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Home My WebLink About2013-00155 - windows CITY OF ORONO * Z 0 1 3 - 0 0 1 5 5 * 2750 KELLEY PARKWAY DATE ISSUED: 03/08/2013 " ` ORONO,MN 55356- t r (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2058 SHORELINE DR PIN : 15-117-23-21-0003 LEGAL DESC : HARTWOOD : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 2,139.00 NOTE: 2 WINDOW REPLACEMENTS IN EXISTING OPENINGS APPLICANT pERMIT FEE SCHEDULE 88.50 HOME DEPOT AT HOME SERVICES STATE SURCHARGE(VALUATION) 1.07 2690 CUMBERLAND PKWY SUITE 30 ATLANTA,GA 30339- MAIL-IN FEE 2.00 Minnesota State License#: 20268257 TOTAL 91.57 OWNER TERRY,JOSEPH&KAIMAY 5109 RIDGE ROAD MINNEAPOLIS,MN 55402- 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 1 ►wU�.� �j / / V � Y'!�/Y�- l l Applicant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. MAR/06/2013/WED 02: 11 AM FAX No, 952 854 4909 P, 002 . . � t City of Orono Building Permit Application for Internal 'UVork �� 5�T (windows, doors, siding, re-roof, etc.) � . �O� MailiPO Box 66. 3 � DO I J Permit number: O � C ry s t a l B a y,MN 55323-OOB6 Date received: �,, Street Address: Received by. �,� o�' Z750 Keliey Parkway Pfan review fee: � ��o�„� Orono, MN 55�56 Total Fee: Main_ 952-249-4600 Fax: 952 249�616 vwuw.ci.orono.mn.us This application form ust be completed in full and all required information must be submitted. . inc�mplebe applications will be returned. (P/ease print) GENERAL 1NFORMATION: a o s$ 5h �1�G l�n e �f�� Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes ❑ No /f yes,a speaal evooni permlt is repuiied wl�Pdke Depertment and Ciry Coun�ll approvel 80 days prlor fo�e evenl. ShuGde bus ssrvice will be required unless applicanf demonstrates sufticlent on-sita parkinp is aveifable. Non permlCed e�nents will not be anowed. CONTRACTOR/APPLICANT INFORMATION: , Name: THD At-Home Services, Inc. �o d i State�icense# 2690 Cumberland Pkwy, Ste 300 a 3Y�7 Phone: (cell) n�ai�ing Address: Cumberlaz�td Office Park ZIP: Contact Person_ � Atla�nta, GA 30339-3913 lomeovm�r cca��a cna) Emai�and/or�ax:- Lic#29268257 Ph. 763/542-8826 c!t p'ROPERN OWNER�FORMA7IQN; Name: Q� Q �E l`f . Phone(day): q s? 3 � Y S�3 9/ Address: o � ti /, � c� : 0�o n o z�P: Emaii and/or Fax � , PROJECT INFORMATION: Type of Project:: My earth movement may require I . MCWD review�permtts ❑ Door(s) ❑Remodel ❑water Damage Minnehaha Cresk Watershed DI&trict(MCWD) ndowts) '�iepair ❑Storm Damage 18202 Mfnnetonka Blvd Deephaven, MN 55391 ❑Siding ❑ Restoration ❑Other(speclfy) phone: 952-�71-0590 Fax: 952-471-0682 ❑R�roaf ❑Fire Damage www.minnehahacreek_oro Overall ProJect Descriptien: W� •s f t/1 //) � P/� i 0 S Estimated Constructivn Valuation of PreJect(excl ding land) $ ,� �' APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; . Certfies that tJ'�e information supplled is true and co11'ect to the best of his/her knowledge. The applicent 1'eoogn¢es that they are solely responsible for submitting a complete applicaUOn being awsre that upon failure to do so, the staff has no attemative but fo reject it until it is complete; • Some or all of the informa'tion that you are asked to provide on thls appficatlon is classi�ed by State law as either private or coMiderrtial. Private data is ir�formation which genereily cannot be given to the public but can be given to the subjed of the . I data. Confider�tial data is information which generally cannot be glven to either the public or the subJeG of the data. Our purpose and intended use of this Infomnation is to snnually update our records and reeords 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: x �� Date: �l �O L r 3 . l ` �....a I I...I..inA• 11PJ1A_7M0 � �� DATE TIME � CITY OF ORONO CALLED IN ` INSPECTION NOTICE SCHEDULED � PERMIT NO. ' -�f.'/ _� C��,]COMPLETED ADDRESS J � e OWNE TELEPHONE NO. CONTRACTOR �� . . � DESCRIPTION ��lC�IJW— T—/�'�I � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GFADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP = O DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL � FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � W a � J O ). � O � W � Q � 2 W � W � J �'' W ❑WORKSATISFACTORY:PROCEED LT'PFfbJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notiee