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Home My WebLink About2013-00270 (windows) . CITY OF ORONO * z 0 1 3 - 0 0 2 7 0 * 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1396 BALDUR PARK RD PIN : 08-117-23-31-0002 LEGAL DESC : BALDUR PARK : LOT 016 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 5,262.00 NOTE: REPLACE(3)WINDOWS [NTO EXISI�ING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 132.75 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 2.63 2690 CUMBERLAND PKWY, STE 300 30339- MISC FEE 0.00 (763)542-8826 MAIL-IN FEE 2.00 Minnesota State License#: 20268257 TOTAL L.i7.38 OWNER SCHROEDER,MIKE& KAT[E 1396 BALDUR PARK RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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 consuuction authorized is not commenced wi[hin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenccd. The applicant is responsible Yor assuring all required inspections are requested in conformance with the State Building Code.This permit may bc revoked at any time for due cause. i�^-� �' / / � Applicant Permitee Signature Date Issued By S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO , City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) MailingAddress: �n�'3 . Do a'7 O �,�,�. ,, PO Box 66 Permit number: %�� A� Crystal Bay, MN 55323-0066 Date received: �i,�� yt'r�'�, �_._ �� Street Address: Received by: \,�, ��;,. ,,, �� ;; 2750 Kelley Parkway Plan review fee: \`L �`��':�,1 ```r�G� �y�Essog.� 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. (P/ease print) GENERAL INFORMATION: l / �7 �/ Job Site Address: /3 9 �p � G ( C! G/ / Q f � /QO Q �l Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f yes,a special event permit is required with Police Department ana City Council approval 60 days prior to the event. Shutt/e 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: ,)o�j 95�13yS• Goy7 State License# THD At- Home Service, Inc, Phone: 2690 Cumberland Pkwy, Ste 300 (ce�l) Mailing Address: Atlanta, GA 30339-3913 ZIP: Contact Person: Lic # CR268257 Ph. 763/542-8826 lomeowner (Circle One) Email and/or Fax: PROPERTY OWNER INF RMATION: ` Name: Q �l 'S!n!`O C�Q� Phone (day): G 1 � Q / • g / ' Address: /3 4 � /3Q Q�(,►� A r � /e� City: W Q�/ r Q�Q ZIP: �'S3 Q� 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) Window(s) `� 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.orq Overall Project Description: (,,� /Z �� /�p Q r � /� n D ,/ s Estimated Construction Valuation of Project(exclud ng land) $ 5a (� ;Z i 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 b law. If ou refuse to sup I the information, the application ma not be issued. ApplicanYs Signature: ��---- Date: 7 ` ` 4 �/ l � Last Updated: 05-04-2009 �� / ' DATE TIME CITY OF ORONO �CALLED IN �' `� —�– INSPECTION OTICE SCHEDULED �� PERMIT N . �r ' ��G PLETED �� ADDRESS � � Y"G(/'2-G'L_ OWNER EPHONE NO. �� CONTRACTO >: DESCRIPTION �� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � �t-�� G� % � '�C� f� t 1 i S �.JC� 1 _ 0 a � 0 � W � Q � z W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � ❑CORRECT WORK 8�PROCEED � SUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W1LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. � .t 1 �r� � White Copyllnspector's File Canary CopylSite Notice