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Home My WebLink About2016-00527 - windows • CITY OF ORONO * 2 0 1 6 - 0 0 5 2 7 * 2750 KELLEY PARKWAY DATE ISSUED: 05/17/2016 � ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1540 LONG LAKE BLVD PIN : 26-118-23-33-0007 LEGAL DESC : ALBEES LONG LAKE ADDN : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRiJCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 8,058.00 NOTE: REPLACE 7 WINDOWS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 185.83 PELLA NORTHLAND STATE SURCHARGE(VALUATION) 4.03 15300 25TH AVE N.-SUITE# 100 MAIL-IN FEE 2.00 PLYMOUTH,MN 55447- TOTAL 191.86 (952)345-6047 Payment(s) Minnesota State License#:BUIL-BC645090 CREDIT CARD 0182 191.86 OWNER GHANDY&RACHEL CARPENTER,WILLIAM 1540 LONG LAKE BLVD LONG LAKE,MN 55356- 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 dces not grant permission for additional or related work which requires separate pertnits. 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. ' �� `� 7� � ��-`F SC�� / (�/ �(o Applicant Permitee i at e Date Issued By Signa e Date MAY/12/2016/THU 04: 11 AM FAX No, 952 854 4909 P, 002 _ �1'�/ Of ��'Q110 Building Permit Applicatian for Maintenance/ Replacement/ Remodel -- Residen�ial:ONLY ji.e.windows, doors, siding, re-roof, etc.— NO STRUCTURAL EXPANSlQN) ��O Mailing Address: Permit number �_ PO Box 66 Crystai Bay,MN 55323-U066 Date received. — �D � Street Address: Received by: �� 2750 Kelley Parkway Plan review fee; G Orona,MP!55356 �� `��5�� Total Fee: �� Main: 952-249-4600 Fax: 952-249-4fi16 www.ci.arono.mn.us This application form must be completed In full and all required information must be submitted. lncomplet�applications will be returned. (Please print) GENERAl.INFORMATION: �,S.Yo �V� Job Site Address: � O Qt � Will this be a Parade of Homes,Remodelers SHo case �ome or other Display Home? Yes No lP�res,a spe�;�l�vent pe�mit is�quired wifh Police Dspartmenf and City Councr7 approva!60 days prior to the event Shutde bus servlce wfll be required unless appllcarrt demonshates suAfcienf on�ite parking/s avallable. Non permitled events wlll not be al/owed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# pella Northlazad Expiration Date: Lead Certification Number: 15300 25th A�re N. Ste I00 Expiration bate: (for work on homes that w Plymottth,�N 55447 r Phone: (cell) Y,xc#BC645090 Pkx. 763/745-1400 FCe) 4 S�� y s • � �y 3 �1 d Cl. Mailing Address: City: ZIP� Contac#PQrson: Applicant is= ontra / Homeawr►er (ciroie or�) Email and/or Fax� �, b cl; s � d l a�� P�u n�� , PROF�ERTY QWNER FO AT[ON: Name: Q � � ! � -�� ' Phone(day)� �� a S, L y Address: Q l City:�o�1 ��l d z1 P: �$ � � ` EmaiE and/er Fax: PRdJECT INFORMATION: Overafl praject description: Type of Project: My earth movemerrt may afso require MCWD review 8 ernits: O a�Ks) ❑Remode( ❑Fire Damsge � ❑R�roof,asphait ❑Repair ❑Stomn Damage Minnehaha Creek Wster�hed bis#rict(MGWQ) 15320 Minnetonka�1vd ❑Re-roof,�edgr ❑Restoration ❑Water Dam�ge Minnetonka, MN 55345 Re-roof,othe� a Ac Phone: 952-471-0590 ❑ ( p � ❑ Siding ❑Other.(specify) F� g��.471-0682 �Window{sj� www.minn creek.or Estimated Constructtan Valuation of Project(excluding land) $ � APPLfCANT ACKNQINLEDGEMENT: • Agrees to provide all informatlon required or requestod by#ie Building Department; . CertEfles that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible fvr submitting a complete appllcation being aware that upon failure to do sa,the staff has no aliemative but to reJeCt It until it is compiete; . Some or all of the information that you are asked to provide on this application is classified by Sta#e law as either prlvate ar confidentiai. Private data is inforrrtation which generaily cannot be given to the pubiic but can be given to the subject of the data. Confidential data is informatlon which generally cannot be given to elther the public or the subject of the data. Dur purpose and intended use of this informatlon is to annually update our records and records of other govemmental agendes required by law_ if u nefi,se to su the information e a ' tion ma not be issued. ApplicanYs Signature: �~ pa�; J� �I� 11 L Owner's Signature; Date: Last Updated:January 2016 MAY/12/2016/THU 04: 11 AM FAX No, 952 854 4909 P, 001 . 1120 East 80'"5heet,Ste.#271:Bbomington,MN 55420 952�345�Oa�—Direct 952-8154-4909-F�C ' • : • � � � Ta: Orono,Ciry of Atbz: Bldg. Dept From: �a�c 952�249-0�616 pages: Phon� 952-249-4600 pate: Re: Building Permit(s) CC: ❑Urgerrt CJ For Revlew C1 P�ease Commant X Please Reply f.�Please R�cycle •Colrienents: Please r,all when the permit fee(s)have been figures. So I can cut a check and come tn the city to pick up the permit(s). . , , � !'r? Qrl : �� C�t�S C�� (I(�!'� O/? CS, f4M Thank You, CJ 0 C1 1 952�,345-60A7 �Y $SK -�l Ro Q � � �-� 1 � � �r � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE ��scHeou�eo � !!� �� PERMIT NO.�� COMPLETED ADDRESS S � � ^ C V� OWNER TELEPHONE �� 2 i�a6�.�� CONTRACTOR _ I e ��Q r '� • � DESCRIPTION �� h�(5� � �� ty ❑ 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 Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑.-B�AQQ-SITE ❑ TIC INSTALL � OWNER/CONTRACTOR TO ME U: YES_NO y COMMENTS: %�v,�,� lo��j�-��_ � W —' a � , O W�4`b�cr � r+P,Ol4�e� � :•.• ex c 7��.zc bdti c t. - � � �, S •�• •�I C •Q • /j�,��te.LLG�✓� .e�/U V��Oe� _ W � Q 2 ��rl1 �a�,o%t.� �- �P,T-�.-�� W � � W � J d W� ❑WORKSATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLI RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContrac or on site: �ac�e� Inspector. �"`"� �'`�' White Copyllnspector's Flle Cenary CopylSfte Notice