HomeMy WebLinkAbout2016-00741-VOIDED CITY OF ORONO iiiiiiiiiiiiiiiiiiiiiiiumiiiiiiiiiiiiiiiiiiililllffl
2750 KELLEY PARKWAY * 2 PJ 1 - 0 0 7 1
DATE ISS -
06/24/22 016
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 4640 TONKAVIEW LA
PIN 07-117-23-32-0043
LEGAL DESC TONKAVIEW GARDENS
LOT 047 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS ^X16
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE . WINDOWS �►
ACTIVITY : O/S BUILDING-UNDEFINED v h� Scr
VALUATION : $ 2,302.00
NOTE: REPLACE(2)WINDOWS IN SAME OPENINGS
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APPLICANT PERMIT FEE SCHEDULE 92.89
STATE SURCHARGE(VALUATION) 1.15
MINNESOTA EXTERIORS INC. MAIL-IN FEE 2.00
8600 JEFFERSON HIGHWAY
OSSEO,MN 55369 TOTAL 96.04
(763)391-5508 Payment(s)
Minnesota State License#:BUIL-BC002877 CHECK 204651 96.04
OWNER
HICKEY,KENNETH
4640 TONKAVIEW LA
MOUND,MN 55364-
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. r
Applicant Perinitee Signature Date Issued&Signature Date
RECEIVED
• JUN 2 4 2016
City of Orono
Building Permit Application for Maintenance / Renovafl&OFORONO
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
0 PO Box 66
Crystal Bay,MN 55323-0066 Date received: —o�
a Received by:
s. StreetAddress:
2750 Kelley Parkway Plan review fee:
9rt oa Orono,MN 55356
//
~Main: 952-249-4600 Fax. 952-249-4616 www_ci.orono.mn.us Total Fee: 1p•
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� f' Chir ;rti�f Ln
Will this be a Parade of Homes,Remodellers Showcase Home or other Display Home? El Yes No
!f yes,a special event permit Is required with Police Department and City Council approval 60 days prior to the event. Shuffle 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# 7� Expiration Date:
Lead Certification Number. Expiration Date: Sc9tj
(for work on homes that were constructed prior to 1978
Phone: �j�. Grg 57SO_W (office) (cell)
Mailing Address: z /x City: � ZIP: �7'
Contact Person: Applicant is: Homeowner (Circle One)
Email and/or Fax: `Grp er-/sG7-71al
PROPERTY OWNER INFORMATION:
Name: /A4_
Phone(day):
Address: S'j„j/,�'f� City: ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) ❑ Remodel ❑Fire Damage MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)
❑Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd
❑Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Fax: 952-471-0682
indow(s) Of www.minnehahacreek.org
Overall Project Description: G oLK- cz �
Estimated Construction Valuation of Project(excluding land) $ 1_:�
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 supply the informati a lication may not be issued.
Applicant's Signature: '/J7
Last Updated: 08-09-2011 / 0
�°moo
l9kESHO
June 27,2016
Peter,
Attached is a refund request from Minnesota Exteriors Inc..for permit#2016-00741 located at 4640
Tonkaview Lane. Per the attached letter they will not be doing the work on this project.
They would like a refund. Roger has agreed to refund the cost of the permit, minus the State Surcharge
and Mail-In Fees.
Please refund Minnesota Exteiors Inc.$92.89 for the cost of the permit only.
Thank you,
RacheL�or�
Rachel Dodge
Administrative Assistant
Send refund check to:
Minnesota Exteriors Inc.
