO �QW —D�E TIME ` / CITY OF ORONO CALLED IN � V INSPECTION NOTICE SCHEDULED ,/ PERMIT NO.�� O�� COMPLETED �� ^ ` ADDRESS /�� ' OWNER TELEPHONE NO. �� Z�'� �� CONTRACTOR ��U� �: DESCRIPTION � `��u-C �¢�'�—�/�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � �.c>i/� �GL.c�� % �� f b �['i c�� . � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. � pH0T0 TAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: Inspector. �� b White Copyllnspector's File Canary CopylSite Notice