HomeMy WebLinkAbout2015-00824 - windows °" CITY OF ORONO * Z 0 1 5 - 0 0 8 2 4 *
'� 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2015
ORONO, MN 55356-
952) 249-4600 FAX: (952 249-4616
ADDRESS : 1406 REST PO[NT RD
PIN : 07-117-23-33-0003
LEGAL DESC : SUBD REST POINT PARK LAKE MTKA
: LOT 002 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATIOI�1 : $ 7,264.00
NOTE: REPLACE(1)WINDOW AND(1)PATIO DOOR INTO EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 170.38
STATE SURCHARGE(VALUATION) 3.63
THE HOME DEPOT A.H.S. MA[L-IN FEE 2.00
2690 CUMBERLAND PKWY, STE 300 TOTAL 176.01
ATLANTA,GA 30339-
(763)542-8826 Payment(s)
Minnesota State License#: BUIL-CR268257 CHECK 71618 176.01
OWNER
HUELER,GREGORY
1406 REST POINT RD
MOUND, 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. 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 app►icant 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. ,,
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Applicant Permitee Signature Date Issued By Signat e Date
JUN/25/2015/THU 04: 56 AM Elder Jones Building FAX No, 952 854 4909 P, 002
. ,. .
City of Qrono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
,�,,—� Malling Address: Permit number_ – QQ
�-�v�.� PO 6ox 66 .
' CrystaE Bay, MN 55323-0086 Date received:
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a '°'���.: �. SCreet Address: Received by:
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�a, �"�,�, �ti 2750 Kelley l�arkway Plan review f •
�'�i�`�?�'� �.9 Orono, MN 55356
'�$9Y�0 .
�"`.``� Total Fee. l7� �I
Main: 952-249-A�600 Fax: 952-249,4616 www.ci.oronQ,mn.us 1
This application form must be completed in fuA and all required informatiqn must be submitted.
Incomplete appiications will be retumed. (Please print)
C7ENERAL 1NFORMATfON.' l p
Job Site Address: l� Q � �a �T r Q � � 0
Wifl this be a Parade o'F Hbmes, Remodelers Showcase Home or other Display Home? ❑Yes No
N yes,a spaclal ev�nf permit is requlred wlth Po/iea Department and City Councll approva/80 days prior to tha event. Shun/e bus service wil!be
�squired un/ass epp�icant demonstrates suh3cienP on-s;fe parking is avallab/s. Non-perm,Yted events will not be allowed.
� CONTRACTQR!APF'�I�ANT IIVFORMATION;
Name: � 2 �, �d
State License# �'�TD At-Home Service, Inc,
Phone: 2690 Ct�.mberl�,xnd Pkwy, Ste 300 cell
Mailing Address: A.tla,nta,GrA 30339�3913 ZIP:
Contact Person_ Lic#CR268257 Ph. 763/542-8$26 lomeowner �c�21a o�a�
Email and/or Fax:
PROPERTY OWN�F�INFORMA7'�QN:
fVame: LJ I't b,,f t7((,� Q
Phone(day)� /� 7 0 - 3l a y
Address: � b j� /QQ c; : C9/`o/? a ZIP: S�L
Email ancllor Fax
PROJECT INFORMATION: - -
Type of Praject: Any earth mOVement may reyuire
� MCWD review&permits
'�Door(s) ❑ Remodel [J Water Damage
Minnehahl Creek Watershed District(MCWD)
indow(S) []Repair ❑Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 55391
❑Siding „ [J Restoration ❑Qther:(specify) Phone: 952-471�A590
Fax: 952-479-0682
❑Re-roof ❑ Fire Damage www.tninnehahacreek.ora
qverall Project Description: /W i11 p I�f • � . i� �(q n r /�e B �'/� ! ! y 1�� �' 0 .!!I /n�
Estimated Construction Vatuation of Project(excluding land) $ L
,
APPLICANT AGKNOWL�DGEMENT: �
• Agrees to provide alf information required or requested by the Building Department;
• CertifJes that the information suppfigd is t1'ue&nd correct to the best of his/her know(edge. The appEicant recpgnizes ChBt they
• a�2 Solely responsible for submitting a Complete application b�ing awar@ that upon failure to do so,th9 StBff haS f10 altemative
bvt to reject it until it is complete; —
• Some or all of th� infOrrrtati0n that you are asked t0 p1"Ovlde Oft tf1i5 application is classified by State law as either privafe or
confidential. Private data is inform�ti0n whieh generally cannot be given fo the public buf can be given to the subject of ihe
data. Confidentiaf data is information which ganerally cannot be given to either the publie or the subject of the data. �ur
purpose and intended use of this informatiort is to annualEq update our records and records of other governmenta! agencies
re uired b law, lf ou refuse Eo su I th�inform�tion,the a fication ma not be issued.
� �, �72 �IS
AppEicanYs Signature: Date:
Last Updated: 05-Od-2008 '.
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Z 7�0 f:ell ey Parkway
P.O. Box 66
Crystal Bay, MN >>3�3
(9�2) 249-4600
Fax.• (9�2) ?49-4616
FAX TRANSNIISSION COVER SHEET
Date: 5
To: Q c
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Sender: C��,
YO U SHO ULD RECEIti'E � PA GE(S), INCL UDING THIS CO i'ER SHEET.
IF Y"O U DO NOT RECEIT�E ALL THE PA GES,
PLEASE CALL (952) 249-4600.
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JUN/25/2015/THU 04:56 AM Elder Jones Building FAX No. 952 854 4909 P. 001
. .
. 1120 East 80'"SVaet,Ste.#211;Bloomington,MN 55420
952-345-6047—Direct 952-8154�909,Fax � ^ � � �
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To: Orono,City of Attrr Bldg. Dept. From:
IFauc 952-249�616 . � �a�es:
Pho� 952-249�600 D�ste:
Re: Buildrng Permit(s) cc:
❑Urg�nt ❑ Por Review ❑Pleas�Cvmmenrt X Pl�ase Reply ❑Please RecyGe
•Comrrwnts:
please call when the permit fiee{s)'have been•flgures. 5o I can cut a check� _ _, ._ � _.
, , � . . .
Thank You, �
c�o cl r
952-345-6047
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DATE TIME''�
CITY OF ORONO CALLED IN �
INSPECTION NOTIC _�S,a SCHEDULED / � -�
PERMIT NO.�� � COMPLETED �_
ADDR � / - ��, �
OWNER L°�-�" TELEPHO E NO.Z�3- ���-,(��'�
CONTRACT —
� DESCRIPTION �- ��G�"�'`�p � �
4~j ❑ FOOTING ❑ DEMO-FINAL ❑ SEP IC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADO LAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FR ING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
v ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTFiACTOR TO MEET YOU:_YES�NO
� COMMENTS: �
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W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLETE
� ❑CORRECT W'ORK 8 PROCEED ❑1 UE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY
V BEFORECOWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR YV{LL RETURN
❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hou in adva 249-46�0
OwneHContractor on site:
Inspector:
White Copyllnspector's Flls Canary CopyfSlM Nod�x