8600 Jefferson Highway
Osseo, MN 55369
M Milli 11111111 Ilion
CITY OF ORONO ® _
2750 KELLEY PARKWAY * 2 0 I S 0 0 1
DATE ISSUED: 46f24/2016
ORONO,MN 55356-
952 2494600 FAX: 952 249-4616
ADDRESS 4640 TONKAVIEW LA
PIN 07-147-23-32-0043
LEGAL DESC TONKAVIEW GARDENS
LOT 047 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
copy
CONSTRUCTION TYPE WINDOWS
ACTIVITY : O/S BUILDING UNDEFINED
VALUATION $ 2,302.00
NOTE: REPLACE(2)WINDOWS IN SAME OPENINGS
APPLICANT. PERMIT FEE SCHEDULE 92.89
STATE SURCHARGE(VALUATION) L I S
MINNESOTA EXTERIORS INC. MAIL-IN FEE 2.00
8600 JEFFERSON HIGHWAY TOTAL 46.04
OSSEO,MN 553,69 Payment(s)
(763)391-5508 CHECK 204651 96.04
Minnesota State License#:BUIL,-BC002877
OWNER
HICKEY,KENNETH
4640'TONKAVIEW LA
MOUND,MN 55364-
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 am
requested in conformance with the State BuildingCode.'This permit may be A
revoked at any time-for duo cause.
Iawl e
Applicant Permitee Signature Date Issued WSignature Date
JVLE ! MINNESOTA
EXTERIORS INC
The Siding and Window Specialists Since 9947
8600 Jefferson Highway *PO Box 266.Osseo, MN 55369-0266
Monday June 27, 2016
City of Orono
2750 Kelley Parkway
Orono, MN 55356
Re: Permit Number: 2016-00741
Permit Cost: $56.04
Customer Name: Marcia & Ken Hickey
Property Address: 4640 Tonkaview LA Mound, MN 55364
Minnesota Exteriors Inc. is requesting a refund of this building permit with the city of
Orono.
Our customer has cancelled their contract with us.
I understand there may be only a partial refund and the surcharge and mailing fees are not
refundable.
I also understand the refund may take several weeks for processing.
Please reference the customer name and property address on the refund check if possible.
If not possible, please include a copy of this document with the refund check.
Thank you for your assistance.
Please contact me if you have any questions.
Sincerely,
Lo na Carlson
Production Department
Minnesota Exteriors, Inc.
Phone 763-391-5566
E-mail Icarison@mnext.com
Phone(763)493-5500•Fax(763)493-8980
www.minnesotaextehors.com 9 Lic#2877•EOE
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION 8CH®ULED
w—� 'V'O7_ff/ COMPLEm
P�tT No. a•�-�
ADDRESS f�60Ta�s.����c�J �••.•
OWNER TELEPHONE NO.
CONTRACTOR ��' E�txanN�art
DESCRIPTION itlsAl�90 of iQ Sao�•
W (]FOOTWIG O DEMO-FINAL 0 SEPTIC FINAL
0 POURED WALL 0 PLUMBING RI O EXCAVIGRADIN01FILL.ING
Q 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z Q RADON SLAB ❑MECHANICAL RI 13 SITE INSPECTION
0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS
0 INSULATION 0 WOOD BURNERIFIREPLACE 0 COMPLAINT
0 FINAL O WATER HOOK-UP LOW-UP
W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATIONIREMOVAL
J0 DEMO-SITE 0 SEPTIC INSTALL
1iDSWET>f01k_Y®.NO
COINIENTSt /��/..w I�J�e✓ •�N�MY Gdt dogr X/ t
j Permit has expirf4d per MN Building Code Sec. 1300.120 subp. 11
4C
Expiration, no record of a Final inspection.
W
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QO WORK SATISFACTORY PROCEED O PROJECT COMPLETE
W O CORRECT WORK i PROCEED O NOR CERTIFICATE OF OCCUPANCY
C O COWMT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CaUUM PERMANENT
O tOR11*CTUNSAFEOONDITIONWRHIN HOURS. O PHOTOTAKEN
DIVearOR WCL RETURN O CITATION ISSUED
O STOPOiDERPOFMCALLI NSPECTOR
O WISPEC, REQUIRED.CALL TO ARRANGE ACCESS.
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