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Home My WebLink About2013-00197 - windows �i. CITY OF ORONO * 2 0 1 3 - 0 0 1 9 7 * , 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 375 FERNDALE RD N PIN : 36-118-23-41-0003 LEGAL DESC : UNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 15,105.00 NOTE: REPLACE(14)WINDOWS WITHIN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 280.25 HOME DEPOT AT HOME SERVICES STATE SURCHARGE(VALUATION) 7.55 2690 CUMBERLAND PKWY SUITE 30 ATLANTA, GA 30339- MAIL-IN FEE 2.00 Minnesota State License#: 20268257 TOTAL 289.80 OWNER CARLSON, MATTHEW& KALEENA 375 FERNDALE RD N WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 7'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. This permit is for only the work describcd 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 shali be compied wi[h 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 da[e of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conf'ormance with the State Building Code.This permit may be revoked at any time Y'or due cau§e. �,�_ , _ 0 ✓►�1.� / / l l 'VI.G'��- Applicant Permitee Signature Date Issued By Si ture D SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. MAF��4/2013/SUN 11 : 44 PM FAX No. 952 854 4909 P. 002 , Cifiy of �rono Buiiding Permifi Application for (nternal Wor�C (windows, doors, siding, re-roof, efic.) MailingAddress: Permit number: ��"I Q^�t,�,�� PO Box 66 CrysCal gay,MN 55323-�066 Date received' '��;;-�-:. �ryy �`��'}�' F,y' Street Address: Received by: µt f�r�yV!��d`'14�'. CY � �"o oti 2750 Kelley Parkway Plan review fee: ��Bxf�sK�O� Orono, MN 55356 Total Fee: , /J�g� �� M�in: 952-249-4600 Fax: 952-249�4616 www.ci.orono.mrl.uS '" � Yhis application form must be completed in fuEl and all required information must be submitted. Incomplete applications w111 be returned. (Please printJ GENERAL INFORMATIpN:� „� � y�Q k� � Job Site Address: �Q/`� Q�Q ,� �5 Will this be a Parade of Homes, Remodelers Showcase Home or other bisplay Home? Yes No !f yas,a specia!event permit is requirad wfth Pollce Department and Clty Council approva!60 days prior to tha event. Shutele bus servic�will be �equired unless applicant demonstrates su�ficient on-site parking is avar/able. Non-permitled events will not be al/owed. CONTRqCTOR 1 APPLICqIVT IN�bRMATlO[�f: Name: �ts�. � ��l' �a61�s State License# THD At-I�ome Servic�, �c, Q S.? 3 • a Y 7 Phone� 2690 Cumbe�rland P�Cwy, Ste 300 (ceA) Mailing Address� ,Atlantl, CrA 303�9-3913 ��P� Cont�ct Person: Lac#�CR268257 p12. 763/542-$$26 �omeowner tc�ra one� Email and/or Fax: PROPERTY OWNER INF RMA 1 N: Narr�e: Q a ! d /Z Phone(day): G !� Z ( • q / Address: y p Ci = �.1G ��7'Q ZEP: �� 4 Emaif�nd/or Fax PROJECT INFORIVIATION: Type of Project: Alty earth movement may require (� Door(s) ❑ RemodEl MCWD review&permfts ❑Water Damage Minnehaha Creek Watersh�d District(MCWD) �WifltlOw(s) �epair �Storm Damage rt$202 Minnetonka Blvd Deephaven,MN 55391 ❑ Siding �Restoration ❑pther:(specify) Phone: 952�71-0590 � Fax; 952�471-0682 ❑f�e-roof ❑ Fire Damage www.m nehah2cr ek.or Overall Project Dascription: / („�� o t.,� F 1/� � � '� � '�9 �stimated Construction Valuation of Project(excludin land) $ / 5.1 b APPLICANT ACKNOWLEDGElIfIENT: • Agrees to provide al!information required or requested by the Building Department; • CGrtifies 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 cornplete appliCation being aware that upon failure to do so, ihe staff has no alternative but to reject it until it is compfete; • Some or all of the infol'mation that you are asked to provide on this application is classifred by State faw as either private or confidential. Private data is irrformation which generalfy cannot be given to the public but can be given to the sUbj6Ct of'Che data. Cpnfdential (iata is infprmation.WhiCh generally cannot be given tp either Ihe public or the subject vf the data �ur purpose and intend�d use of this information is to annually update our records and recorps of otiher governmental agencies re uired b law. If ou refuse to suppf the information tha a lication ma not 4e issued. �- � �� s�� Applicant's Signature� C� Date: Last Updated: 05-04-2009 D�A,j� TIME � CITY OF ORONO LED IN � / "'� INSPECTION NOTIC / SCHEDULED �3 PERMIT NO. �� —D O`�� COMPLETED � ADDRESS 3� / OWNER TELEPHONE N0.7 3� Z��ZIv CONTRACTOR e- � DESCRIPTION �� /�/ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O >. � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK&PROCEED !7 ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �,�,f White Copyllnspector's File Canary Copy/Site Notice