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Home My WebLink About2011-01224 - windows CITY OF ORONO PERMIT NO.: 2011-01224 ` 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: 10/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2170 PROSPECT AVE PIN : 10-117-23-31-0018 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,132.00 NOTE: REPLACE(4)WINDOWS INTO EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 118.00 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 2.07 2690 CUMBERLAND PKWY, STE 300 30339- MAIL-IN FEE 2.00 (763)542-8826 TOTAL 122.07 Minnesota State License#:20268257 OWNER MADDIE,MICHEAL 2170 PROSPECT AVE P.O.BOX 123 CRYSTAL BAY,MN 5532� AGREEMENT AND SWORN STATEMENT The work for which this permit is i sued shall be performed according to the approved plans and specificati s,applicable City approvals,and the State Building Code. This permit i�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 goveming this type of work shall be compied with whether or nOt specified herein.This permit will expire and become null and void if�onstruction 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 assaring all required inspections are requested in conformance with the$t�te Building Code.This permit may be revoked at any time for due cause. �� i i i i Applicant Permitee Signature Date Issued B ignature Date SEPA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB VE. . � City of Orono BuiNding Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: .¢,�,�. PO Box 66 0 „4 O Crystal Bay, MN 55323-0066 Date received: ,,.�,> a, +Q�`J,�� ':� a, Street Address: Received by: 's',�, ,� R`0 �ti 2750 Kelley Parkway Plan review fee: l � 1�� v Orono, MN 55356 `�kESHo� --� Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This applic�tion form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: / /f V,� � �� Job Site Address: p� / 7 0 P/�O 5 p� C �f !`1' Will this be a Parade of Homes, Remodelers Showc se Home or other Display Home? ❑ Yes ❑ No /f yes,a specia/event per it is required with Po/ice Department and City Council approva160 days prior to the event. Shutt/e bus service wi//be required un/es applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR I APPLI ANT INFORMATION: Name: THD At- Home Services, Inc. `1a �•,, State License# �T` � 3ys - �0�7 Phone: j 2690 Cumberland Pkwy, Ste 300 (cell) Mailing Address: � Cumberland Office Park ZIP: Contact Person: a Atlanta, GA 30339-3913 lomeowner (Circle One) Email and/or Fax: Lic#20268257 Ph. 763/ 542-8826 PROPERTY OWNER I FORMATION: �; Name: p U /'Cl ! ( Q /� C/�1,G Phone(day): ? ?0 • 6 7 S 5• 3 � � Address: � �/'C� Cit : Wf! A�4� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: � Any earth movement may require MCWD review 8�permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �Window(s) �Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof Fire Damage www.minnehahacreek.orq Overall Project Descript on: W i A d�01�J� �`f A CI M�n //I Q /� in 0 /I)/!1 � Estimated Construction Valuation of Project(excludmg land) $ �// � APPLICANT ACKNO LEDGEMENT: • Agrees to provide al information required or requested by the Building Department; • Certifies that the inf rmation supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsi le 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 re uired b law. If au refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: �J Date: � � ` � 0��/ � Last Updated: 05-04-2009 ____i —O" � DA/T TIME V CITY OF ORONO CALLED IN l�—L� INSPECTION NOTICE SCHEDULED �0��4-�/ � PERMIT NO. a0//—D�ZZ� COMPLETED ADDRESS ��7� ��s� �� OWNER TELEPHONE NO. 763 $07 ��'�Z� CONTRACTOR �� Ot >; DESCRIPTION W��dd� � �Z� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ' Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o u O�e� w;,� S � � 0 � W � Q � Z W � W 2 � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR '�'CITATION ISSUED ❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. vs White Copyllnspector's File Canary CopylSite Notice