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Home My WebLink About2016-00104 - windows ' CITY OF ORONO * Z 0 1 6 - PJ PJ 1 0 4 * • 2750 KELLEY PARKWAY DATE ISSUED: 02/OS/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 475 DEBORAH DR PIN : 31-118-23-23-0004 LEGAL DESC : MCCULLEY FARM : LOT 004 BLOCK 001 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,752.00 NOTE: (2)WINDOWS (1)WINDOW IS A BAY WINDOW REPLACEING A FLAT WWDOW APPLICANT PERMIT FEE SCHEDULE 154.85 STATE SURCHARGE(VALUATION) 3.38 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY, STE 300 ATLANTA,GA 30339- TOTAL 160.23 (763)542-8826 Payment(s) Minnesota State License#: BUIL-CR268257 CHECK 73601 160.23 OWNER KATHERINE M. SWEETMAN,JAMES G WAIGHT& 475 DEBORAH DR MAPLE PLAIN, MN 55359- 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 rype of work shall be compied with whether or not specified hereia 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. � � �� ,�(,�t,l �� ' �� -'� �� / � t� Applicant Permitee Signature Date Issued By Signature Date FEB/0�/%0�6/TUE 12; ?� P.?'� Elder Jones Bui lding �,;;1: ':�io, ��% �"��' �9�'9 F, 'i�'�� ' City of �ror�o �Buti[ding Permit�l Application for Maintenance / Replacement/ Remodel — R�sidentia� QNLY (i.e. �ncfvws, doors, sid'rng, re-roof, etc. � NO S�RUCTURAL EXPANSION) �� ! Mailr'ngAddress: Permit number: — '(�j' �� PQ Box 66 Crystal Bay, MN 55323-0066 (7ate received: —� `� � I Street Address: Received by: � ti � 2750 Kelle Parkwa ��,., G� I Y Y Plan review fea: � t��s �U �, �I Orono, MN 55356 � � � Total Fse: ` : ��I , Main: 95�-249�600 Fax: 952-249-4616 www.ci.orcno.mn.us This ap�lication form must be corrtplefed in fu}I and all required information must be submitted. Incomplete appliCations wilN be returned. (P/ease print) GENERAL �NFORM�TIQN: • Job Slte Address: i � 7 5 D� b Q r a��i �/'! V{. Wtll th(s he a Parad I of Homes, Remodelers ShpwGase Wome or other Display Home7 ❑ Yes ❑ No !I yAs,a speclal event�ermit is required with oolice Departmenr snd Clry Counell approva!60 days prlor to the event. Shurt/e bus service will be requlrod u less applicant demonstrates s�crent on�ite parking is evellable. Non-permitted events will not be allpwed. CONTRACTOR/APi�LICANT INF4RMATION: �� s �� 7 �o�' Name: , State License# �— THD A.t- Home Service, InC, Expiration bate� ��`�"'"�T�T'�"��`^__� Lead Certificafion Nu be 2690 Cumberland Pkury, Ste 300 Expirafion Date: (for work on homesli tha Atilanta, GA 3033��3913 Phone: �� Lic#CR268257 Ph. 763/542�5826 (offce) Mailing Address: . Cit : ZIP: Contact Person: Applicant i . Confractor / Homeowner {c��io o�a� Email and/or Fax: I1 O f� t S Q1 !.��l r_��i� L S L D !Yl 'tt PROPERTY OWNERIINFORMiATION: Name: ��K a -� h v � 1x1 � G� /� a /� Phone(day): ' r , � � o M q 10, Pl a�n Address: '�t 7's � !. G /� dl Dr r v�, Crty� P �II'� FJ_5 3 f'9 Email and/or Fax: ! PROJECT lNFORIV�ATfON: Overall ro'ect description: ; Type of Project: � Any earth movement may also require ❑ Door(s) ; ❑ Remodel ❑ Fire Dam2ge MGWD review&parmits; ' I ❑ Re-roof,asphalt � ❑ Repair ❑Starm Damage Minnehah�Creek Watershed District(MGWD) � 15320 Minnetonka Blvd { [,] Re-roof,cedar �i ❑ Restoratian ❑Water Damage Minnetonka,MN 55345 ❑Re-mof,other(speci� ❑5iding , Other: (SpeCify) 1 Phone: 952-471-0590 T t7 � ��}1 LJ J A�b W 1"! I�C l/1 Fax: 952-471-06F32 I��Window(s) � www.minnehahacreek.ora Estlmated Construc 'on Valuation of Project(excluding land) $ `f S ? APPLICANT ACKN WLEDGEM�NT: . Agrees to provide II Informatlon required or requosted by the Building bepartment; . Certifies that the i�fnrmatian supplied is true and correct to the best af his/her knowledge. The applicant recognizes that they are solefy responsible for submftting a complete ap�lication being aware that upon f�ilure to do so,the staff has no alternative but to reject it until it is c mplete; � 5ome or all of th information that you are asked to provide on this appiication is classified by 5tate EaW as either private or confdential. Priv te data is informatian which generally cannot be given to the public but can be given to the subject of the data. I, Confidential data� information whlch generally cannot be given to either the public or the subject of the data_ Our purpose and I Intended use of th�s informatian is to annually update our records and records of other governmental agencles required by {aw. If ou refuse to su I the information,the a plication ma not be Issued_ Applicant's Signafure: `I �J Date: '� �� " _w_, Owner's Signature: I Date: _„w Last Updated:January 2016 i I j . �� DATE TI E CITY OF ORONO CALLED IN INSPECTION NOTICE �( SCHEDULED � /� %L� PERMITNO. �C�� -(�'��'t coMa�FrE� ADDRESS L�� `=� !�/.��'1�c � /�IZ � OWNER �� r��l� ( ��''�r►��LEPHONE N . �l'�� l��J�'�� CONTRACTOR c'`�2��f� � DESCRIPTION �� % l Y�C%l,�� C � lL ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v �F1NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ �IEPTIC INSTALL 2 OWNER/CONTRACTOR TO MEET YOU:y�YES_NO 1 � COMMENTS: ` a � 1tJ/Nk1o�S -' � J ' e - O � G/'Yl.�c�✓c�..� ,CJ�f �� -' � O ' � � � �D�C e-� Ca ��c�/s .�ro d�t�s�► W L " � � �iGo! l�7�`bo wl r�S�(�Gvr.c�✓ .rJ f Q ,� ZG`Q�G�`K�s myc �r� s..�<Il!lhrJ� — � �ebb a� _ � ,�Je.�..�� .2�/.� J d � O WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE �CT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. �w-- White Copyllnspector's File Canary CopylSite Notice