HomeMy WebLinkAbout2016-00706 - windows � - , CITY OF ORONO * Z 0 1 6 — 0 0 7 0 6 *
2750 KELLEY PARKWAY DATE [SSUED: 06/2U2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4460 NORTH SHORE DR
PIN : 07-117-23-31-0039
LEGAL DESC : BERGQUISTS 2ND ADDN TO SAGA HI
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 8,238.00
NOTE: WINDOW REPLACEMENT
APPLICANT PERMIT FEE SCHEDULE 185.83
PELLA NORTHLAND STATE SURCHARGE(VALUATION) 4.12
15300 25TH AVE N. -SUITE# 100 MAIL-IN FEE 2.00
PLYMOUTH,MN 55447- TOTAL 191.95
(952)345-6047 Payment(s)
Minnesota State License#: BUIL-BC645090 CHECK 74931 191.95
OWNER
LOMA,JOSEPH&LISA
4460 NORTH SHORE DR
MOLIND, MN 55364-
AGREEMENT AND SWORN STATEMENT
for which this permit is issued shall be performed according to
i plans and specifications,applicable City approvals,and the
Code. This pemiit is for only the work described and does
ssion for additional or related work which requires separate
visions of laws and ordinances governing this type of work
with whether or not specified herein.This permit will
:null and void if construction authorized is not
180 days of the date of issuance,or if construction is
�od of 180 days at any time after work has commenced.
onsible for assuring all required inspections are
�nce with the State Building Code.This permit may be
�due cause.
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nature Date Issued Signature Date
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J�J�?,-1 E;!2'�I��%TuU C'4? .^ °i�'': Elder Jones Bui lding FA:� Tdo, °F? 854: 4J0� P, 002i 003
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Building Permit Applica�tion for Maintenanc�/ Replacement/ Remodel — Residential ONL.Y
{i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION)
�Q�Q Ma111ngAddress: Permltnumber: � . � �U�
P�Box 6fi
Grystal Bay, NEN 55323-0066 Date received: !v -% 7 /(,�
� � StreetAddrQss: Recelved by� -
y� 1� 2750}Celley Parkway Plan review fee: �
t G OronQ, MN 55356
���5����� Total Fee: � �� ��
Main: s52-24s-4soa Fax: 952-249-4616 www.ci.�,rQno�„mn.us
This application form must be completed in full and all required information must be submitted.
Incorrtplete applications will be returned. (Please prinf)
GENERAL INFORMqTION: � u � O �r I,( e
Jab Site Address: -[ [Y a r"fi/J ✓,b�r �,�
Wi11 this be a Parade of Homes, Remodelers Showcase Home or athar 171splay Home? Yes No
If yes,a specisl event permit is required v��rfh Police Departmenf and City Counci!approva!60 days prior to the event. ShuttlQ 6us sarv(es w(ll be
requlred unlass appllcant dernonsfrafes sufflclont onsfte palking Is avaNabla. Non-permltfad AvanPs w/II Irot be allowed,
CQNTRAGTQR/APPI.ICANT INF�RMATION:
Name: Pella Northland
5tate License# E,xpiratian Date:
Lead Certification Nuinber: X5300 25tI1 A,ve N. Ste lU0 �xpiration Date:
{for wa-k on homes that v ��Y��Out�,MN 55447
Phone: (cell} Lic#BC645090 Ph. 763/745-X400 ffice)
Mailing Address: Git : ZIP:
Contact Person: Applicant is� Contracto / Homeowner (c�r�ia ona�
EmailandlorFax: �, cdi S � Cl�el 4and5_ P� M
PROP�RTY OWNER INFORMATIO :
Name_ �! 0. �0 /�"1 (k
Phone(day)� G 1 7 3 4 ` - S 3 9 �f n
Address: y y 6 q /1!a r�i� �h�!G v/ City: �b �/1 d Z1P: 'S S� �y
�mai1 andlor Fax: �
PROJECT ifVFORMAT(ON: Overall project description'
7ype of Projact: Any earth movement may also require
� Doar(s) ❑ Remodel ❑ Fire Damage MCWD review&permits:
❑ Re-raof,asphalt ❑ Repair ❑Storm pamage Minnehahe Creek Watershed District(MCWti)
15320 Minnetonka Blvd
(] Re-roof,cedar ❑ Restoration ❑Wat�r Damage Minnetonka,MN 55345
�f Re-roof, other(spocify) ❑Siding ❑athor: (specify) Phono: �52�73-0590
Fax: 952-�71-0682
`�Window(s) www,minnehahacreek.orq
Est►mated Construction valuatlon af ProJect(exclud�ng land) $
APPUCAN7'ACKNOWL�DG�M�NT:
• Agrees to provide all information required or requested Uy the Building Departrnent;
• Certifies that the information suPplied is true and corr�ct to the best of his/her knowledga. The applicant recagnlzes th�at they are
saleEy responsible for submittinJ a complete application beinn aware that upon fallure to do so,the staFf has no alt�mative but ta
r�ject it until it is camplete;
• Som4 or all of the information that you are asked to provide on thls appllcatfon is classlfled by State law as eith�r private or
confidentiai. Private data is information whieh qenerally cannot be given to#he public but can be given to tho subject of the data.
Confidenfial data is information whlch qenerally cannot be glven to either the public or the subjact of the data. Our purpose and
intended use of this information is to annually update our reeords and records of other governmental agancias required by law. If
ou refuse to su I the]nformation,the a Ifcatlon may not be issued.
Applic�nYs Signature: � p�te; G f� G L � �'
Owner's Signature: Date:
Lask Updated:Januery 201 B
JUN/16/2016/THU 04: 13 PM Elder Jones Building FAX No, 952 854 4909 P. 001/003
1920 East 80°i Street,Sta.#211;BloomingEon,MN 95420 � _ � � . � �
952-345-6047—03rec# 95z-H154-4909-Fax
�
To: Orona,City of Atln: B(dg,Dept From:
Fax: 952-249-4616 Pages:
Phone,: 952-�49-4600 Date:
Re: Building permit(s) CG.
�f Urgent �I For Review �I ple�se Comment X Please Reply ❑Pleas�i��ycle
•Commenfs:
Please call when the permit fee(s)have been figures, So 1 Can cut a cheCk and come to the ciiy to pick
up the permit(s). � .
,
(MA � � : � ocli�3G��G �C(�e1'�o� es. toM
Thank You, .
�O�l
952-345-6Q�47
/�v 8�'�t -kqoq
1UN/16/2016/THU 04; 14 PM Elder Jones Building FAX No. 952 854 4909 P. 003/003
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UR CERTIF7CATE f$;kT��,IQ1N 7NE P�RFOF3ATfON,
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citve I�eie : D47az/2Q1v � .. DBA�P�LLA NQRTHLAND
�ilon Date• ; 03/3t/2[�17 � ��3pd 2�TH•AVE S7"E iQ0
1�LYMQUTl�f,,lVIN 55447
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c%�� DATE TIME Y
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED �7 .3 [p �
PERMIT NO.�U��� -L,'��IC� COMPIETED
ADDRESS ��� � l� - S�IC��"E� �2 •
OWNER �S/'� CC;yYI1�LEPHONE NO gs a Y 70��
CONTRACTOR f�ll Q. �
� DESCRIPTION G'�l l/I c���� •�"—���1��
t� ❑ 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
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
v ❑ DEMO-SITE ❑ TIC INSTALL
2 OWNERlCONTFiACTOR TO MEET YOU�YES_NO
� COMMENTS: �.�-�, /� "- ��,�L�C�-5�l�
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� ❑'1NORKSATISFACTORY:PROCEEDGO�,��4 �� �i�ROJECTCOMPLEfE
�ECT VYORK&PROCEED ��/�,.�.� � ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REI PECTION�l�4 l� TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOH �CITATION ISSUED
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in a 52 -46��
OwnerlContractor on site: � ��`-�
Inspector:
White C� Anspector's Flle Canary CopylSite Notice