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Home My WebLink About2015-01597 - windows � CITY OF ORONO * 2 0 1 5 - 0 1 5 9 7 * 2750 KELLEY PARKWAY DATE ISSUED: 12/29/2015 ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1180 PHILLIPS DR PIN : 27-118-23-32-0008 LEGAL DESC : PHILLIPS WOODLAND TERRACE : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 27,653.00 NOTE: REPLACE ]0 WINDOWS INTO EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 467.54 PELLA NORTHLAND STATE SURCHARGE(VALUATION) 13.83 15300 25TH AVE N. -SUITE# 100 MAIL-IN FEE 2.00 PLYMOUTH, MN 55447- TOTAL 483.37 (952)345-6047 Payment(s) Minnesota State License#: BUIL-BC645090 CREDIT CARD 0182 483.37 OWNER MCLAUGHLIN, WENDY 1180 PHILLIPS DR LONG LAKE, MN 55356- 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 l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reques[ed in conformance with the State Building Code.This permit may be revoked at any time for due cause. `�- D -� � � i�g i/S Applican -ermitee Signature Date Issued B ignature Date 12/29/2015 09:31 FAX C�002/002 � . Ci#y of arono Building Permit A�pplicatlon for Maintenance / Replacement / Remadel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSlON) �Q A', MalRng Address: Pemiit number. eZ1�l 5 — D/,S 7 <VO PQ BOx 68 Crystal BBy,MN 55a23-OOQB Dste received: � �•' 2� ' I 5 �, Street Address: Received by: s-�, �' 27'54 Kelby ParkwaY Pl�r�r�view fee_ � Orono, MN 55356 t1k�sH�� 7otalFee: ��• �� Maln: 952-249-4BOp Fax: 952-249-0816 www.ci.orono.mn.us ..._,_..------.,._.._.,r......�.�.�.r....�„�_._.-•.,-•,..,..,.._:_,�__,...._,...._�.,__,......._�.,._,._..,......_................_..,...._...� _..,..,,......_._..�....,_..:,........,.._.....�..�...._.._...�.�._ This application fdrm muSt be completed in fuil and all required informafion must be Submitted. Incomplete appllcatfons wlll be retumed. (Please print) GEN�RAI. INFQRMATIOt�: ! / $ � � Job Site Addrsss; i 1l t Q � �/ '�/'� Will this be a Parade vf Homes,Remodelers Showaas Hame or other Oisplay Hcme? Yes No K ye�,a apeoJal everx permM Is required wrth Pafke Departmenl and Ciry Councll appraval BO days prlor to the event. ShutNe bus sen�ce wiJl be requlred unless appllcant demonstrates su►Ilclant on-slte parkl�is avafleble. Non•permltfed evenfs wNl not be allowed. CONYRACTOR/AP,PLICANT lNFORMATIONr . . Name: Pella N�rtliland - --- -- --- --- State�icense# � 15300 25th Ave N. Ste 100 Expiration Date: Lead Certification Numbe Plymouth, MN 5544'7 Expiration Date: (for work on homes tha� Lic�BC64S�9U Ph, 763/745-1400 J s�c/� �j S�l 3�f� . G V �/7' Phone: (cell) (office) MailEng Address: Cit : �IP: Confact I�erson: Applicant is� Cantracto 1 Homeowner cci.�+.o�.� �mail and/pr Fax: PROP�RTY OWN�R INFORMATI4N: Name: L Li ll C �. W ! Q (��(n Phone(daY): (, 4 y • 4 Address: !1 �+ p h i r D S 4J/��. Y'G Clty: �a �Q L 4 �'d ZIP: �' $ '� S t► �mail and/or Fax: PROJECT INFdR�AAATION: Overall ro'ect description: Typa of Pr�act: Any earth movement may also require �Door(s) ❑Remodel ❑Fire Damaga MCWD ravfew&permits: ❑Re-roof,asphalt �Repair ❑3torm Damage Minnehaha Creeic Watershed DfsVict(MCWD) 18202 Mfnnetonka Blvd ❑ R�roof,cedar ❑Restoretion ❑Water Damage C7eephaven,MN 55391 , ❑ R�roof,other(sp�cHy} [�Siding ! � ❑Other:(specify) Phpne: 952-471-0590 Fax: 952-471-08$2 �Wlndow(s) !NY�;m�"''-�.,..