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HomeMy WebLinkAbout2015 - 00957 - windows CITY OF ORONO II I I II II I I I illi IIIIIIIIII I IIIIIIII III 1 * 201S - 00957 * 2750 KELLEY PARKWAY DATE ISSUED: 07/29/2015 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2040 WEBBER HILLS RD PIN : 03-117-23-34-0016 LEGAL DESC : WEBBER HILLS : LOT 009 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 5,389.00 NOTE: 2 WINDOW REPLACEMENTS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 139.40 STATE SURCHARGE(VALUATION) 2.69 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY,STE 300 ATLANTA,GA 30339- TOTAL 144.09 (763)542-8826 Payment(s) Minnesota State License#:BUIL-CR268257 CREDIT CARD 0174 144.09 OWNER RILEY,C&E 2040 WEBBER HILLS RD ,MN 55391- 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. balasAk0.—CI:\ OW- ie PL--JULt Applicant Permitee Signature Date Issued By S4gnature Date t .JUL ?5/2015/SUN 11 : 24 PIM Elder Jones Building FAX No, 952 854 4909 P. 002 N City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: /5-a)951 /g.,04. PO Box 66 /0,.,„, Crystal Bay,MN 55323-0066 Date received: 7 2105 =m. .. / `,,� M���?3''•�,i'.. Street Address: Received by: \\��, 1 o 2750 Kelley Parkway Plan review fee: �N I i u � Orono, MN 55356 t \���ss�o �=--- Total Fee: 411 Main: 952-249-4600 Fax: 952-249-4616 www.cQi_grono.mn.us r 7'• Ol 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: a O L 0 !, b 6 i P / 1 ( c R. 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: 9$2/3951 • 4by7 State License# THD At-Home Service, Inc, Joel. Phone: _� 2690 Cumberland Pkwy, Ste 300 (cell) Mailing Address: Atlanta, GA 30339-3913 ZIP: Contact Person: Lie#CR268257 Ph. 763/542-8826 lomeowner (cirda one) Email and/or Fax: PROPERTY OWNER INFORMATION: ny Name: ,I { I n Kiley Phone(day): I, roL v q Q . 7113 ' ,, /� 9/ Address: 2a4o J464er' / //c PS4ztS/ City: nr06b ZIP: SJS3S4 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) El Repair El Storm Damage 18202 Minnetonka Blvd )(VVindow(s) Deephaven,MN 55391 ❑Siding ❑ Restoration ❑Other,(specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www,minnehahacreek.orq Overall Project Description: 2 W.n do r„f I{P /Q L /n i n1 C 1n 1 yLame? b e n /n Q Estimated Construction Valuation of Project(excluding land) $ 5:3 g q 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. Applicant's Signature: ✓ S �7 Date: r/ 11 /1 Last Updated: 05-04-2009 1--- / �__-- DATETIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED //ig/^ PERMIT NO. O/5"- ('O 7 COMPLETED l ADDRESS 7-107-10D C/�-�� (/ ' (s / OWNER TELEPHONE NO. t"0-1-q/3 CONTRACTOR *-ATY\\2.. ZerZi DESCRIPTION 1/ /7,c/(YLV ,,, ---7/4 / W ❑ FOOTING 0 DEMO-FINAL ❑ SEPTIC FINAL Lt. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q 0 FINAL 0 WATER HOOK-UP El FOLLOW-UP Z ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v „plc E PTIC INSTALL OWNER/CO RACTOR TO MEET YOU: YES NO v, •MMENTS: cc W Q. CC J r O tiv , CC O , cc W Q W CC d W 0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE CtW 0 CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho rs in advance. t ) 249-4600 Owner/Contractor on site: Inspector. �,� . White Copy/Inspector's File Canary Copy/Site Notice