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Home My WebLink About2014-00631 - windows CITY OF ORONO * Z 0 1 4 - 0 0 6 3 1 * � � 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2308 SHADYWOOD RD PIN : 17-117-23-44-0106 LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA : LOT 014 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,741.00 NOTE: REPLACE(3)WNDOWS 1NT0 EXIST[NG OPENINGS APPLICAIVT PERMIT FEE SCHEDULE 88.50 STATE SURCHARGE(VALUATION) 1.37 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY, STE 300 TOTAL 91.87 30339- (763)542-8826 Payment(s) Minnesota State License#: BUIL-20268257 CHECK 68421 91.87 OWNER HENDERSON, PHYLLIS P.O. SHADYWOOD RD ,MN 55391- AGREEMENT AIYD SWORN STATEMENT The work for which this pertnit is issued shall be perfornied according to the approved plans and specifications,applicable Ciry 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 goveming this type of work shall be compied wi[h whether or no[specified herein.This permit will expire and become null and void if constniction authorized is not cornmenced within I 80 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 reyuested in confurmance wilh the Slate Building Code.This permil may be revoked at any time for due cause. / / Applicant Permitee Signature Date Issued By Signature Date � • City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) =-— Mailing Address: Permit number. -; �v�,��,. PO Box 66 ��Q QA,, Crystal Bay, MN 55323-0066 Date received: 11 l',� ��, r� ;_ �,�� Street Address: Received by: �� '�` � � Y Y Plan review fee: .� ln i�,�, ..� ti/ 2750 Kelle Parkwa �' � 'k��`��'`��g�i� Orono, MN 55356 \�9 ESHo,-.- `` � 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: � 3 0 p 5 h k c�y w a � � �O Q Q� Job Site Address: o 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 Department and City Council approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# THD At- Home Service, Inc, Phone: 2690 Cumberland Pkwy, Ste 300 (cel�) Mailing Address: Atlanta, GA 30339-3913 ZIP: Contact Person: Lic# CR268257 Ph. 763/542-8826 lomeowner (Circle One) Email and/or Fax: PROPERTY OWNER INF ATI : 1� _/ Name: �/ 77 A /� Q 4l'S D � Phone (day): � � /� . ti/� � / t Address: p �} W V v �� } � Cit : WG 7 4�G ZIP: �'j ',S 3 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) 3 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 Description: (,J O /�t D Estimated Construction Valuation of Project (exclu ng land) $ � 7 �/ / 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 suppl the information,the application ma not be issued. Applicant's Signature: J v Date: �O L ( $ ` � ( Last Updated: 05-04-2009 C��'�v DATE TIME y CITY OF ORONO CALLED IN ,��yL� INSPECTIONO O�� , SCHEDULED PERMIT NO. COMPLEfED � ADDRESS �30 OWNER ELEPHONE NO.QSZ �7� ��Tg CONTRACTOR �2�� DESCRIPTION ��W`S � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP O PROGHESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C j O �. o� O � W � Q � 2 W � W � J W O WORKSATISFACTOR`F PROCEED OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED I E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in ance. (952 46�� OwnerlContractor on site: Inspector: White Copyllnspector's File anary CopyfSite Notice