HomeMy WebLinkAbout2010-00894 - windows CITY OF ORONO PERMIT NO.: 2010-00894
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/24/2010
952 249-4600 FAX: 952 249-4616
ADDRESS 1340 VINE PL
PIN 07-117-23-42-0031
LEGAL DESC SAGA HILL REVISED
LOT 000 BLOCK 017
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE WINDOWS
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 6,632.00
NOTE: REPLACE(4)WINDOWS IN EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 147.50
HARMONY HOMES INC. STATE SURCHARGE(VALUATION) 5.00
1120 WINTER ST.NE
MINNEAPOLIS,MN 55413- MAIL-IN FEE 2.00
(763)413-1100 TOTAL 154.50
Minnesota State License#:20501883 PAID WITH CC# 6201
OWNER
CHERBA,RICHARD
1340 VINE PL
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 c use.
Applicant Permitee Signature Date
IsstVa By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
�09AL'2010 11:39 7634344933 HARMONY HOMES INC PAGE 02
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
--� Mailing Address:
PO Box 66 Permit number; -
lO Crystal Bay, MN 55323-0066 Date received:
a Street Address: Received by:
o+ 2750 Kelley Parkway Plan review fee:
Orono,MN 55356
Main: 952-249-4600 Fax; 952-2494618 www.d.orono.mn.us Total Fee:
This application form must be completed in full and all required information must be submitted,7`
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: /3210 I !W� /✓✓r £ 3�p
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Homed Yes o
K yoa,a spacial 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 partdng is avallable. Non-permitted events will not be allowed.
CONTRACTOR/ PLICANT INFOM%Mr->S
ATION:
Name: %AE0kQNyI IJ
State License# I 2D15 o l -5 Expiration DW-e: 5, 31 / z
Phone: ?--4 V�057-7- office cell
Mailing Address: I%Zo I QT-NL 9� F Ci!y: S ZIP: 5'S t 3
Contact Person: �ww� u�e_��
Email and/or Fax: v RSA Applicant is: ontra / Homeowner (Circle One)
RY►10 N �h F 5 10.1 G.1J��
PROPERTY OW R INFORMATI
Name: IL G ¢i,
Phone(day): c 13 Y
Address: k-Go Ci %) ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
K ) MCWD review& ermits
❑ Doo s El El Damage p
Windows) ❑ Repair Minnehaha Creek Watershed District(MCWD)
❑Storm Damage 18202 Minnetonka Blvd
[I Siding ❑ Restoration Deephaven, MN 55391
❑Other, (specify) Phone: 952-471-0590
❑Re-roofFax: 952-471-0682
❑Fire Damage www.minnehah ek_orn
Overall Project Description: UJ t\o 1,,,, ., Xt t p -r-=01 N fO
Estimated Construction Valuation of Pro'ect excluding land) $ (o to 3 Z
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 an ally update our records and records of other governmental agenoles
required kX law. If you refuse to sunoI the informiltio e acolication may not be Issued.
Applicant's Signature: Date: J
Laat Updated; 05.04-2009
C� DATE / TIME
CITY OF ORONO CALLEDIN
INSPECTIONICE��89 SCHEDULED
PERMIT NO. COMPLETED
ADDRESS �3 � U��� 8140e-4--f _ ,,//
OWNER TEL PHONE NO.763 713 ioa
CONTRACTOR
DESCRIPTION
t4 ❑ FOOTING El PLUMBING FINAL ElEXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
W
a
O
CC
O
U.
W
cc
Q
Z
W
Z
W
cc
d
LU El WORK SATISFACTORY:PROCEED `MkROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WELL RETURN
E)CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice