The URL can be used to link to this page

Home My WebLink About2016-01274 - windows CITY OF ORONO ( � 11 1 111 * 20 1 6 - 0 1 274 * ` R 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 490 OLD LONG LAKE RD PIN : 36-118-23-34-0010 LEGAL DESC : SUMMIT STATION : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 3,755.00 NOTE: REPLACE(1)WINDOW APPLICANT PERMIT FEE SCHEDULE 108.38 STATE SURCHARGE(VALUATION) 1.88 • PELLA NORTHLAND MAIL-IN FEE 2.00 15300 25TH AVE N.-SUITE# 100 PLYMOUTH,MN 55447- TOTAL 112.26 (952)345-6047 Payment(s) Minnesota State License#:BUIL-BC645090 CHECK 76118 112.26 OWNER WIKEN,LAWRENCE&BARBARA 490 OLD LONG LAKE RD 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 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. t leo ..1,i71 / / —7‘-/ Applicant Permitee Signature Date Issued By Signature Date OCT/06/2016/THU 10:33 AM Elder Jones Building FAX No. 952 854 4909 P. 002 • - City of Orono Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. —NO STRUCTURAL EXPANSION) OA, Mailing Address: Permit number: 0140/4)--4'0‘-7 {VQ PO Box 68 Crystal Bay, MN 55323-0066 Date received: —/p Street Address: Received by: 2750 Kelley Parkway Plan review fee: �keskto�`` 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. (Please print) GENERAL INFORMATION: �{ q O 1 c!„/ 40 /) 9, / ed t a- Road o V„/ Job Site Address: L, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? 0 Yes D No If yes,a special event permit Is required with Police Department end City Council approval$0 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. CONTRACTOR/APPLICANT INFORMATION: Name: Pella Northland 6 n y 7 J o d1 State License# 15300 25th Ave N. Ste 100 Expiration Date: Lead Certification Numbe Plymouth,MN 55447 Expiration Date: (for work on homes the Phone: (cell) Lic#BC645090 Ph. 763/745-I400 (office) Mailing Address: ZIP: Contact Person: Applicant : Contractor omeowner (Circle One) Email and/or Fax: i n of it 5 41) g f d 4 I' L o /)_Q 3_ f 0 111PROPERTY OWNE INFORMATIOftr rl Name: 4 l' t•y WI f� e Phone(day): 6 /2 ( 8oS • Ron2 7Q�G Address: �( �Q b// L 0 ? Z aft GIa Rd City: Y ZIP: 5 5 3 q/ Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require 0 Door(s) ❑Remodel IDFire Damage MCWD review&permits; ❑Re-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka, MN 55345 ❑Re-roof,other(specify) ❑Siding CD 0 Other. (specify) Phone: 952-471-0590 Fax: 952-471-0682 Window(s) www.m innehahacreek.oro Estimated Construction Valuation of Project(excluding land) $ 3, 7 5" .5" 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 you refuse to sup ly the information,the application may not be issued. Applicant's Signature ,. Date: /9 / L Owner's Signature: Date: Last Updated:January 2016 .. vz - TIME CITY OF ORONO CALLED IN l - -4 INSPECTION N•-fes 1 HEDULE /G PERMIT NO. -0 7COMPLLgTE�D ADDRESS i% f� Q" ,/be L1-t OWNER . ._ I -i.� EP E 0/.?-71i0-9J-S.29" CONTRACTOR I /�i , DESCRIPTION /--- Ze_Yith C!.erXeit 14 ElFOOTING 0 DEMO-FINAL h_a_f_t__ 1:1S TIC FINAL N ❑ POURED WALL 0 PLUMBING RI / ' 0 EXCAWGRADING/FILLING 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL /I 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 1 / d SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL / // 0 RATED WALLS 1, ❑ INSULATION ❑ WOOD BURNER/FIREP C ■ COMPLAINT 0 FINAL 0 WATER HOOK-UP • II FOLLOW-UP tij 4 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNEVCOKTRACTOR TO MEET YOU:_YES_NO R COMMENTS 4. te.,l c.u.) "cit , Cflo , 0 ct W D; Q W W CC j kr0 WORK SATISFACTORY:PROCEED )I6)JECT COMPLETE W 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION • TEMPORARY a BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. CM for the next Inspection u hours to advance. (952) 249-4600 ChmeriContrectoraI Whig CopylInspsctor's RN Canary Copes Nada