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Home My WebLink About2016-00931 - windows { CITY OF ORONO * Z 0 1 6 - 0 0 9 3 1 * 2750 KELLEY PARKWAY DATE ISSUED: 08/10/2016 ORONO, MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 580 NORTH ARM DR PIN : 06-117-23-42-0005 LEGAL DESC : VICTORIA ESTATES : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOIv TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 18,981.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 340.73 STATE SURCHARGE(VALUATION) 9.49 PELLA NORTHLAND MAIL-IN FEE 2.00 15300 25TH AVE N. -SUITE# 100 PLYMOUTH, MN 55447- TOTAL 352.22 (952)345-6047 Payment(s) Minnesota State License#: BUIL-BC645090 CHECK 75439 352.22 OWNER JOHNSON,BRYCE&PAULA 580 NORTH ARM DR MOLJND,MN 55364- AGREEMENT AND SWORIY 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 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'�� %t' -�d �� l /v l ! �o Applicant Permitee Signature Date Issue y ignature Date City of Orono � Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) Mailing Address: Permit number: � O� � • � b Tc3 � ��IO PO Box 66 (��/�� Crystal Bay, MN 55323-0066 Date received: � � Street Address: AUG � O 2O�6 Received by: y�, ; 2750 Kelley Parkway Plan review fee: t �,L Orono, MN 55356 C11'�(OF ORONO �4'F�'S H OSL 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: 5 $ O !v D I'�"/1 Job Site Address: 7T►� M �/�/ � C,. 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 approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parkirtg is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License # Pella Nortl�land Expiration Date: Lead Certification Number: I 5300 25th Ave N. Ste 1 QO Expiration Date: (for work on homes that r Plylnouth, MN 554'�7 Phone: (cell) Lic # BC645090 Ph. 763/745-1400 ffice) Mailing Address: City: ZIP: Contact Person: n �/� - �( /� o 11 C t Applicant is: Contractor� Homeowner (CircleOne) Email and/or Fax: ,�o d►' S co g 1 c( e � �e n t s . C 0 M PROPERTY OWNER INFORMATION: Name: �G u � Q . 0 h n s o n Phone (day): 95� �l7 � - 'S/ 1 "�' �/ Address: 5 a 0 N o r h !�!�'� ��(1I'L City: �O �Jl t�! ZIP: 's 'S 3 (. �/ 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 Fax: 952-471-0682 �1Nindow(s) www.minnehahacreek.orq 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 the information, the a lication ma not be issued. ApplicanYs Signature: /' Date: � ` � ( l � Owner's Signature: Date: Last Updated:January 2016 AUG/� '2016/MON 10:34 AM Elder Jones Building FAX No, 952 854 4909 P, 002 � R� � City of Orono Building Permit Application for Maintenance 1 Replacemenfi/ Remodel — Residentiai ONLY (i.e. windows, doors, siding, re-roof, etc.— NQ STRUCTURAL EXPANSION) MailingAddrsss: Permit number: l��d �� PO Box 66 Crystal Bay,MN 55323-0066 Date received: � � � 5treet Address: Received by: L y� Gti�' 2750 Ke11ey Parkwsy Plan review fee: t Orono,MN 55356 "�K�sHo��` Total Fee: 3 5 p� . o�� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 7his application form must be completed in full and all required information must be submitted. Incomplate appiicat�ons will be returned. (Please print) G�NERAL INFORMA710N: 5 g � NO r� [ Job Site Address: �� r��'M �ri Y c. Will this be a Parade of Homes, Remodefers Showcase Home or other Display Home? Yes No If yes,a specie!svent permh fs r6quired wlth Po!!ce Depa�fmBnt and Clry CounclJ approvel 60 days pdor to the event. Shuttle bus servlCe w!N be requfred unless epplicant demonstrates su�cient an�site parkirfg is available. Non permitted ever#s wi!!not be a!lowed. CONTRACTOR/APPLICANT INFORMAI"IbN: Name: State License# �e�la Northland Expiration Date: Lead Gertification Number: 15300 25th.A,ve N. Ste �00 �xpiration pate: (for work on homes that v �'lymoutlt,�V,('N 55447 Phone: (cell) �,ac#BC645090 P1x. 763/745�1400 �ce) Mailing Address: City: ZIP: Contact Person; n d� - ��r d n � � Applicant is: Contraotor� Homeawner �c►r�a on�� Emeil end/or F'ax: �•n �{i � � � ( � e p�� n � � _ C 0 M PR�PERTY OWNEF7 NFORMA710N: Name: �b u I n_ e h n s a n _ Phone(day): S+S� Y7 a - 'S/1 7 y� "� Address: � a 0 N o r��in LI!'['Y'L City: �0 �11 W ZIP: 'J's� b Y �mail and/or�ax; PROJECT INFORMATION: Overall project description: Type of Project: Any�arth mov�ment may also require ❑ Door(s} ❑Remodel ❑Fire Demage MCWD revisw 8 parmits: Minnehaha Creak Watershed District(MCWD) � Re-roof,asphalt �Repair Q Storm Damage 15320 Minnetvnka Blvd ❑Re-roof,cedar ❑Restoration (]Water Damage Minnetonks,MN 55345 � p �) � 9 � � p �� Phone: 952�71-0590 ❑Re-roof,other s eci Sidin Other: s eci Fax: 952-471-0682 ,F�1Nindow(s) www.minnehahecreek.ora Estimated Construction Valuation of Project(excluding land) $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all informatiorl�equired or requested by the Building Department; . Certlfles that the Irrformation supplled is true and correct to the best o1 hls/her know(edge. The applicant recognizes that they are solely responsible for submitting a complete appllca�on being aware that upon failure to do so,the staff has no altemative but to reject it until it is camplete; • Soms or all of the information that you are asked to provide on this application is classified by State law as either private ar confidential. Private data is information which generally cannot be given to the public but can ba given to the subject of the data. Confidential data is informafion which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this infnrmation is to annuapy update our records and records of other gavemmental agancies required by law. If ou retuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: � Date: � ` � (l � Owner's Signature: bate: Last Updated:January 2�16 AUG/C�2016/MON 10:34 AM Elder Jones Building FAX No, 952 854 4909 P, 001 , ` e 1120�&et 80°Street,Ste.#211;Bloomington,MN 55420 � _ � ' � � 952-345-6047 T Direct 952-BLS�M909-Fax , . 7'0: Orono,Ciry of Attn: Bldg. Dept. From: Fa�c 952-249�616 . ' Pages: Phone: 952-249-4600 Date: Re: Buiiding Permit(s) CC: CI Urgent ❑ For Revlew ❑Please Comment X Please Reply ❑Please Recyele �Cornments: Please call when the permit f�ee(s)':have beer�figures. , . _.., __ ,.._, , � • , Thank You, ' �O Cl I 952-345-6047 �y BS�t -wRoq .�. ' • ` f �� . �S � 5� s�� Uu r _ . � � ! c�� . �'Y1 � � � . c�� r • r ✓ DATE/� TIME CITY OF O O CALLED IN INSPECTION NQ�CE z�SCHEDULED _1�C� PERMR NO. O(O/�°-��'I coM�rED ADDRESS 'S�� ,/ r - �/lYl V`�_ OMINER TE HONE �3 SZ�^�� CONTRACTOR 1 DESCRIPTION '�"�� -�""�- " ` �� 0 FOOTIN(i ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBIN(i RI 0 EXCAVN3RADIN(iIFILLINO Q ❑ FOUNDATION WATERPROOF ❑ PLUMBIN(i FINAL � TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING 0 MECHANICAL FINAL � RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O��'�T ��FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL v ❑ DEMO-SITE ❑ SEPTIC IN�TALL � TO MEET 1fOU:_Y68��NO � COMMENT'& _ . � � k��rr,laorJ Ir�� /h. cx�at��.c , - . D�a�t. - 3eatnG�tD ��u�v�r,n�cs��n�n --r � t�1►�.-� r-�..�,i,��- ---- -- � _.sr�� G( !�✓��'c �r�Gl�l�.-�b� � ` W W � .lbr�.r•,.-ti' �.,.��r�A � . � ❑WORK 3ATISFACTOfiY:PFiOCEED ECT COMPLE�E � ❑WRRECT WOFMC a PROCEED . O ISSUE CER'TIFlCATE OF OOa1p1NCY � O OORRECT YMORK CALL FOR i�INSPECflON TBAPORARr C�,1 �� PERMANBiT O CORIiECT UWSAFE OONDITION WITHIN HOUR3. ❑PHOTO TAKEN INSPEC70R WILL REIIIRN �8TOP OADER P06TED.CAI.L IN3PECTOR ❑CITATION ISSUED �IN3PECTION REOUIRED.C/1LL TO ARRAN(3E ACCESS. all tor u�e next Inspection 24 hours in advsnoe. (952) 249-4600 O aMrector on sitx /yGG _ • �_.t►.-•• 1NMN CoP11��Fl» �^�ry�V�M NMIo