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Home My WebLink About2016-01394 - windows 4 CITY OF ORONO * 2 0 1 6 - 0 1 3 9 4 2750 KELLEY PARKWAY DATE ISSUED: 1 V0812016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 1065 TAMARACK DR PIN 26-118-23-31-0018 LEGAL DESC UNDERHILL FARM SECOND ADDITION : LOT 002 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : WINDOWS VALUATION : $ 2,392.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 92.89 STATE SURCHARGE(VALUATION) 1.20 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY,STE 300 TOTAL 96.09 ATLANTA,GA 30339- (763)542-8826 Payment(s) Minnesota State License#:BUIL-CR268257 CHECK 76438 96.09 OWNER REDER,DEAN&JEANINE 1065 TAMARACK RD LONG LAKE,MN 55356- 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 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 permit may be revoked at any time for due cause. Nfl Applicant Permitee i ture Date Issued ty S ature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �OMailing Address: Permit number: &0/& "D1 O PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: t kfslio Orono, MN 55356 e 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: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes E3 No If yes,a special event permit is required with Police Department and City Council approval 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. CONTRACT Name: THD At- Home Service, Inc, State Licem 2690 Cumberland Pkwy, Ste 300 Expiration Date: - H 7 Lead Certific Atlanta, GA 30339-3913 (Gl 27(o'2 Expiration Date: (for work Lic # CR268257 Ph. 763/542-8826 1 Phone: (office) Mailing Address: City: ZIP: Contact Person: Applicant is: ontractor Homeowner (Circle One) Email and/or Fa PROPERTY OWNER INFORMATION: Name: (A.i�l lin t:�R� Phone (day): (nl 2 669 D& Address: Com_ City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 &Window(s) www.minnehahacreek.oro Estimated Construction Valuation of Project(excluding land) $ 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 required by law. If you refuse to supRly the information,the application may not be issued. / Applicant's Signature: X Date: Owner's Signature: Date: Last Updated:January 2016 NOV/02/2016/WED 09:05 AM Elder Jones Building FAX No. 952 854 4909 P. 002/002 City of Orono Building Permit Application for Maintenance I Replacement I Remodel—Residential ONLY (Le,windows, doors, siding, re-roof, etc.--NO S17RYPTURAL EXPANSION) ��YQ PO Box 66 Permit number. �� - 0/ NOV 201grystal Bay,MN 55323-0066 d•"' Date reoelved: 4. 2 Street Address: 11,7_40 Received by: CITY OF OROI o Kelley Parkway Plan review fee: no,MN 55356 /,lP�1/ 'f SRO CITY Main: 952-249-4600 Fax: 952-249-4616 www.ci.crono.mn.us Total Fee: -1 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: Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes LJ No If yes,a special event permit is requked with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wits be required unless appilcwt demonstrates sury5cient on-site parking is available. Nor-permitted events will not be allowed. CONTRACT Name: THD At-Horne Seivice, Inc, State Licen, 2690 Cumberland Pkwy, Ste 300 Expiration Date: f Lead Certifiq Atlanta,GA 30339-3913 JC12J4—Z Expiration Date, (for work Lie#CR268257 Ph. 763/542-8826 Phone; (office) Mailing Address: City: ZIP: Contact Person: Applicant is: ontractor Homeowner (circle one) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: C—R xnay Phone(day): (o (q 0150 ly Address: Ste' City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description- Type escri tion:Type of Project: Any earth movement may also require ❑Door(s) ❑Remodel ❑ Fire Damage MCWD review&permits: ❑rte-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd El Re-roof,cedar ❑Restoration ❑Water Damage Minnetonka,MN 55345 El Re-roof,other(specify) 0 Siding ❑Other.(specify) Phone: 952-471-0590 Fax: 952-071-0682 I2 FWindow(s) www.minnehahacreek.oro Estimated Construction Valuation of Project(excluding land) $ ,759W--- 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 required by law. If you refuse to su i t e information,the application may not be issued. Applicant's Signature: 1�--� Date: Owner's Signature: Date: Last Updated:January 2016 JTLLEDiNf CITY OF ORONO TIME INSPECTION NOj v�� HEDULED PERMIT NO. 6 COMP D ADDRESS L� DINNER 4 TELEPHO E NO 7 CONTRACTOR DESCRIPTION d2 W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIONIREMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL OWNENCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � �7�N,rs �✓rl2 �lz�� r 0 Q - eK, ✓cdr -_ 2 UJI �f0 LAj ❑WORK SATISFACTORY`.PROCEED XFFOJECT COMPLETE cc W I-]CORRECT WORK&PROCEED ClISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN El CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 7A hours In advance. (952) 249-4600 OwnwilContractor on she: Inspector: WMta Copy .pactoes File Canary CopyfSRa Notlea DATE TIME V CITY OF ORONO CALLEDINSCHEDULED �'7� psuff NOVO '0 COMPLETED :J L AD IMM /D S"- ?R t rte JO r • OWNER TELEPHONE NO. CONTRACTOR �IE r �sK�.bC .ert DESWIPT M wrarOo�J N�ejO/• I Q FOOTING Q DEMO-FINAL Q SEPTIC FINAL 0 POURED WALL Q PLUMBING RI Q EXCAVIORADINfi I LMUi O FOUNDATION WATERPROOF Q PLUMBING FINAL Q TREE REMOVAL Q RADON SLAB Q MECHANICAL RI Q SITE INSPECTION Q FRAMING Q MECHANICAL.FINAL Q RATED WALLS Q INSULATION Q WOOD SURNERIFIREPLACE Q COMPLA w Q FINAL Q WATER HOOK-UP A81:00LLOW-UP Q AS BUILT-SURVEY Q SEWER NOOK-uP Q FouNDATIOWREMOVAL Q DEMO-SITE Q SEPTIC INSTALL ! 0 N TFACTOR TOMEETIIOIt_yn_ND COYYEM �er.K.L har�w �s.�i.0 Jo-ao-,Oz )[;,- 'k N Ti Permit has exlfired per MN Building Code Sec. 1300.120 subp. 11 Expiration, no record of a Final inspection. t s + E rN i i O 11YORK SATISFACTORM:PROCEED O PROJECT COMPLETE O CORRECT WORK a PROCEED O ISSUE CERTIFICATE OP OCCUPMNCY O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY LEFORECOVERINCI PERMANOff O CORNWCTUNSAFECONDIION WITHIN HOURS. O PHOTO TAKEN INSPECTORWILLRErunu O STOPORI•fl ERPOOTMCALLOOPECTOR o CMATIONNW ED O INSPELIM REGUWM CALLTO ARRANGE AOCESB. Cao for NRa nwit h- paCtloRR 24 hom in adraRRoa. (N2)249-46M on arc �.w.. � wLw.��. c«�.N►covM�•Nwe.