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HomeMy WebLinkAbout2015-01073 - windows CITY OF ORONO I* 2011151L 0111 0 7 3I* " 2750 KELLEY PARKWAY DATE ISSUED: 08/27/2015 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1387 ORONO LA PIN : 02-117-23-34-0004 LEGAL DESC : HOMES ON BROWNS BAY : LOT 004 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 4,654.00 NOTE: REPLACE(1)WINDOW INTO EXISTING OPENING. APPLICANT PERMIT FEE SCHEDULE 123.91 STATE SURCHARGE(VALUATION) 2.33 PELLA NORTHLAND MAIL-IN FEE 2.00 15300 25TH AVE N.-SUITE# 100 PLYMOUTH,MN 55447- TOTAL 128.24 (952)345-6047 Payment(s) Minnesota State License#:BUIL-BC645090 CHECK 72177 128.24 OWNER MOEN,CRAIG 1387 ORONO LA 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. Applic ermitee ignature Date Is u y Signature Date AUG/23/2015/SUN 10: 17 PM Elder Jones Building FAX No, 952 854 4909 P. 002 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number; C .•20/-5 v!7/_5 - .•/ 773 Q PO Box 66 �i��J Crystal Bay, MN 55323-0066 Date received: O o2 S/�5 (,,,,c, ��,, Gs=i is:•. ,,, Received by: �,�; r �, Street Address: �x"' ti6, 2750 Kelley Parkway Plan review fee: •C •• -6. Orono, MN 55356 � Total Fee: '1( /AK0,cii 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: ZO �1Job Site Address; r 7 0 (4 0 4 0 o.ter • 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 is available. Non-permitted events will not be allowed, CONTRACTOR/APPLICANT INFORMATION: 4S 2/3SI S -G by Name: State License# Pella Northland Phone: 15300 25th Ave N. Ste 100 (cell) Mailing Address: - Plymouth, MN 55447 ZIP: Contact Person: lomeowner (Circle — Lic#BC645090 Ph. 763/745-1400 One) Email and/or Fax: • PROPERTY OWNER INFORMATION: Name: (,,, POI q MO Z!1 Phpne(day): t II 1 1 d n • 7 L 3 Address: 15 �d 10r0 A 4 n C • City: C�1 4 y 7 4la ZtP: '5'5'3 t/ Email and/or Fax _. PROJECT INFORMATION: - Type of Project: • Any earth movement may require MCWD review&permits ❑ Doo is) ❑ Remodel 0 Water Damage Minnehaha Creek Watershed District(MCWD) AJ Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 C Siding 0 Restoration ❑Other.(specify) - Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑Fire Damage www.minnehahacreek9rq Overall Project Description: I WA d o l (t p l 4 LI M !A 1 /a 1 1 1 4 a r 1 Estimated Construction Valuation of Project(excluding land) $ 41 (, 1 'I _ 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. Confident al 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 supply the information,the application may not be issued. g iV ifi Applicant's Signature: I. Date: I Last Updated: 05-04-2009 AUG/?3/2015/SUN 10: 17 PM Elder Jones Building FAX No. 952 854 4909 P. 003 Ilrtinnatsota Departnte It of Labor and Industry Licensing and Certification Seri/lean G4nstructlon Colas • • Licensing Division Phone: 651.2134.5034 443 Lafayette Road N Email: DLL.License@staste_mn.us Saint Paul,MN 55155 Website- www_dU.mn.gov/ccId.asp NOTICES NOT TRANSFERABLE EH ENTERPRISES LLC • CHANGE YOUR BUSI ' S• S STRUCTURE DSA PELLA NORTHLAND SUBMfTA NEW APPLi4 ATION FOR NEW ENTITY 15300 25TH AVE STE 100 PLYMOUTH, MN 55447 RENEW OR REPLACE: S• URANCE POLICY SUBMIT NEW CERTIFI SATE OF INSURANCE NOTIFY THE DEPARTENT OF A CHANGE IN YOUR:BUSINESS. Failure to do so,sub cts,.you to administrative penalties'of.ttp:to$10,000. 