HomeMy WebLinkAbout2013-00585 - windows �' CITY OF ORONO * 2 0 1 3 - PJ 0 5 8 5 *
E 2750 KELLEY PARKWAY DATE ISSUED: 07/O1/2013 ,
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 500 HANLON AVE
PIN : 02-ll 7-23-3 I-0051
LEGAL DESC : MINNETONKA BLUFFS
: LOT 000 BLOCK 014
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUII,DING -UNDEFINED
VALUATION : $ 4,152.00
NO"I�F;: (1)13AY w'INDOW R1:PLnCFMEN'1�IN"I�O EXIS'CING OYENING.
APPLICANT pERMIT FEE SCHEDULE 1 18.00
THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 2.08
2690 CUMBERLAND PKWY, S'1'E 300
30339- MAIL-IN FEE 2.00
(763)542-8826 TOTAL 122.08
Minnesota State License#: 20268257
OWNER
BENNETT, PAUL& MEGAN
500 HANLON AVE
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
Thc work tbr evhich this permit is issued shall be perYormed according to
thc 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 aYter work has commenced.
The applicant is responsible for assuring all required inspeclions are
requested in conformance with the State I3uilding Code.This permit may be
revoked at any time for ue cause.
�� � � / /
Applicant Permitee Si�nature Date Issued By Sign t e ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO .
1UN/27/2013/THU ?0. 3? ?� Elder Jones Building FAX No, 957 ��54 490� P, 002
�
' City o�' Urono
Building Permit Application fo�- Internal Wo k
(windows, doors, siding, reWroof, etc.)
IvlailingAddress: Permitnumber: i �f"� �j
/O y_O�O 1 Crys�tal B�y,M N 55323-0066 I Date recaived' –�s�
'�T,�, I
.C� � Recaived b ' �
.� F�,'✓3��:Y� a.� StrEetAddress: y '
'� ;���,��,��r�ll,� �ti`� 2750 F<elfey Parkway Plar,review;ee: i
� �-a :
l���s�o� brono, MN 55356 �
�1 7otal �ee: ��p�a� ��
Main: 952-249-4600 Fax: 952-249-4616 v�nnrw.ci.orono.mn.us
This applicatian form must be complete�d in full and all required information must be sut�mitted_
Incomplete applications will be returned. (Please print)
GENERAL INFORMA71dN:�00 �a ,� lo n ��('Q /) j,�.Q, '
Job Site Address:
Wil!this be a Parade of Homes, Remodelers Showcase Home or other Display Home? � Yes No
/f yes,a specia/event permit is required with Police Depanment and Gify Gouncil approvaf 60 days pr;or Po the evanL Shu�t/e bus service w1ll ba
required unless appllcant demonstratas sufficienP onsite parking is a�arlab/e, Non-permittetl events will not b allowed.
CONTRACTOR/APPLICANT INFORMATIpN�
Nam�= Jed� • qS� ��5- G a vy
state�icense# THD At-�Iome Service, Tnc,
Phone� _ 2690 Cu�mberland Pkw�r, Ste 300 cell)
Mailing Address= At�anta, GA, �0339-3913 I�IP:
Contact Person: Lic#CR268257 I'�. 763/542-5826 lomeowner �c.��e o��>
Email and/or Fax�
PROPERTY OWNER INFO�ATtQN: /1 �i
��ame: Q 6t � f� e n � � �-�� ,
Pnone(day): � b n � � 3
Address: 5 D 0 Q n u n t�x t ,� c� :GJ'u Z a�c �iP. S 5,� 9/
Emai!and/or Fax
PROJ�CY INFORMATION: �
� Type of ProJect: Any earth movemer�t may require
1UICWD review�permits
� ❑ Door(s) ❑ Remodef ❑ Water Damage
� Minnehaha Creek Watershed District(MCWD)
,��/indow(s) ❑ Repair ❑ Storm Damage ! 18202 Minneto ka Blvd
Deephaven,Mt�! 55391
❑Siding � � Restoration ❑Other.(specify} Phone: 952-47,1-0590
Fax: 952-47'Q-0682
❑ Re-roof ❑ �ire Damage www,minnehaha reek.or
Overall Project Description: (r (,,,i i!� U c! �� �'Cl. !� � � 0 !� /�t'/
Estimated Construction Valuation of Project(excluding land) $ 4l j 5'�? �
. II
APPLICANT ACKNOWLEDGEM ENT:
• Agrees to provide all information required or requested by the Bui(ding Department:
- Certifies that the infarmation s��pplied is true and correct to the besi of his/her knowledge. The appliC nt recognizes that they
are solely responsible fpr submitting a complete applicetion being aware that upon failure to do so, the�staff has no al#ernative
,�
but to reject if unti!it is complete;
� • Some or all of the information that you are asked to provide on this application is classifi�d hy State aw as either private or
confidential. Private data is information which generally cannot be given to the public but can be giv�n to the subject of the
data. Confidential data is information which generally cannot be given to either the public or the su�jeet of the data_ Our
I purpose and iniendsd use of this information is to annu2lEq upd2te oU� reCOrds and r�cords of other overnmental ayencies
� required by law. If you refuse to supply the information,the applicatiqn ma nOt be issued. �
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�''� c. ,� g(� 3
ApplicanYs Signature� �6� Date:
�
i
Last Updated� OS-04-2409
JUN/27/2013/TuU 10; 3? P� Elder Jones Building FA'� �Io, 952 854 4�09 P, 001
.
I 120 East 90t°Street,Sfe.#211;Bloomington,MN 55420 � „ � � �
952�45$047—pireCt 952-8154-4909-Fax
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To: Oronq,City of Attn: Bldg. Dept. Fmm:
�a�c� 95Z-249-4616 Pages; I�
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Phone: 952-249�600 Date: �
�e: Building Permit(s) CC; �
0 Urgee4 ❑ For Review ❑please Comment X Please Re�piy ❑Pl�a'se�tecycle
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Please call when the permit fee(s)have been figures_ So I can cut a check, . ., __ ,_._.
Thank You,
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t�ee Building Permit(s) �G^
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p{e2�se Call wh�n the perr'nrt fee{s)`have been figute5_ So I Can cut�i check� � -. �- r•-
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.�/3' �5�7b COMPLETED /�o�SS'/5�
ADDRESS �� �
OWNER TELEPHONE NO.
CONTRACTOR ��o►+t.e- D�.Aa�
�; DESCRIPTION J�/��hocJ �.Or'
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
Q ❑ FRAMING ❑ MECHANICAL FINAL p TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� INAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FiNAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOFi TO MEET YOU:_YES_NO
� COMMENTS:
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� �WORK SATISFACTORY:PROCEED ( PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CA�L INSPECTOR O CITATION ISSUED
❑ INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-46�0
OwnerlContractor on site:
Inspector.
Whi e Copyllnspector's File Canary CopyfSite Notice