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Home My WebLink About2016-01541 - windows , CITY OF ORONO * 2 0 1 6 - 0 1 S 4 1 * 2750 KELLEY PARKWAY DATE ISSUED: 12/14/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 65 FERNDALE GREEN PIN : 36-118-23-44-0026 LEGAL DESC : FAIRWAY HILLS ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,599.00 NOTE: REPLACE I WINDOW APPLICANT PERMIT FEE SCHEDULE 92.89 PELLA NORTHLAND STATE SURCHARGE(VALUATION) 1.30 15300 25TH AVE N. -SUITE# 100 MAIL-IN FEE 2.00 PLYMOUTH, MN 55447- TOTAL 96.19 (952)345-6047 Payment(s) Minnesota State License#: BUIL-BC645090 CREDIT CARD 0182 96.19 OWNER LAPERRE,TIMOTHY&NANCY 65 FERNDALE GREEN WAYZATA, MN 55391 AGREEMEIYT AND SWORN STATEMENT 'l�he 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 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 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. � , , r , , _ � � � �� '��i'� ��Z�C �� ,< �; �..�. - r �. , � /_.�. �,.� ;.�; l �!- � `��! Applicant Permitee Signature Date [ssued By Signature Date DE�•/?4/2016/WED 02; �9 PM Elder Jones Building FAX No, 952 854 4909 P. 002 City of Orono Building Permit ApplOcati�n fior Ma�ntenance / Replacement/ Remode! �- Resld�ntial ONI.Y (i.e. windows, doors, siding, re-roof, etc. --NO S7RUC7URA,L �XPANSION) �� ` O Mailing Address: Parmit number: l C^1 - ; ( �, '`• ��Y PO Sox 66 Crystal Bay, MN 55323�0066 I�ate received_ j �I � I�s Str�et Address: Raceived by: � �'�� y�, ti� 2750 Kelley Parkway Pfan revlew fse: — ' � �' Orono,MN 55356 ��H�Maln; 952-249-4600 Fex: 952-249-4616 www.ci.orono.mn.us Totel Fee: ( �� I �� This application form must be completed ir�full and all required informati�n must be subrnitted. Incomplete appllcatlons wi11 be returned. (Please print) GENERAL INFOaMATION: �� ,� _/� / Job Site Address: 4 � Q � G r� �,n Will this 6e a Parade of Homes, Remodelers Showcase Home or other Dlsplay Home? Yes ❑ No /f yes,a special avant permi�is required with Police Department and City Council approval 60 days pBor ro tha event. Shutt�e bus service wil!be requrred un�ess applicant demonshates sufficient on-sife parking!s avallabls. Non-permiited eventa wi!!nof be allowed. CONTRACTOR!APPLICAN7 IN�bRIVIA"fION: Name: State License# Pella Notrt�Zland Expiration Date: Lead Certification Numbc 15300 25t�Z,A,ve N. Ste �00 �xpiration Date: (for work on homes th� ,[��n011111, MN SS�Q�� Phone: (celf Lic#�CG4509p�1�. 763/745-1400 °tfice) 9 sa��S •`d y7 �p�� Mailing Address� City: ZIP� Contact f'erson; Applicant is� Contract , / Homeowner �cir��ohey Email and/or Fax; PRpP�RTY OWN�R INFORMATIO�: Nams: �/+7 Q � �/� G Pf�one(day): 4 !� � a • �� Address: (, S a � � ciry� (,J p 7 a�� : 5 5 ',.! j ! Email and/or Fax: PROJECT INFORMATION: Overa�l ro'ect descrip#ion: Type of Prqject: Any earth movemant may alSo requlre ❑Door(s) ❑Remodel ❑ Fire Damage MCWQ revlew 8�permits: ❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 1532D Minnetonka Blvd ❑Re-roof,cedar ❑Restoratfon ❑W&ter Damage Minnetonka,MN 55345 ❑Re-roof,other(epecisy) ❑S1ding ❑Other (specify) Phone' 952�71-0590 Fax: 952-471-Q682 '�Window(s) www.minnehah�cresk.orc3 Estimated Construction Valuatfon of Project(excluding land) $ APP�ICANT ACKNQWLEDGEMENT: • Agrees to provide all information requirscf or requested by the Bullding Department; . Certifies that the information Supplied is true and correct to the best oF hislher knowledge. The applicant recognizes that they are solely respottslble for subrnitting a complete application being aware that upon failure tq da so,the staff has no alternative but to reject ii until it is complete; . Some or e)� of the information that you are asked fo provide on this appllcatlon is classifled by State law as either private or confidential. Private data is information which generally cannot be given to the publie but ean be glven to the subject of fhe data. Confidential data is informatlon whleh genarally eannot be given to eifher the public or the subject of the data. Our purpose and fntended use of this information is to annually update our records and reCords of other governmental agenCfes required by law_ If ou refuse to su I the Informati the a Ilcatlon ma not be issued. Applicant's Signature: �'I Date� !'� r� �� L Owner's Signature: Date: Last Updated:January 2096 _ _3 ho�L�� l� ��'� � a A�,� �ME OF ORONO cnLLED IN .�._ INBPECTION N SCHEDULED � PERMfT NO. � COMPLEfED ADDRESS 01NNER T L P N O-��5 CONTRACTOR � , � DESCRIPTION �'v'L°�-E' \ ` 1 �� ' " � ❑ 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 � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL MO- ❑ PTIC INSTALL 2 OMfNEMCO TO MEET YW�,YES_NO � COMMENT'� , � � lal�P!�'k��,.� Q e4D(, — �+K� S�Z e.. � oS�-�/c �r'� r�� orcc-. _ �. � ° dr•' C�E /�/b r��td t� �ib�t�'_' W - � � Z � �K �„�.,d/,�6-�- -� � � .� - _ � � � � O YMORK SATISFACTORY:PFIOCEED �OJECT COMPLEfE W ❑CORRECT YMORK�PROCEED O ISSUE CERTIFlCATE OF OCCUPANCY OD ❑CORqECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE(�NERINO PERMANENT ❑CaFiRECTUNSAFECONDIT10NWffHIN H��• ❑pHpTOTAKEN INSPECTOR WILL RETURN ❑3TOP ORDER POSTED.CALL INSPECTOR O dTATION ISSUED ❑IN3PECTION REOUIRED•CALL TO ARRANGE ACCESS. caa�r tne next tnspect�o�2a nours�n sd�►ance- (952) 249-4600 on ske: � �� /�,�' WMte Copq��"+Fl» �Mry�Noflo