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Home My WebLink About2016-01542 - windows . . CITY OF ORONO * z 0 1 6 - 0 1 5 4 z * 2750 KELLEY PARKWAY DATE ISSUED: 12/15/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3059 FARVIEW LA PIN : 04-117-23-33-0008 LEGAL DESC : FARVIEW : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CO(YSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,584.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 154.85 STATE SURCHARGE(VALLJATION) 3.29 THE HOME DEPOT A.H.S. TOTAL 158.14 2690 CUMBERLAND PKWY, STE 300 Payment(s) ATLANTA,GA 30339- CHECK 76729 158.14 (763)542-8826 Minnesota State License#: BUIL-CR268257 OWNER WANG& LING SHANG, LIXIAO 3059 FARVIEW LA LONG LAKE, MN 55356- AGREEMEIVT 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 Ihe 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 wiil expire and become null and void if construction authorized is not commenced within I80 days of the date of issuance,or if construction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with Ihe State Building Code.This permit may be revoked at any time for due cause. � �L, l�Sl G Applicant Permitee Signature Date Issu d y ignature Date � � City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) A, Mailing Address: D ��{yO PO Box 66 RECEIVE Permit number. / Crystal Bay, MN 55323-0066 Date received: ��"� -/ � � Street Address: �[-C � � ,�'01 Received by: ' �r� � 2750 Kelley Parkway an review fe tqkf ��' Orono, MN 55356 C'.TM�F�R� � st__i� 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�O�� ,Y/�� ' Job Site Address: 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 wil/be required un/ess applicant demonstrates sufficient on-site parkinp is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License THD At- Home Service, Inc, Expiration Date: �—,3 —� 7 Lead Certifica 26�� Cumberland Pk��y, Ste 300 l�',vZ7 02 Expiration Date: ��e�w (for work oi Atlanta, GA 30339-3913 , Phone: Lic # CR268257 Ph. 763/542-8826 (office)�j Z 35/r GO,rT �.�c,ci Mailing Addre�_ City: ZIP: Contact Person: Applicant� Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMA�,I N: Name: 1 S Phone (day): -710 J? Address: �y-y� City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoratior ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ 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 by law. If ou refuse to su I the information,the a lic tion ma not be issued. Applicant's Signature: ,�° Date: _(� �� /�% �.- Owner's Signature: Date: Last Updated:January 2016 �-5 �.�- ATE TIME CITY OF ORONO cnLLED IN ` - � INSPECTION NO IC� ,`S��SCHEDULED /b'D� PERMIT NO. COMPL ADDRESS ��J� '��"" . �NNER ELEPHONE N ' �3�� CONTRACTO � DESCRIPTION �� G�•�� ( `�� ty ❑ 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 � FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i ❑ A BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ S TIC INSTALL ��wp�NiRACTOR TO MEET Yi01J�TES_NO � COMMENT'� � w�M� rGoi- - ��r� s t� .� s�.�� o �� x�st,K� aT - � � � .� e�'�fia t5 Q/< <'v�`�� ` � Q `' .s. �.�( �i•6• �..��'c�d r'�,i+91't�f� `' � W W °� LG(�/'�G C1C�✓n.o%L< < � j � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT NfORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECTYYORK��L FOR REiNSPECTION TEMPORARY V BEFORECOA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p p f{pT0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ��TATION ISSUED ❑INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 or on site: InspecMr: �^' WMte CopyAnapector'a Flla Gnary CopylSits Noda