HomeMy WebLinkAbout2014-00497 - windows CITY OF ORONO * 2 0 1 4 - 0 P1 4 9 7 *
� 2750 KELLEY PARKWAY DATE ISSUED: 05/28/2014
� ORONO, MN 55356-
(952 249-4600 FAX: (952) 249-4616
ADDRESS : 2683 NORTH SHORE DR
PIN : 09-117-23-42-0005
LEGAL DESC : REG.LAND SURVEY NO. 1373
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 13,000.00
NOTE: (5)WINDOW REPLACEMENTS IN EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDLTLE 236.00
STATE SURCHARGE(VALUATION) 6.50
PELLA NORTHLAND MAIL-IN FEE 2.00
15300 25TH AVE N.-SUITE# 100
PLYMOUTH,MN 55447 TOTAL 244.50
(952)345-6047 Payment(s)
Minnesota State License#:BUIL-BC645090 CHECK 68150 244.50
OWNER
SULLIVAN,TIMOTHY&AMY
2683 NORTH SHORE DR
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 additional or related work which reyuires 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 nu11 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cayse.
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Applicant Permitee Signature Date Issued By S' ature Date
MAY/21/2014/WED 10; 34 PM Elder Jones Building FAX No. 952 854 4909 P, 002
., . .
� City o� Orono
Building Permit Applicafiion for �nternal Work
(windows, doors, s�ding, re-roof, efic.)
/��� MailiPO Boxr66. Permit number: —� ,
� � Crystal 6ay, MN 55323-0066 Date received: �
' r,' Received by
� iy�;!� r` ,, StreetAddress:
,F, >��� �'~F 2750 Kelley Parkway Plsn review fe
�.� � n• 4,� • Orona, MN 65366 .
�$sFx�_/ � �� ✓�
Total Fea:
Main: 952-249-4600 Fax: 952-249-4616 Www,ci.orono.mn.us
Tf�is application form must be campleted in fufl and all required information must be submitted.
Incomplete applicatians will be returned. (P/ease print)
GENERA►L INFORMATION� � �� ^ „O ��� ��C ��( �
Job Site Address: l l/ � �
Will this be a Parade of Homes, Remodelers Showcase Hpme or other Display Home? ❑ Yes No
1Pyes,a specia/evenc permlt is raqulrad with Police Department and Gity Council approval 60 days Arior to the event. Snuitle bus service wi«be
required unless appllcant demonstratss suff;cient onsite parking]s availab/e. Non-permitled events wlll not be al/owed.
CONTRACTOR!APPLiCAN7 IN�ORMATION:
Name� g�'� �YS•GoY7
State License# Pella Northland o
Phone: I5300 2Sth Ave N. Ste 100 (cell)
Mailirtg Acidress: �1yri10ut�],A/�55447 ZIP:
Contact Person: I,�zc#BC645090 ph. 763/74�-1400 �omeowner (Gircie Onej
Email and/or Fax:
pi�OPERTY OWNER IIVFORMA7�pN:
�vame- J c� l/� v G n
Phone(day): ? 3 • / -
Address L � /` � �1 �� Ci : �Q �7-(� zIP: �S 3 4 /
Email and/ar Fax
PROJECT INFORMA'T10N� �
Type of Project: Any earth movement may r�quire
NICWD review&permits
❑ Doof(S) ❑ Ramodel �Water Damage
. Minnehaha Creek Watershed DistriCt(MCW�)
Window(S) Repair �Storm Damage 18202 Minnetonka Bl�d
Deephaven, MN 55391
❑Siding ❑ Restoration ❑Othsr:(Specify) Phon2: 952-471-0590
Fax: 952-471-0682
❑Re-roof [,� Fire Ddmage wwvv.mihnehahacreek,oro
Overall Project Description: 'rj (�J //) O W ,( / � S'
Estimated Constructian Valuati�n of Project(exclu ing I�nd} $ /� � 0 l7
A�'PLICANT ACKN�W�.�DGEMENT: �
. Agraes to provide all information�equired or requested by the Suilding Department;
. certifies that the information supplied is true and correct to the best of his/her know�edge. 1"he applicant recognizes that they
are soEely responsible foP Submitting a complete appliCation being aware that upOn f2ilure to do so,the Staff h8S no alfernafiv2
but to reject it until it is complete;
• SOme Or a11 of the information fhat you ara asked to provide on Yhfs appliCation is classified by StaYe law as eiChe�private or
confidential. Private data is info�rnation which generally cannot be given to the public but can be given to the subjecE of the
data. Confidential data is information which generally cannot be givetl to sither the public or the subject of the data. Our
purpose and intended use o�this information is to annual►y update our records and records of other governmenta! agencies
re uired b law. If ou refuSe to su i the i�fOPmation,the a lication ma nOt be issued.
Applicant's Signature: —� �+ �l ��I
v Date:
/\�
Last Updated: 05-04-2009
MAY/21/2014/WED 10:34 PM Elder Jones Building FAX No, 952 854 4909 P, 001
. • 9120 East SO°i Street,Ste.#211;Blopmingtan,MN 55420
952-345-6p47—Direct 952$154-4909�Fax � � � ' '
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To: Orono,City of Attn: Bldg. Dept. �rom:
Fa�c 952-249�4616 � � pag�:
Phon� 952-249-4600 ba,te:
IRe: Building Permit(s) CC:
❑Urgent ❑ For Revlew q pleaso Comment X Please Repty �Pteas�Recycle
•Comments:
Please call when the permit fee(s)'have been figures. So I can cut a check�
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Thank You,
�Je��
952-345-8047
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DATE TIME �
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �4�(���,�T COMPLETED �l'
ADDRESS 'K�'I /.ysrt/4 �S`i.o�'� Di- �
OWNER TELEPHONE NO.
CONTRACTOR � ��E ��'�� —'
� DESCRIPTION li/���o"� �.� ��'
� � 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
� �F{PIAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ SEPTIC MAINT. OLLOW-UP
4_Qi/6 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
�� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
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2 OWNERICONTMCTOR TO MEET YOU:_YES_NO
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W ❑4VORKSATISFACTORY:PROCEED ❑PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
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0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WRHIN HOURS. O PHOTO TAKEN
INSPECTOR W{LL RETURN
❑CITATtON ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
�JIN6RGCTION REQUIRED.CALL TO ARRANGE ACCESS.
Call tor the next inspection 24 hours in adva . (952) 249-46��
OwnerfContractor on site:
Inspector: �
vimite coPyn��e�to��s Fi� Canary CopylSite Notice
� �� � � TIME ✓
CI OF ORONO CALLED IN
INSPECTION NOTICE ooy � SCHEDULED .�:.�.a
PERMIT NO. COMPLETED
ADDRESS 8
OWNER TELEPHONE NO. �
CONTRACTOR
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� DESCRIPTION '- �-'
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHOREMIETLANDS
y 0 FRAM G ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INS ATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ R ON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL O FOUNDATION/REMOVAL
Z OMfNERICONTtiACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
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� ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY
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O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in a ance. -460�
OwnerlContractor on site:
Inspector.
White Copyllnspector's Ffle Canary CopylSite Notke