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Home My WebLink About2014-01103 - windows CITY OF ORONO * Z 0 1 4 - 0 1 1 0 3 * 2750 KELLEY PARKWAY DATE ISSUED: 10/0]/2014 � ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 1856 SHADYWOOD RD PIN : 17-117-23-24-0017 LEGAL DESC : SHADY-WOOD : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,129.00 NOTE: REPLACE(1)WINDOW INTO EXISITNG OPENING APPLICANT PERMIT FEE SCHEDULE 88.50 STATE SURCHARGE(VALUATION) 1.06 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY,STE 300 TOTAL 91.56 30339- (763)542-8826 Payment(s) Minnesota State License#:BUIL-20268257 CHECK 69296 91.56 OWNER SEIFERT,MILTON 1856 SHADYWOOD RD 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 dces 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 pertnit may be revoked at any time for due cause. /� v�✓1 �J�•—� V A/�Gl�N �/ i /` 1 Applicant Permitee Signature Date Issued y Signature Date City afi Oroiiu 2750 Ke?ley Parkway Orono MN 55356 952-249-4600 Re�,eipt No: 3.011914 Oct 1, 2014 Elder-jones Previuus Balance: •�� Permit� �8 5� P2014-U1103 1856 Shadywaod kd lU1-32530 Mechanir,al/Septic/Other Permits P2014-011G3 1856 1.06 Shadywood Rd 1U1-208U9 SAC Charge� due to MWCC Permits P2014-01103 1856 2.U0 Sl iadyw�od Rd lU1-34440 Bldg Permits-oiail in fees Total; 91.56 Check Check N�a: 6926 91.56 Payor: E lder-j��nes Tctal Applied: 91.56 Change Tendered: �� 10/O1/201=! 02:38PM City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) =--- Mailing Address: Permit number. I/,0�,�,�j.O\ PO Box 66 \ Crystal Bay, MN 55323-0066 Date received: �� ,� ��"r�,� �, Street Address: Received by: ��'�, �'1d�° _;�; ,a / 2750 Kelley Parkway Plan reviewfee: l `�1�^':f�r��`'"��v° Orono, MN 55356 �kESH04�, ��-= = " Total Fee: Main: 952-249-4600 Fax: 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) GENERAL INFORMATION: O -/ Job Site Address: � 8 5 ` S h a c�y w�� Q Q Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a special event permit is required with Police Deparfment and City Council approval 60 days prior to the event. Shuttle bus service wiU be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: f5� 3VS• G o47 State �icense# THD At- Home Service, Inc, o Phone: 2690 Cumberland Pkwy, Ste 300 (cell) Mailing Address: Atlanta, GA 30339-3913 ZIP: Contact Person: Lic# CR268257 Ph. 763/542-8826 lomeowner �c��ie o�e� Email and/or Fax: PROPERTY OWNER FORMATION: Name: O n n a 5 c �� f Phone (day): Q?'� 7 �- 0 � Address: � S c. 5 h a c�v w o o cl /�� 0 � c�ty: �JG y r q�7jG ziP: S S3 Q / Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&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.or Overall Project Description: /W�n d(p�„) �`t /G U M e n ��? �k� 1 i�7 � 0 �i� r Estimated Construction Valuation of Project(excluding land) $ ,� 9 ^ 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 re uired b law. If ou refuse to su I the information,the application ma not be issued. ApplicanYs Signature: /�� Date: / l� � ` /Y Last Updated: 05-04-2009 SEP/26/2014/FRI 02; 00 AM Elder Jones Building FAX No, 952 854 4909 P, 002 . R, - ' City of O�-ono ' Buildir�g Permit App�ication for lr�terna! Work (windows, doors, siding, re-roof, etc.) Mailing Address: permit number: / . / d3 O�,d,j�.� Pp Box 66 CrysCal Bay, MN 55323y0066 Date received: -�.4- a �;� .��`,� � StreetAddress: Received by: �, .�� ` � 2750 Kelley Parkway I'lan review fee: �e��$�p�.