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Home My WebLink About2014-00775 - windows w � CITY OF ORONO * 2 0 1 4 — fd 0 7 7 5 * `� 2750 KELLEY PARKWAY DATE ISSUED: 07/24/2014 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 2695 SHADYWOOD RD PIN : 21-117-23-24-0056 LEGAL DESC : CHAPMAN ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 3,584.00 NOTE: REPLACE(4)WINDOWS INTO EXISTING OPENIGNS APPLICANT PERMIT FEE SCHEDULE 103.25 STATE SURCHARGE(VALUATION) 1.79 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY, STE 300 TOTAL 107.04 30339- (763)542-8826 Payment(s) Minnesota State License#: BUIL-20268257 CHECK 68725 107.04 OWNER PAULSON, STEPHEN&BOTHAINA 2695 SHADYWOOD RD EXCELSIOR,MN 55331- 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 goveming 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 permit may be revoked at any time for due cause. � ��v� _ �.� / / Applicant Permitee Signature Date Issued By Si ture te , � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 'Qv�.� PO Box 66 �'0 Q'�\ Crystal Bay, MN 55323-0066 Date received: ,� ��o ✓�. ��_ �) Received b � ,��'� ,� � �i Street Address: Y� c� � ��+-,I�w�,?� �i/ 2750 Kelle Parkwa L �+:7,��-��t;r ��; Y Y Plan review fee: ��gESHo�`'%, Orono, MN 55356 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. (P/ease print) GENERAL INFORMATION:a � �S Job Site Address: �� Q Q(��W J � � R u Q � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a specia/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: Jn �� State �icense# THD At- Home Service, Inc, S� 3 yS.G � y"� Phone: 2690 Cumberland Pkwy, Ste 300 (ce��) Mailing Address: Atlanta, GA 30339-3913 ZIP: Contact Person: Lic# CR268257 Ph. 763/542-8826 �omeowner (Circle One) Email and/or Fax: PROPERTY OWNER IN ORM TION:/� / Name: �,`7�j / Q V ! `j t� n Phone (day): L f � a'O • ',S o 0 Q Address: � (, 9 S Q �V W V � �l /� O Q � City��C�L�y/e/' ZIP� S s 33 � Email and/or Fax � � PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review& permits ❑Water Damage Window s Minnehaha Creek Watershed District(MCWD) � ( ) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding Deephaven, MN 55391 ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 ❑ Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek orq Overall Project Description: y (,,,� � n a w /+e u /�'t � /n �!/ ) � /1 0 O Q n �/) J Estimated Construction Valuation of Project (exclu ing land) $ � � 8 c�/ 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 sup I the information,the application ma not be issued. Applicant's Signature: ��'� Date: 7 �a � l� y Last Updated: 05-04-2009 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.��/�'G�7 7�� COMPLETED o'z• ot�r-/�— ADDRESS ��9 S cS�i,r,�g,�ro� /�� OWNER TELEPHONE NO. CONTRACTOR �/� �iZ w�t� �c�aZ` � DESCRIPTION /�/�� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAI RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v�F_INAL ❑ WATER HOOK-UP FOLLOW-UP � LJ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: /�/ist•L` `1o�t r �.��.0 � �t� � �r' t .�.�G G ��!So<<L`io.:� � o L� _ , � 7 ltl��/�t7ocJ /'�s�L�w�G•2�`t ��- PaC'�s�� ° �3 DKss. � .5�� s•a�, .S'�� sLF4k� ^ W � Q 2 k/d�K s�_/�i�s ��..,c�ls�c - � � �a.�.K�� -� �!� W � j � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE W ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 2a hours in advance. (g52) 249-4600 OwnedCorrtractor on site: Inspector. � � White Copyllnapecto�'s Ffle Cenary CopylSMe Notke DATE TIME CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED PERMR NO.�n✓-'�' dA�y3 COMPLETED 4'� ADDRESS � G �15� 5�i�u wc� �• OWNER TELEPHONE NO. CONTRACTOR �� bz�/y�su(- �' DESCRIPTION 2er/- oZ d4��o �oa�'s ir� �x�S��_/ � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP �OLLOW-UP i ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNENCONTRACTOR TO MEnEi Y�U:_YES_NO � COMMENTS: P�rw....� /�o k�Gv -�'q•lcc9 � � � � ca� �zv� 4 �.,,.QG ��'��..� j 0 � /•t16 r !�. a.o.oc�✓� Gar�«-�a��c — �O W � Q � W � \ ? ��/�/� �C �i�ts�.E1'J � O WORK SATISFACTORY:PROCEED v�OJECT COMPLETE W ❑CORRECT WORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECTNfORK�►LL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP OR�ER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OMn�erfContrector on site: Inspector: � WMM CuPYAnapector's Fih Gnary CoPYISNe N�fee