�,.._.__�.,,�9 Eatimated Gonatructivn Valuetion of�ro)ect(excluding land) � API�LIGAN7 ACKNQWLEpGEMENT: . Agrees to provide all Infortnation raquired or requested by the Building Dep2rtment; • Certifles that the information supplied is true a�correct to the best qF hislher knowledge. The appl(cent recognizes thet they are solely resportsible for submitting a complete application being aware that upon failure to do so, the staff hss no aitemalive but to reJect it undl It ie complele; . Some or ali of the infortna0on that you are asked to prvvide on this applicadon Is dassffi�ed by State law as either privete or Confldentfal. Prlvate data is irdormation which generaNy cannot be given to the public but can be given ta the subjact of the data. ConfldentEal d�ta is Informetion whlch generally cennat be given to either the pubiic or the subJeCt ot the data. Our purppse and Int6nded uSe of this Infipm�atlon Is to annualy upd te our records and records of other govemmenkal agenCi88 requirgd by law. If ou refuae to su the infqrm�tion the a Ics n ma not be issued. ApplicanYs Signature: ��' Date: � � � � � Owner's Slgnature: Date: ,__.,._.��_.. ,_�.._....,,,,� 12/29/2015 09:�1 FAX l�001/002 :�l' � E "" ' � .�� {"�6� si'a,�3:.�;>� �;�` '�y,. �'#g,' ��T_ �;�^ � . 4;;:ar.n, .' 'S� �ry �s�` �..3"' \l,;� �>.�,,:�y.J �� i.�li a' 1( ��:: �ll . t...�:i� ��:in,i:� �ki'n��.y �.y� ..... . . .H �f•.'f;'3 (�@s� �'.' YF. . .:.. :. ,"..,'1 ��"R ,... �� ,;,,�.... ,.� � ::: .. '°:�� :: .>; n:: >� ;:=t... t;:';�;`. [">.. :^ F'i. f `!,'� 1',� ".�;' �'."i ; ' ',"� ;'r L.� 5:�:' . ...w. L.1 "---'�•�� '— ��•"� � � �ax Cover Sheet DAT�; � � ! � R' 1 ! S TO: � Ut � C� rl� � Q I' CQMPANY: C� T U p � „� r 0 n 11 FAX: QS2 [ � �( Q • � � ( � FROM: J � � , 4 � a �� Ys . � o � -� COMPANY: � I C� t� � o n c s r ! � !1'� r I ' NUMBER OF PAGES (EXCLUDING COVER SHEE� C�MMENTS: �� -� a s .� ,� r� k c � � Q r � c � �.0 .� � � � u � l' � � �- � . , , � o cl t s c� e � � � � � o � Q S. CU �1 ��4a �� S � � (�. c � �� _ . �..� n� �n�M i��.__ ••�w�nne F00� �� - — 1 � � � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE �* SCHEDULED __1�� ___� PERMIT NO.�-�r,1� 7 COMPLETE •. ADDRESS � �/��r , OWNER TELEPHONE N �� `��1�'1 CONTRACTOR � E � � DESCRIPTION � } ty ❑ 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 J FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ AS BUILT-SURVEY ❑ WER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑�PTIC INSTALL Q OWN RfCONTRACTOR TO/MEET YOU:��YES_NO /� v�i COMMEN7S: !ti �-f�1 C'-�� - �Cv�� l.L� �`-� � �l � W a o �/� I V� � �� • -�✓Q•{� .E- o1-�t C� — . � ^ S'r, v✓�-e S i?.2 �► s��rl� �y ��G�S�J� c ° D�n�� .^ W /� / Q ! C�6� G!ff�G,Ct✓�j �- U 1^�.�`� � Z — � �e Sk�� t� rJro�r��c 5�+2UK� ��r � � 1 ✓" R !� �a1�/'l�+�1 S•-� Gd cl�L��c.�1j✓S W �f�-rv a l Q ` o-F b cP r�-►�►-1- W� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILI REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerfConVactor on site: � Inspector. h--� Whi e Copyllnspector's File Canary CopylSite Notice