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Home My WebLink About2014-01005 - windows CITY OF ORONO * 2 0 1 4 - PJ 1 � 0 5 * /�� + 2750 KELLEY PARKWAY DATE ISSUED: 09/08/2014 ORONO, MN 55356- , (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 890 FOREST ARMS LA PIN : 07-117-23-12-0007 LEGAL DESC : FOREST ARMS : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 29,160.00 NOTE: REPLACE(12)WINDOWS [NTO EXISTING OPEN[NGS. APPLICANT PERMIT FEF SCHEDULE 466.75 STATE SURCHARGE(VALUATION) 14.58 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY, STE 300 30339- TOTAL 483.33 (763) 542-8826 Payment(s) Minnesota State License#: BUIL-20268257 CHECK 69091 483.33 OWNGR CLARK, MR. R. MRS. 890 FOREST ARMS LA MOUND, MN 55364- AGREEMENT AND SWORN STATEMEIYT 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 additiona]or related work which requires separate permits. All provisions of laws and ordinances govemin�this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction aufhorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Ruilding Code.This permit may be revoked at any time for due cause. ��• t'w`, /� � r� Applicant Permitee Signature Date Issued B Signature Date i � �lty Gt I1fGf10 2750 Kelley Parkway Urono MN 55356 952-249-4600 Rereipt No: 3.011729 Sep 9, 2014 ELDER-.JONES Previnus Balance: ,pp Permits 2014-Oi005 890 FOkEST 466.75 ARMS LA 101-32530 Mechanical/Septic/Other Permits 201�-01005 89U FOREST 14.58 ARMS LA 101-20802 Uue to yovts-State Permits 2014-010U5 890 FOREST 2.U0 ARMS l_A 101-34440 t31dg Permits-mail in feE�s Tota 1: 4£33.33 Check ----- ---- Check No: 6�3U91 4�3.33 Payor: ELUER-JONES Total Applied: qg3,3�; Lhanye Tendered: -_- � o��o�,�o�a o�:,��aM rn Q,� j p �'� l l l p �� .:.ifiE�—�Oi+.:*`� i�iJ�iCii31C� t'c:s"�iN�i �c;i�,�,.., •.. 1120 E. 8dth St :,,��mington, MN 55420 + S � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �:�L,� J1� PO Box 66 �' �V Crystal Bay, MN 55323-0066 Date received: ;� � d`;`, I; '`;� � � Received by: i�a j, r�; s.�� Street Address: \�`�,E, �'��^ ��. �� ti!�' 2750 Kelley Parkway Plan review fee: �,l ��' ��'�r' ��tv,;�� Orono, MN 55356 ��kESH�� '� 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. (Please print) GENERAL INFORMATION: L Job Site Address: � q l� �O �! s `_ �� S d n Q• 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 approva/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 allowed. CONTRACTOR I APPLICANT INFORMATION: /tl d� QS' /3 y� 'L 0 y 7 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 (Ci�cle One) Email and/or Fax: PROPERTY OWNER IN 0�2MATIOfI: Name: /1 a r !.� a � Phone (day): 6 a � Y�f • 7� L / �y�1 Address: 0 I /'!�1 S G. /� Cit : , -` 0 V n � ZIP: 5sc3 G 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) epair ❑ 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.or Overall Project Description: (,� f,.i � /1 �W /'� Q � /h 0-n S //� L / ) n O �^ 1l� Estimated Construction Valuation of Project (excludi g land) $ oZ 9 / (i l� 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 �/ ( Last Updated: 05-04-2009 ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION OTICE�� SCHEDULED PERMIT NO � — COMP�ETED �/� ADDRESS $�1d �o�es�-` ��s Ln• OWNER TELEPHONE NO. CONTRACTOR ��- ��+nt �; DESCRIPTION wi��o'J ��-D r � ty ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETIANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON S�AB ❑ WATER HOOK-UP ❑ PROGRESS �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT �] DEMO-SITE ❑ SEPTIC MAINT. � FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVA� J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERfCONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � 3 w��o�-� � � ' a � MP S!Ze , SGir� �LIC !k j o �xc, _�K� aDrr�S - �. � O �r'�d C4� �l0!/C(�IC� �' e��Crc4i'S G�2 W --�—� � �GG�� Q � W . �il�� or� ComrJl�� - apQ.�-� W � � � ❑WORKSATISFACTORY:PROCEED s�OJECTCOMPLEfE w ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN �NSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52� 249-4600 OwnerlConVactor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � �� DAT � TIM E CITY ORONO CA DIN � ~� ��y INSPECTION NOTICE SCHEDULED '' Y ��— PERMIT NO. L�/��-{ -r%l�%�COMPLETED ADDRESS � '�l� ''C�S �� (%Yl S �,� OWNER �� TELEPHONE NO. ��^(��`�� CONTRACTOR . ��Y�� DESCRIPTION ��1�� (�� — � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETIANDS � ❑ FRAMING � MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS Z INAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ O-SITE ❑ SEPTIC MAINT. D FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � CGMMENTS: o� . a (�t//K�XX,J ��dr�wta.cL�f — � � o , �� - � �e N'�'C S!Z-G�f'.e.t e �tf�'� /n ��G��Z`I%►r G�SS� O � W / � L!/(j 1' (� �'O h'l/J[2�� Q Z � � .�� -�`� W � � � ❑WORKSATISFACTORY:PROCEED '�CdECT COMPLETE � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITiON WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Cenary CopylSite Notice