HomeMy WebLinkAbout2016-00713 - windows � , CITY OF ORONO * 2 0 1 6 - 0 PJ 7 1 3 *
2750 KELLEY PARKWAY DATE ISSUED: 06/23/2016
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2720 ETHEL AVE
p�N : 20-117-23-24-0040
LEGAL DESC : CASCO HEIGHTS
: LOT 000 BLOCK 002
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-LTNDEFINED
VALUATION : $ 5,723.00
NOTE: WINDOW REPLACEMENT
APPLICANT PERMIT FEE SCHEDULE 139.36
STATE SURCHARGE(VALUATION) 2.86
THE HOME DEPOT A.H.S. MAIL-1N FEE 2.00
2690 CUMBERLAND PKWY, STE 300 TOTAL 144.22
ATLANTA,GA 30339-
(763)542-8826 Payment(s)
Minnesota State License#: BUIL-CR268257 CHECK 74945 144.22
OWNER
SHOOP,JOEL&CATHERINE
2720 ETHEL AVE
WAYZATA, 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 atter work has commenced.
The applicant is responsible for assuring all required inspections are
requesred in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permi Signature Date Issu d B ignature Date
JU�'!?G%'2uiG/NIvN 03; 33 PM Elder Jones Building �Al "io, 952 854 4909 P, CO?
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C�ty of O�ror�o
Building Permit Application for Maintenance / Replacem�nt ! Remodel - Residential ONLY
(i.e. windows, doors, siding, re-roof, etc, - NQ STRUCTURAL EXPANSEON)
�Q A TO Ma�ling Addross: � � , >�
Permif number: �-� C-= t', ;,
1 V P�Box 66
Crystal Bay, MN 55323-0066 Dafe recelved: � �vZU/(v
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Sfreef Address: fteceived by:
ti G�� 2750 Kelley Parkway Plan review fee:
`� Oronci, MN 5�3�6
t4'�ES Fl�4`�
Total Fee� �`�� / �-�, %: ,;
Main: 952-2A9,4600 F'ax: 952-249-�}616 www,ci.orono.mn.us �--
This applicatiort form must be completed 'n�full and all required information must be SUbmitted.
Incomplete applicatEons wlll be returned. (Please prinf)
GEN�.RAL INFORMATION: a 7 ,� � �^/ �j
Job Site Address: G 7'h !. ,j T'7'V C � U
.
Wf11 thls b�a Parade of Homes, Remodefers Showcase Home or other Display Home? Yes No
If yes,a sp¢cia!evanf permit is r�quirsd wlth Pollce Depanrnenf and Clfy Cound!approva/60 days prror to the evenL Shuttfe bus sorvlce wll/be
requliBd unless applrcant demonstrates suf�icient on�sitQ parking is avalla,Gle. Non-permltted evenfs wll!not be allowed.
CONTRACTOR/APPLICANT 1NFORMATION:
�Name: THD At-Home Servace, Inc,
state �icense# 2G90 Cu�nbe�Iand Pkwy, Ste 300 e�
Lead Certification Number: Jv�T, / q� �y •� ,p,,t�az�ta, GA 30339-3913 e= �
(for wa•k on homes that wero constructed�rlol'fo �,zc#C�Z268257 Ph. 7�i3/542-8826
Phone: (cell)
Mailing Address� Cit � ZIP:
CotltaCt Person: Applicant is: Contractor Homeowner (Clrcle dne)
Email and/or Fax' p C1 I s m � 1 d �r �a ��.., �a l� �,_
PE�OP�RTY QWN�R I FORMATION:
Name: � Q /'l$ Lj
Phone{day)� Q S� �o Y 9 • 7 0�
�ddress: 2 7 � D Er-�fi R�v�e _ c��y: (,�a Y z a t�a ZIP: 7'� 3 ��
Email and/or�'ax:
PROJECT INFORMATION: Overall prnject description:
Typo of project: � pny eartl�movement may also requ(re
❑Door(s) �f Remodel ❑ Fire L7amage NICWD review&permlts:
❑Re-roof,asphalt ❑ Repair ❑Storm Damaqe Mfniiehaha Creek Watershed District(MCWp)
15320 Minnetonka Blvd
❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetanka,MN 55345
❑ Re-roof,other(specify) ❑Siding ❑Qthar:{specify} Phone: 952-471-05s0
.�C, Fax: 952-471-0682
�I Window(S) www.minnehahacreekLQrg
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Estimated Construction Valuation of f�roject(excluding land) $
APPLICANT ACKNOWLEDGENEENT:
. Agrees to provide a11 information required or requestetl by the Building Department;
• Certifies that the Enformation supplfed is true and corract to ihe best of his/her knowledc�e. The applicant recognizes that they are
solely responsible for submitting a complete applicatian being aware that upon faflure to do so, the staff has na alternative but to
reJect It until it is camplete;
• Same or all of the information that you are asked to provlde on this app)i�ation is classified by State law as either prlvate or
confidontial. Private data is information wl�ich generally cannot be given to the public but can be given to the subJect of the data.
Canfidential data is information wliich generafly cannot be given to eifher the public or th�subject of the data. Our purpose and
int�nded use of this information is to annually update our records and records of othor governmental a�encies required by law. If
ou refuse fo su I the information, t e�llcation ma not ba issu�d.
Ap�licant's Signature_ � Date: �" °�� � �'
Owner's Signature' Date�
Last Updatsd�January 2�16
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.o?q'6-a7/3 COMPLETED a-a 7-/g'
ADDRESS o?lav 4.14`( ilve.
OWNER TELEPHONE NO.
CONTRACTOR 7 ('- 4 e ae/ose-
E DESCRIPTION w re/Ol
0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL
4.
• ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING
0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL
Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION
• 0 FRAMING 0 MECHANICAL FINAL ❑ RATED WALLS
• ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT
• 0 FINAL 0 WATER HOOK-UP �.EOLLOW-UP
• ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL
� ❑ DEMO-SITE 0 SEPTIC INSTALL
Z O*NBVCONTRACTOR TO MEET YOU:____
1YES
�_� NO yf
2 COMMENTS: %,li/e - ice./010rV� Ct�l )6✓
% Permit has expired per MN Building Code Sec. 1300.120 subp. 11
o Expiration, no record of a Final inspection.
et
W
et
W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE
CC
0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY
O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN
0 CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
o INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
CaN for the next Inspection 24 hours in advance. (952) 249-4600
OvmedContractor on site:
Inspector:
Whits CopyMapoctor'$FIN Canary CopylSits Notip