The URL can be used to link to this page

Home My WebLink About2017-00599 - windows " ' • CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 5 9 9 * DATE ISSUED: 06/06/2017 ORONO,MN 55356- (952)249-4600 FAX: (952 249-4616 ADDRESS : 1390 PARK DR PIN : 07-117-23-41-0072 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 013 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,228.00 NOTE: REPAIR TWO WINDOWS APPLICANT PERMIT FEE SCHEDULE 92.89 PELLA NORTHLAND STATE SURCHARGE(VALUATION) 1.11 15300 25TH AVE N.-SUIT'E# 100 MAIL-IN FEE 2.00 PLYMOUTH,MN 55447- TOTAL 96.00 (952)345-6047 Payment(s) Minnesota State License#:BUIL-BC645090 CHECK 78082 96.00 OWNER HOLMES, WAYNE 1390 PARK DR MOLJND,MN 55364 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. 1'his permit is for only the work described and dces not grant permission for additional or related work which requires 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 null and void if construction suthorized is not commenced within I80 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. � � i !0 / �7 Applicant Permitee Signature Date Issued B ignature Date JUN/02/2017/FRI 01 :39 PM Elder Jones Building FAX No, 952 854 4909 P, 002 � � . � City of Orona Building Permit Application for Maintenance !Replacement!Remodel-�ResidentiaN ONI.Y (i.e.windows, doora, siding, re-roof, etc.—NO STRUCTURAt EXPANSfON} �O�}O Msiling Address: Permit number. �/ -d� 1 y PO eox 66 Crystal 6ay,MN 55323-OD66 ba#e received: 6'J�-�7 Street Address: Received by: y�, Gti� 2750 Kelley Parkway Plan review Fee: l,�x'psHo�.� Orona,MN 55356 Tatal Fee: 9� � I+Aain: 952-249-4600 Frvc: 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) G�N�RAL INFORMATION: Job Site Address: 1��t� �1 �.r k �'r. Will thls be a Parade of Homes,Remodelers Showcase Flome o�other Display Hvme? Yes No !f yes,a speclal evorK permlt Is requlr�a�wlth Pollca Dapartmsnt and Cfry CouncN app�ova!BO days prioi to fhe event. Shutt�e bus aervice will be requlred unf�ss appllcant demonsbates sufflclettt on-slte perkfnp Is available. Non-permitted evenPs wi!!not ba eRowed. CONTRAf�.... . �..... .,........�. ,,.,...,....�.. Name: ��r1a Northland 5tate Lice 15300 25t�i.A.ve�T. Ste 100 Expiration Date: � � Lead Certi ��Quth,MN 55447 ��S 1� Z-1 Expiration Date: Phone�/ �xc#BC645090 Ph. 763/7�45-1400 r8 (office)��Z-'��{S�adS7 ��.u.� Maifing Address: City: ZIP: Corrtact Person: AppNcant fs: ontraotar / Homeowner (ClrclaOne) �maif and/or Fax� PR�PERTY OWNER INFORMATIO : Name: �/1��A �1(� �trY1L?� Phone(day): G� Z-1.�,7�r�'�q�� Address: City: ZIF': Email and/or Fax: PROJEC7INFORMATION: Overall project descnption: Type vf ProJect: Any earth movement may also requir� ❑boor(s) ❑Remodel ❑Fire Damage IIMCWb review&permlts: ❑F2e�roof,asphalt �Repair ❑Storm 17amage Minnehaha Greek Watershed Dfstrict(MCWD) 15320 Minnetonka 81vd ❑Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345 �Re-roof,other(specify) ❑S(ding []Other:(spec�fy) Phone: 952-471-os90 Fax: 952-471-0662 �-Window(s) � www.minnehahacreek.ora Estimated Construction Valuation of Project(exclading land) � �— APPLICANT ACKPIOVII��DG�M�NT: • Agraes to provide all iriformatian required or requested by the euilding Departmant; • Certifies fhat the information suppfied is true and correct to the besf of his/her knowledge. The applicant recognizes ttlat they are solely responsible for submltUng a complete appllcatlon being aware that upon faflure to do so,the staff has no altemative but to reject it unti!it is complete; • Some or all of the information that you are asked to provide on this application is classified by 5tate law as elther prfvate or confldentlal. Prlvete data Is Ir�formatlon whlch generally cannot be glven to the publlc but can be glven to the subject of the data. Confidenti�t data is informatian which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of thls Information fs to annually updete our records and records of other governmental agencles required by law. If ou refuse to su I the information the I'cation ma not be issued. Applicant's Signature: � Date: ��y�� Owner's Signature: _ Date: l.ast Updated;January 2U16 �_ C�� DATE TiME CITY OF O ONO cnLLED IN � � INSPECTION NO C� �5�g SCHEDULED '-3� PERMR NO. � / COM tE,D ADDRESS �� U �'�" . /- pWNEp ELEP� ON O./S°�- ��7�1� CONTRACTOR �� DESCRIPTION � ""� � � �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL i OMINERICONTRACTOR TO MEET Y�U:_YES_NO � COMMENTS: , 4 --��/�� P,�� w,,,d�� ,� �� 0 � ` Si�►ok� Go ��'��s t�✓� �.�►,�/�� ° /a� yP�� w�;��G w.�,ol�/S W � Q � W W aC J � 1p WORK SATISFACTOHY:PROCEED PRW ECT COMPLETE W�a CORRECT WORK 8 PROCEED ISSUE CEFiTIFlCATE OF OCCUPANCY O ❑COFiRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECANERINQ PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O GTATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Caq for the next inspection 24 hours in advance. (952) 249-4600 Owr�IContractor on site: Inspector: WMb CopYAn�setor's FlI� C�nary CopylSlb Natla