� Orono, MN 5535fi Tot�l Fee: �j�' � Main_ 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us /� This applicatiort form must be completed in fufl and aA required information must be submitted_ Incomplete applications wlll be returned_ (Please print) G�N£RAL INFORMATION:/� 5 � S� C� �� Q � Job Site Address: � lr►�U U WiEI fhis be a Parade of Homes, Remodelers Showcase Home or other Display Hame? ❑Yes No If yas,a specia/event parmit is repuirad wrth Pollce Department and City Council approve/60 days prlor io ihe eveni. Shums bus service wiJl be ,�quired unless applicant demonshstas sufticlent en-s�'te parking is availab/e. Norrpermltted events w!!l not be sllowed. CONI�I'RACTOR I ApPLICANT INFORMATIpN: Name: f�� 3�S-G oy7 State �icense.# Tl-�D At-Home Service, Inc, o ' Phone: 2690 Cumtier�and,Plcvvy, Ste 300 ceu Mailing Address� Atlanta, C�rA 30339T3913 Z�P= Contact Person: _ LiC#CR268257 Ph.763/542-$$2b lomeowner (Clrcle one) Email and/or Fax: PROPEi2TY OWEVER FORMAT'ION: Nam e: b %i� d �L t ( Phone(day)� Y9 +�" s' n � ; t�uG �4TG Address: �0 0 0 Ci ZIP: �5'3 Q / Email and/or Fax PROJ�CT�NFORMATlON: Type of Proj�ct_ Any earth movement may require MCWD review&permits ❑Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek WateBhed District(MCWD) indow(s) Repair ❑Storm Damage 18202 Minnetonka Bivd � Deephaven,MN 55391 Siding ❑Restoration ❑Other:(specify) Phone: 952,471-0590 Fax� 952-471-0882 ❑Re-roof ❑ Fire Damage www,minnehahacreek.or Overall Project Description: /(.��11 ea(,�.W �`� f(y ��Yj s/� �l� �k� 1 i� � � n��j Es#imated Construction VaEuatYon of Project(excluding Iand) $ ;,� ' AP�UCANT ACKNOWLEDGEMENT: • Agrees to provide af!information requirad or requested by the Building Department; • Certifies that the inforrrlation Supplied is true and correCt to th2 be5t Of his/her knowledge. The appUCant recognizes that thgy are sol�ly responslble for submiYting a completa appliqtion being eware that upon faiiure to do so, the staff has no altemative bUt to fejeCC it untii it is carnplete; . Some or all of Ihe information that you ar@ asked to provide on this application is Classtfied by State law as eithe�p1'ivaTe Or eonfidential. Private data is Information which generalty cannot be gfven to the public bu# can be given to the subject of the data_ Confidential data is inFormation which ggneCdlly Cdnnot be given #o sither the publiC Or the subject of thA d2t2. OUP purppse and intended use of fhis informatiqn Is to �nnuafly update our records and teeords of other govcmmental agencies re uired b laW. If ou refuse to su I the infoYmation the a plication ma not be i55ued. ApplicanYs Signature: �� Date: 1 � � ` �/ �ast Updated; OS-04-2009 SEP/26/2014/FRI 02: 00 AM Elder Jones Building FAX No, 952 854 4909 P, 001 . . • 9120 East 80w Street,Ste.#211;Btoomington,MN 55420 � _ � _ . � � , 852-345$047—DireCt 952-8\54-4so9-Fax . To: Orono,City of Attn.- Bldg. Dept Fram: Fax: 952-249-4616 � Pa�es: Phon� 952 249�600 Date: Rs: Buiiding Permit(s) CC: ❑Urgent Cf For Review �Please Comment X Plsase Raply ❑Please Recycl� • Comman}�: Please call when the permitfee(s):have beerrfigures. So I can cut a check. •.v -- r._.. i � ' . Thank You, U�Cl � 952-345�047 �ly � $S�[ -kqoq . �_.� �. , • G�J�, C-'!I� �v"v.." � � � 5� � _ � � � � �. � I , . � . � �r� DATE TIME �/ CITY OF ORVIdO CALLED IN - INSPECTION TIC SCHEDULED � `'1 ��C� PERMIT NO.�� 1�� OMPLETED � - -�S ADDRESS SS� c��C-Ltli(, /.lJ�D�� OWNE��[� � �T LEPHONE NO.��o�J�7�-7�'b . � CONTRACTOR � DESCRIPTION l� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ � AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a� - � 1ti��r�ebw R.��Q�� da�� - j " �.�►r e st2� ��i, c��c c sz`,�r orP�K• � 0 � ° ' S• d• �.1 �� Gt��ect�vrs ,e�r-a c� � - W _ � �/Ov�l�� .Srt�YC2 .�e�ec�o� �o r Q ZLiX�G 5✓Gr �j�r�,,,� — � 2 as�a � , W �r�cc� �► ,pe/.n� ��Ce� � j � �WORKSATISFACTORY:PROCEED `�OJECT COMPLEfE W �AfiECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. II forthe next inspection 24 hours in advance. (952� 249-4600 wnerl ntractor on site: /'�' � � �=� �c"� � �Inspector_ � Whit Copyllnspector's File Canary CopylSite Notiee