HomeMy WebLinkAbout2010-00631 - doors CITY OF ORONO PERMIT 1Y0.: 2oiaoo63i
�' 2750 KELLEY PARKWAY
, " ORONO, MN 55356- DATE ISSUED: 07/29/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3452 LIVINGSTON AVE
PIN : 17-117-23-43-0018
LEGAL DESC : NAVARRE HEIGHTS
: LOT 017 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : DOORS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 8,737.00
NOTE: REPLACE(3)WINDOWS,(1)PATIO DOOR AND(1)ENTRY DOOR INTO EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 177.00
PELLA WINDOWS& DOORS STATE SURCHARGE(VALUATION) 5.00
15300 25TH AVE N. -SUITE# 100
PLYMOUTH,MN 55447 MAIL-IN FEE 2.00
(952)345-6047 TOTAL 184.00
Minnesota State License#: 20165884
OWNER
MARTIN, CORBIN
3452 LIVINGSTON AVE
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 additiona]or related work which requires separatE
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether ot 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�
�'�,`'J� c-'ti' / / / /
Applicant Permitee Signature Date [ssued By Si ature D e
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV .
�
, � City of Orono
Building Permit Appiication for Internai Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
�Q� PO Box 66
Crystal Bay, MN 55323-0066 Date received:
0 , a
��c�,.t. Received by:
.a � .� Street Address:
�.;:� s,
�� ,�: �"' G,� 2750 Kelley Parkway Plan review fee:
�,ykESHo�`,� Orono, MN 55356
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: 3�s�- L U 1 !� L
Will this be a Parade of Homes, Remodelers Showcase ome or other Display Home? ❑ Yes �y�lo
/f yes,a specia/event permit is required with Police Department and City Counci/approva/60 days prior to the event. Shutt/e bus service wi/l be
required unless applicant demonstrates su�cient on-site parking is available. Non-permitfed events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name:
State License# Pella Windows &Doors
Phone: 15300 25th Ave N. Ste 100 (cell)
Mailing Address: Pl outh, MN 55447 ZIP:
Contact Person: � r u � � lomeowner (Circle One)
Email and/or Fax: �f S'� 3uS- G b�/ '7 Lic#20165884 Ph. 763/745-1400
PROPERTY OWNER INF¢RM�A�;� � r // n
Name: �� T
Phone(day): _��1 S� f ui �� V L
Address: q S? ��o n � � 4 S[ c��y� Oro n � ZIP: SS 3 � �
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits
'�Door(s) ❑ Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
�Window(s) �.[tepair ❑Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑ Siding ❑ Restoration ❑Other:(specify) Phone: 952-471-0590
Fax: 952-471-0682
❑ Re-roof ❑ Fire Damage www.minnehahacreek.or
Overall Project Description: �►!1 oW S � I � � !/1 1� t1�o�!' f! n t�r�1n .� l n �
Estimated Construction Valuation of Project(excluding land) $ 8 7 3 �,,o�n�n �
�
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
re uired b law. If ou refuse to su I the information,the a lication ma not be issued.
ApplicanYs Signature: �� !_ Date: ���? l ! �
Last Updated: 05-04-2009
�V�� D TIME "
CITY OF ORONO CALLED IN g �
INSPECTION NOTICE SCHEDULED � �
PERMIT NO.a?6lD —�OE73� COMPLETED
ADDRESS �T�Z �—lU�h�I��tl�'1 ,/ 1 V v
OWNER TELEPHONE NO. �SZ ZOp —$/�SL
CONTRACTOR E�
� DESCRIPTION p:.�tirl�Y �G��%1���—� �C?'aY'�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
>.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED v ❑ SI SUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contracto�on site:
Inspector.__�.5,
White Copyllnspector's File Canary CopylSlte Notice