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Home My WebLink About2017-00711 - doors r ' CITY OF ORONO * z 0 1 7 - 0 0 7 1 1 * 2750 KELLEY PARKWAY DATE ISSUED: 06/29/2017 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 870 HUNT FARM RD PIN : 30-118-23-44-0004 LEGAL DESC : HUNTINGTON FARM : LOT OOl BLOCK 007 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDiNG-UNDEFINED VALUATION : $ 6,600.00 NOTE: REPLACE(1)PATIO DOOR APPL[CANT PERMIT FEE SCHEDULE 154.85 PELLA NORTHLAND STATE SURCHARGE(VALUATION) 3.30 15300 25TH AVE N. -SUITE# 100 MAIL-IN FEE 2.00 PLYMOUTH, MN 55447- TOTAL 160.15 (952)345-6047 Payment(s) Minnesota State License#: BUIL-BC645090 CHECK 78299 160.15 OWNER FOGELBERG, PAUL A&MELISSA 870 HUNT FARM RD 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 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 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 permit may be revoked at any time for due cause. � CQ � � v � i��7i �7 Applicant Permitee Signature Date Issued ignature Date � � ! City of Orono Building Permit Ap�j�i��llaintenance / Replacement / Remodel — Residential ONLY (i.e. windaws, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) �O� `�� /�TT��Address: Permit number: ��7��7� O O Box 66 / Crystal Bay, MN 55323-0066 Date received: L�'"� 7 t�,�a��S�t�NO dress: Received by: � � � ti�, 1 2750 Kelley Parkway Plan review fee: t,qK� ��,L Orono, MN 55356 � sHo Total Fee: /�� . �S 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. (P/ease print) GENERAL INFORMATION: � I� �� Job Site Address: �7� -i�`�J�'� �(�,��/V� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �1do If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACT Pella Northland Name: 15300 25th Ave N. Ste 100 State Licens� Ply�nouth, MN 55447 Expiration Date: ,_j-31 -/� Lead Certific Lic # BC645090 Ph. 763/745-1400 �� L�"� Expiration Date: ` 7•Z(� (for work< Phone: �ce�� (office) Mailing Address: City: ZIP: Contact Person: ` �,SZ-3 --(QQS Applicant is: ontractor / Homeowner (CircleOne) Email and/or Fax: � � e , �(fYY\ �� — PROPERTY OWNER INFORMATION:_ Name: � ��155� �OG1��.��01 Phone (day): ��(..�2� c�� Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project 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 / � �,-J Fax: 952-471-0682 ❑Window(s) / ,�(,�t,l� Gf/17/l� /�'.4' , www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ "' 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 th information,the lication ma not be issued. Applicant's Signature: � Date: ��z�Jl � Owner's Signature: Date: Last Updated:January 2016 � � � � -� � E, TIME CITY OF ORONO CALLED IN -� � INSPECTION T CE SCHEDULED PERMIT NO. —�7 co PLETE � ADDRESS �, �" � OWNER T LE HONENO.��O1-��°- �sz9 CONTRACTOR �— �' '�l�S � DESCRIPTION d � �� `� �� 4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL �{ Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN �� ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL ? OWNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � � o l ��o �� ,ol• - L.L_ ` �. . � _` G��G��,. ,'S SG _ `C�Q� O � � - 5.�. --< <-� • �s-6 . - a,� - Q � � �� a'^'� l-r.�� ' �.l-'t ' .� W � � J � ❑WORK SATISFACTORY:PFiOCEED iOJ �OMPLETE W ❑CORRECT W'ORK 3 PROCEED ❑ ISSUE CERTIFlCATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERINQ PERMANENT ❑CORRECTUNSAFECONDITION WRHIN HWRS. ❑pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor oc,►site: Inspector: ��w �' Whib Copyllnspector's Flla C�nary CopylSft�Notks