The URL can be used to link to this page

Home My WebLink About2012-00462 - windows CITY OF ORONO * z 0 1 2 - PJ 0 4 6 2 * . �` 2750 KELLEY PARKWAY DATE ISSUED: OS/30/2012 � ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1205 SHORELINE DR PIN : 02-117-23-43-0015 LEGAL DESC : REG.LAND SURVEY NO.0397 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 1,056.00 NOTE: REPLACE(2)GARAGE WINDOWS APPLICANT pERMIT FEE SCHEDULE 44.50 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 0.53 2690 CUMBERLAND PKWY,STE 300 30339- MAIL-IN FEE 2.00 (763)542-8826 TOTAL 47.03 Minnesota State License#:20268257 OWNER JACKLEY ET AL,JAY M 1205 SHORELINE DR WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned 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 sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speci£ed 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due Lause. `y�.c�(. �. � i i i Applicant Permitee Signature Date Issued By gnature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. � . - City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ��,0.� PO Box 66 0 � Crystal Bay, MN 55323-0066 Date received: x � �� P Received b ,� � ✓J�� :�_ a, Street Address: Y� �'� � U``� ��' 2750 Kelley Parkway Plan review fee: l�gESH g'�' 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. (Please print) GENERAL INFORMATION: Job Site Address: l/� � 's 5 h D�'Q J/� �, �/`/ �/'E, 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 approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Sta eeLicense# THD At- Home Services, Inc. �� Phone: 2690 Cumberland Pkwy, Ste 300 5� y • 01� (cell) Mailing Address: Cumberland Office Park ZIP: Contact Person: � Atlanta, GA 30339-3913 lomeowner (Circle One) Email and/or Fax: Lic#20268257 Ph. 763/ 542-8826 PROPERTY OWNER I FORMAT ON: Name: Q Q G �( Phone(day): . 0 Address: p 0/' � I Cit : �Q b�4► ZIP: �s 3 Q / Email and/or Fax r PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door s MCWD review 8�permits ( ) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) indow(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.minneha acreek.or Overall Project Description: � ;� W�� /0 W �/ � Q C,(, /17 / ,n S Estimated Construction Valuation of Proje t(excluding land) $ / p �'j (, - 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 a lication ma not�be issued. ApplicanYs Signature: ':� Date: ?j 2 � ll� Last Updated: 05-04-2009 -�� 2 �� ..� DATE TIME CITY OF ORONO CALLED IN �L� INSPECTION N TICE SCHEDULED lo /� 9�30 PERMIT NO. �6�a� ��y�Z' COMPLETED ADDRESS �� h-`� OWNER � TELEPHONE NO.�a�� 9��- �� CONTRACTOR � DESCRIPTION �'"'��'�'�� I��'�'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � [�FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT `� b DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ ING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � WNER/ NTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice