HomeMy WebLinkAbout2013-00348 - doors CITY OF ORONO I 111 I!
* 20 1 3 - 00348 *
2750 KELLEY PARKWAY DATE ISSUED: 05/16/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 60 ORONO ORCHARD RD S
PIN : 02-117-23-21-0037
LEGAL DESC : N/A
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DOORS
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 7,187.00
NOTE: 2 ENTRY AND 2 STORM DOOR REPLACEMENTS
•
APPLICANT PERMIT FEE SCHEDULE 162.25
PELLA NORTHLAND STATE SURCHARGE(VALUATION) 3.59
15300 25TH AVE N. -SUITE# 100
PLYMOUTH,MN 55447 MAIL-IN FEE 2.00
(952)345-6047 TOTAL 167.84
Minnesota State License#:BC645090
OWNER
WHITELEY,DOUGLAS&CLAUDIA
60 ORONO ORCHARD RD S
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.
Applicant Permitee Signature Date Issued By i ture I Date
40 SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABO: .
MAY/10/2013/FRI 04:07 AM FAX No. 952 854 490911, ,' P. 002
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing ng Addox ress:
. Permit number: pZ O J 3.5034g
gc,,
Crystal Bay MN 55323-0066 Date received: - 51'1/4i „
:,1•;w,,. y Received by:
Street Address:
9 �fc' "rI 2750 Kelley Parkway Plan review fee:
\; 91 tY �{ -41 Orono, MN 55356
��.s�o Total Fee; 10.S 4
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono•n?n•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: to 0 �r.a O /,C h �• R0 Cr eJob Site Address:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? • Yes ■ No
If yes,a special even!permit is required with Police Department and City Council approval 80 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. Jed/
CONTRACTOR/APPLICANT INFORMATION: JSa /3Ys•�yb�7 '
Same: Pella Northland
State License#
Phone: 15300 25th Ave N. Ste 100 (cell)
Mailing Address: Plymouth,MN 55447 ZIP:
Contact Person: Lie#BC645090 Ph. 763/745-1400 lorneowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION: hilt
Name: 0 r
Phone(day): Q S? 2/ 0 . 7 3 3 3
Address: 1. 0 Ofe Ad oreAtttjj Re City: G/ay76-eQ ZIP: c S 3 ? /
Email and/or Fax
PROJECT INFORMATION:
Type of Project! _ Any earth movement may require
MCWD review&permits
NISQoor(s) El Remodel ❑`Nater Damage Minnehaha Creek Watershed District(MCWD)
a Window(s) " Repair 0 Storm Damage 18202 Minnetonka alvd
Deephaven,MN 55391
❑Siding ❑ Restoration ❑Other(specify) Phone; 952-471-0590
Fax; 952-471-0682
❑Re-roof ❑ Fire Damage www.minnehahacreek.0rq
Overall Project Description: 2 (A ry 0 .2 $ 0/'M A oaf Pop,p 4 a m l 4 S
Estimated Construction Valuation of Project(excluding land) $ 7 / 2 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. 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
rewired b law, If ou refuse to sup•I the information,the a.plication ma not be issued.
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Applicant's Signature:
� Date:
Last Updated: 05-04-2009 i�C
C5J,1 TIME t/
CITY OF OR NO CALLED IN k .`D 1
.43
INSPECTION 0..I I SCHEDULED 6' 17.13 /a%.
PERMIT Ni—1 4//a* 4 COMPLETED/y
ADDRESS n ,ra^W 10A0exh4 i -
OWNER ELEP ONE NO. S1 3l5-- k�
CONTRACTOR 2.i
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444442.
>; DESCRIPTION
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Cllij FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
LI-
Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING 0 MECHANICAL FINAL
O ❑ TREE REMOVAL
• 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS
0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT
✓ 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
i ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL
v 0 PLUMBING RI 0 SEP�TIV'FINAL ❑ FOUNDATION/REMOVAL
Z pi/44L5:1D ONTRACTOR TO MEET YOU: X YES_NO
o COMMENTS:
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Lj ❑WORK SATISFACTORY:PROCEED4UE
OJECT COMPLETE
W ❑CORRECT WORK&PROCEED CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector. t 13B
S.,-
White Copy/inspector's File Canary Copy/Site Notice