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Home My WebLink About2013 - 01215 - windows CITY OF ORONO III 1 H 11111 11 II 1111111111 11 - 1 2750 KELLEY PARKWAY DATE ISSUED: 11/19/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1090 WILDHURST TR PIN : 07-117-23-24-0041 LEGAL DESC : TONKAVIEW GARDENS : LOT 007 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 8,901.00 NOTE: 7 WINDOWS AND 1 ENTRY DOOR REPLACEMENTS APPLICANT PERMIT FEE SCHEDULE 177.00 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 4.45 2690 CUMBERLAND PKWY, STE 300 30339- MAIL-IN FEE 2.00 (763)542-8826 TOTAL 183.45 Minnesota State License#: 20268257 OWNER ZUCKMAN,HARTLEY&LINDA 1090 WILDHURST TR 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. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 11 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: • 0 PO Box 66 /70 ) Crystal Bay, MN 55323-0066 Date received: IIStreet Address: Received by: \IA i' 0" ti/� 2750 Kelley Parkway Plan review fee: ��kESHog,) Orono, MN 55356 _ = 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 INdress: TION:/0 9 0 (' Id li r5 Tca Job Site Address: 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: 912/39f• L Y State License# THD At- Home Service, Inc, J n d, Phone: 2690 Cumberland Pkwy, Ste 300 (cell) Mailing Address: Atlanta, GA 30339-3913 ZIP: Contact Person: Lic# CR268257 Ph. 763/542-8826 lomeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: / /1 c( 4 Zu c, l' Man Phone (day): (11 a ' ?3 • Yy y Address: / b Q'0 A o r s h / /•�i / City: MO v A Q� ZIP: S S-3 z y Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits )S1Door(s) CD ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) NS,Window(s) Q J> 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.or Overall Project Description: 7 (.,„n c/o W s P' I Q,n"1 r y dour Pe pin CI ,1)i t s Estimated Construction Valuation of Project(excluding land) $ 8 Q o 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: Date: ` I /r `� / Last Updated: 05-04-2009 -7GII DATE TIME l/ CITY OF OR'ONO CALLED IN INSPECTION N TIC dle�S - SCHEDULED ,3 .//41 -a.'/St) PERMIT NO. COMPLETED ADDRESS / 90 a2i . 1/2• OWNER T EPHONE NO. CONTRACTOR l LL DESCRIPTION `�- 4, CIFOOTING ❑ PLUMBING FINAL ID EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS c ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT 0 FOLLOW-UP IQ ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v CIPLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO COMMENTS: 7 W i wiDo 60.7 ( Ar cc a / /i C� ®2"/t fKe,Tic r_S a•" cc0 Sea/eS CC W1„Jef G6"MfQ - cc Q IV 9i e' F,ai/e A2 W z W cc IQ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISS E CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Oj BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN I=I CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: _...----- Inspector. White C y/Inspector's File Canary Copy/Site Notice