15-Day.Notice Requirement—Forms avellabtsi online at www.dil.mn.aov/CCLDfLfcupdate.aslp • 'Change in bus ness';physlcaI address;;mai►Ing;itddrbss,phone number,or email address • Change in con rot,owners;officer sdlrectors,members,partners • Change in buess'legal:name andfoir.assumed name • Loss of or cha ge in QUALIF'YING.BUILDER ▪ Change in gen rat liability insurance orworkers'compensai'n insurance coverage immediate Notice Requrement—Notification to••DLI in writing • Judament Debtor_ A licensed-contractor.has 1' _days to provide written notice of the findinrl that it is found to be a judettt,ent debtor based up,'on conduct requirirgtlicensure.•. • Bankruptcy Peti4on•Filed. Aiicensed`contractorhae l 5 days to provide written notice that it filed a petition for bankruptcy. • Conviction Noti A licensed contractorhas 10 days to provide written notice that it has been found guilty of a felony.gross misdemeanor, Misdemeanor •of any comparable offense related to the license, including convictions of trnurl misrepresentation,misuse ot'funds;theft,criminal sexual conduct, assault, burglary_ conversion of funds, or theft of procr'tht5 in this or any other state or any other United States jurisdiction. YOUR CERTIFICATE iS'., ELOW THE PERFORATION. SHOW CERTIFICATE WHEN OBTAINING PERMITS_ • DHPARTMELOP �-►,+t"114111NERPOTAABOR&1NOU > r REStDENT1AL BLDG CONT TACTOR Aft .Construction Codes 6irici Licensing Division Licensing and Certffcitlon Services 443 Lafayette Road N St.Paul.MN 5!)1u,:s weosite: www.cu.inn.eov/ccld.aso EmaN_djazegraagge4nn.us Phone: 65t.2a4.5034 This is to certify that the certificate holder is licensed as a RESIDENT"IALDUIL,DING(CONTRACTOR in the state of Minnesota and i3 in compliance with Minnesota Statutes•326B_805,and tray build:residentiat real estate,contract or offer to contract with an owner to build rCsidcutial real estate,and contract or ofibr to.contracb*ith an owner to.improve existing residential real estate;provided the responsible individual is ar all tirnes.a QUALIFYrkG BTJILDER and tiivicertificate holder maintains compliance with the required general liability insurance,:and workers'compensation laws. License : RESIDENTIAL 13LDO:CONTRACTOR ; Lk Number.':: BC645090 EH ENTERPRISES LLC Effective Date z 04/02/2015 ..--. •DBA FELLA NORTHLAND r Expiration Date: : 03/31/21.1.7' 15300 25TH<AVE STE:100 PLYMOUTH. MN,55447 • VERIFY UP-TO-DATE STATUS,BOND,AND INSURANCE INFO AT Www,dll.mrr.aov/cctd/4toVerIty a,sp{ENTER NUMBER/_ i AUG/23/2015/SUN 10: 17 PM Elder Jones Building FAX No, 952 854 4909 P. 001 1120 East:0°1 Street,Ste.#211;Bloomington,MN 55420 Elder Jones Bldg. 952345-61.7—Direct 952-8154-4909-Fax Permit Service, Inc. i - To: I rono,City of Attn: Bldg. Dept. From: Faxc 9.2-249-4616 Pages: Phone: 9.2-249-4600 Date: Re: B ilding Permit(s) CC: ❑Urgent 0 For Review ©Please Comment X Please Reply 0 Please Recycle •Com - ts: Please cal when the permit fee(s)have been figures. So I can cut a check and come to the city to pick up the per it(s). • ' ( Malt : todiso)ticterionrs. roM Thank Yo JOd1 952-345-61,7 tt, 907Li qRo1 DATE TIME. CITY OF ORONO CALLED IN INSPECTION.(VQT7U�v- SCHEDULED (-1-1-j- J t1. PERMIT NOPPru CYC- c) ;! COMPLETED ADDRESS I- 7 G'c �a. OWNER TELEPHONE NO.LO t 2. " r14°- CONTRACTOR (Tx j ).erg (11)DESCRIPTION I `Q W ❑ FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ COMPLAINT Q 0 FINAL 0 WATER HOOK-UP 0 FOLLOW-UP W ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ❑ DEMO-SITE 0 SEPTIC INSTALL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: j / cc o , W cc Q 44, W cc 0 W ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE CcW 0 CORRECT WORK&PROCEED ❑I E CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY j BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952 600 OwnerlContractor on site: 4 Inspector: White Copy/Inspector's File Canary Copy/She Notice