The URL can be used to link to this page

Home My WebLink About2011-01463 - windows CITY OF ORONO PERMIT NO.: 2011-01463 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 640 TONKAWA RD PIN : 05-117-23-33-0017 LEGAL DESC : ROSENTHAL ADDN LOT 001 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 11,165.00 NOTE: REPLACE(13)WINDOWS IN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 221.25 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 5.58 2690 CUMBERLAND PKWY,STE 300 30339- MAIL-IN FEE 2.00 (763)542-8826 TOTAL 228.83 Minnesota State License#:20268257 OWNER CLEMENTS,MR.&MRS. 640 TONKAWA 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. Applicant Pertnitee Signature Date Issued By ftature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER- N DESCRIBED APOVE. a City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) MailiPO Box 66 ng Address: Permit number: V Crystal Bay, MN 55323-0066 Date received: Received by: Street Address: � ti 2750 Kelley Parkway Plan review fee: fly" �v° Orono, MN 55356 Ess 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: r6YO ✓ Dnea' wQ koad 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. 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: THD At- Home Services, Inc. Jb d/ State License# 95.1013ti •L 4 y y Phone: 2690 Cumberland Pkwy, Ste 300 (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 IN ORMATION: Name: V n L & l5 0 /) Phone(day): - Q Address: 6 Q6 7 0A ta Lod I5 Q Q � City: ��p 14 /L ZIP: S S 3T G Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ,❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) Windows) 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.minnehahacreek.org Overall Project Description: / 3 W/-!I O W " 12100A / / s Estimated Construction Valuation of Project(excludin 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 supply the information,the application may not be issued. l Applicant's Signature: Date: Last Updated: 05-04-2009 �6 'P (- DATE TIME J CITY OF ORONO CALLED IN 1.�--2/—i1 INSPECTION NOTICE SCHEDULED 11 -30 PERMIT NO. J-eZ L -/416 3 COMPLETED ADDRESS 6 yC �t ��" 4 OWNER - �-� s a��" TELEPHONE NO. CONTRACTOR DESCRIPTION tj ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ NG RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL =OMMENTS: NTRACTORTO MEET YOU:YES_NO cc W a O � j)(% .� '�,\_ .� =1 ? OI I - «/ 3 0 W W cc Q z W z W CC Z) a Uu 11WORK SATISFACTORY.PROCEED [PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 1-1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. - L White CopylInspector's File Canary Copy/Site Notice