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Home My WebLink About2011-01009 - windows Y CITY OF ORONO PERMIT NO.: 2011-01009 � ` ^ 2750 KELLEY PARKWAY ' ORONO,MN 55356- DATE ISSUED: 09/08/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 560 NORTH ARM DR PIN : 06-117-23-31-0007 LEGAL DESC : VICTORIA ESTATES : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 33,965.00 NOTE: REPLACE(13)WINDOWS APPLICANT pERMIT FEE SCHEDULE 509.75 PELLA WINDOWS&DOORS STATE SURCHARGE(VALUATION) 16.98 15300 25TH AVE N.-SUITE# 100 PLYMOUTH,MN 55447 TOTAL 526.73 (952)345-6047 Minnesota State License#: 20165884 OWNER MAZER,THOMAS&SUSAN 560 NORTH ARM DR MOiJND,MN 55364- 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 permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consVuction 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 4/I'2�- � l l �.�/ '`-'""/�' l l Applicant Permitee Signature Date Issued By Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . � � . . • City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �Q J1� PO Box 66 �`V Crystal Bay, MN 55323-0066 Date received: O�i{i;r��. � Received by: ��'"' Street Address: a ��;._ ,, � � �:,� . �,� ,Sti��` �ti 2750 Kelley Parkway Plan review fee: r9kEsxo4`'� 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. (P/ease print) GENERAL INFORMATION: �G V /►�0�,�� ,r�C Job Site Address: � � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No 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 rs available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Pella Windows &Doors �� Phone: 15300 25th Ave N. Ste 100 S? 3y S •LOV�(cell) Mailing Address: plymouth, MN 55447 ZIP: Contact Person: lomeowner (Circle One) Email and/or Fax: Lic#20165884 Ph. 763/ 745-1400 PROPERTY OWNER INFORMATIONM• Name: D / '/Q � Phone(day): 6 0 M Address Cit : ��n ° ZIP: SS a L y Email and/or Fax Q$�� ?a� • y 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) �Repair ❑ 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.orq Overall Project Description: /3 G.��/1Clu W /�� U M I/� S Estimated Construction Valuation ofProject(excluding lan ) $ 3 3� 4 �r 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 t the informati n,the ap lication ma not be issued. �-� q� � � / 1 ApplicanYs Signature: y Date: ��. t Last Updated: OS-04-2009 �� D TE TIME 1/ CITY OF ORONO --� � ALLEDIN � � � �/ INSPECTION NOTICE SCHEDULED _L/�zvA� PERMIT NO.�/� '�� COMPLETED ADDRESS � � G OWNER TELEPHO E NO.�� `5� �� / CONTRACTOR �: DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ 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 O � COMMENTS: � W 0. � J O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W O CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEM PORARY V BEFORECOVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor o site: Inspector. � White Copyllnspector's File Canary Copy/Site Notice