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Home My WebLink About2014-00648 - windows CITY OF ORONO * 2 0 1 4 - 0 0 6 4 8 * 2750 KELLEY PARKWAY DATE ISSUED: 06/26/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4650 CREEKWOOD"rR PIN : 30-118-23-33-0006 LEGAL DF,SC : PAINTERS WOODS : LOT 004 B LOC K 001 PERMIT TYPE : M[NOR ALTERA"I'IONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY ,i: O/S.BUILL?1N� - UNDEFI�ED �' VALUATION : $ 3,700.00 NO"Il�',: R}�:PI,nCI-:3 WI1��DOWS IN EX[S"I'WG OPENINGS APPLICANT PERMIT FI�?E SCHEDULE I03.25 STA"I'E SURCHARGE(VALUATION) 1.85 HOME DEPOT AT HOME SERVICES MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY Sl11TE 30 ATLANTA, GA 30339- TOTAL 10710 Minnesota State License#: E3UIL-20268257 Payment(s) CHECK 68473 107.10 OWNF,R BJORK, KEVIN & LORI 4650 CREEKWOOD TR MAPLE PLA[N, MN 55359 AGREEMENT AND SWORN STATEMENT l�he 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. 'I�his permit is for onl��the�vork described and does not erant permission for additional or related work which requires separatc permits. AII provisions of laws and ordinances governing this typo of work shall be compied with whether or not specitied herein.This permit will espire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or it�construction is suspended for a period of 180 days at any time atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code."fhis perniit may be revoked at any timc for due causc. / / Applicant Permitee Signaturc Date Issued E3y Signature Datc �� City of Orono � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ��,L,�,� � , PO Box 66 ��Q �A\ Crystal Bay, MN 55323-0066 Date received: ,� , �� .�_ �,�� Street Address: Received by: \�� y �` 'a �' 2750 Kelle Parkwa � , � � o„� Y Y Plan review fiee: t`�g�E♦sH 4� 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: U G �O C�Q Q tC W 0 D Job Site Address: 7 Q� / /�d / � 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 a/lowed. CONTRACTOR/APPLICANT INFORMATION: Name: State �icense# THD At- Home Service, Inc, 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 INF,QRMATION: , Name: /'� Q V/n Phone (day): y57 7 3 • .? � Address: G C T � Cit : �Q /� P�o�,�z�P: Ss'�s4 Email and/or Fax t � PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) Vindow(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: GJ�!�Q�vt,J �`t !� a c,� �i n S //� 7�� t n � C1� �/� /� �'S Estimated Construction Valuation of Project(excluding land) $ Z V V r 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 re uired b law. If ou refuse to suppl the information, the a lication ma not be issued. ApplicanYs Signature: �`�� Date: G�� y��4� Last Updated: 05-04-2009 DATE TIME V CITY OF ORONO CALLED IN INSPECTION N TI ,/` SCHEDULED � PERMIT NO. 7 0 COMPLETED ADDRESS `f'l�'J� ( �i`GGCT'D�� OWNER _ ��-U� F� tl3Y�� TELEPHONE NO. �S Z �7,3 ?Z3( , CONTRACTOR � DESCRIPTION i 1� �6'l�S � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA /GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKE HORENVET�,qNDS � ❑ FRAMING ❑ MECHANICAL FINAL � ❑ INSULATION ❑ TRE REMOVAL ❑ WOOD BURNER/FIREPLACE ❑ SIT INSPECTION � ❑ ON SLAB ❑ WATER HOOK-UP ❑ P RESS FINAL ❑ SEWER HOOK-UP ❑ C MPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ LLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ ARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � � COMMENTS: W a � J O �. � O � W � Q � 2 W � W � J d � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLEfE W ❑CORRECT WORK$PROCEED ❑ ISS CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46� OwnerlContractor on site: inspector_ White Copyllnspector's File Canary CopylSite Notice