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Home My WebLink About2011-00391 - windows r 1 i � � CITY OF ORONO PERMIT NO.: 2011-00391 � �; 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE ISSUED: 05/27/2011 x 952 249-4600 FAX: 952 249-4616 ADDRESS : 259 HOLLANDER RD PIN : 25-118-23-43-0017 LEGAL DESC : HOLLY ACRES : LOT 004 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 94,861.00 NOTE: 16 WINDOWS& 1 PATIO DOOR REPLACEMENT,RE-ROOF,SIDING APPLICANT pERMIT FEE SCHEDULE 1,019.25 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 47.43 2690 CUMBERLAND PKWY,STE 300 TOTAL 1,066.68 30339- (763)542-8826 Minnesota State License#:20268257 OWNER PIERCE,STEVEN&KATHERINE 259 HOLLANDER RD 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 goveming 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 after work has commenced. The applicant is responsible for assuring all required inspections aze ',requested in conformance with the State Building Code.This permit may be revoked at any time for due ca�se. � ��-e � i l i l Applicant Permitee Signature Date Issued y Si ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E. MAY/24/2011/TUE 11 : 33 PM FAX No, 952 854 4909 P 002 � t City of Orono Building Permit Application for Internal Work (windows, doors, sid'[ng, re-roof, etic�) ��-� MailingAddress_ Permit number: o�� /l- UO�9'/ ,�Q� PO Box 66 . Crystal Bay, MN 55323-0066 Date reCeived: / � O'�^�,�,. � Received by: ^ �-� �'�•�7� a, Street Address: ,� � ��;.,,, �. S� 4� �� a�� 2750 Kelley Parkway Plan review f9e: t�'� ��y�$° OrOno, MN 55356 / � 'i k�s�� Total �ee: � �4-''�, �� ..,�r�� Fax: 952-249-4616 www.ci.orono.mn.� ; `�� G? Main: 952-249-4600 - This application fo�m rr�ust be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) G�NERAL INFORMATfON: � � g �0/` O/) CI c� � /ri O CI Q� Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No !f yes,a spec/a/event permit Is required wlth Police DepaRment and Ciry Council epprova/60 days prior fo the event. Shutt�e bus seivlce will be required unless appllcant demonstrates sufficienr on•site parking is availabla. Non-permitted avenrs will not be allowBd. CONTRAGTOR/APPLICANT INFORMATION: J e �� , �rd�r JD n� 5 Name: THD At- �-Iome Services, Yt�c. S�ate License# 2690 Cumbezland Pkwy, Ste 300 95� 3yS • G e y � Phone: ��— Mailing Address: Cu�nberland Office Pazk ZIP: Contact Person: Atlanta, CrA 30339-�91� lomeowner �c�«iao�e) Email andlor Fax: �,xc#202682�7 Pli. 763/ 542-8826 pRaPERTY OWNER INFORMATION: �t� � � Name: J�� C Phone(day): `�a? [. ' `t�5/ Address: �S Sk o /l D/� c�/� �� !�� c�ry: fJ(�!/Z G�� zip: S S 3 9 / Email and/or Fax PROJ�CT IN�ORMATION: Type of Project: Any earth movement may require MCWD revlew&permits �Door(s) /-P d ❑ Remodel ❑water Damage Minnehaha Creek Watershed District(MCWD) �Window(s) f� �Repair ❑Storm Damage 18202 Minnetonka Bl�d Deephaven, MN 55391 �Siding ❑ Restoration ❑ Other. (speCify) I'hone: 952�471-0590 Fax: 952-471-0682 e-roof ❑ Fire Damage WWw.minnehahacreek.of4 erall Project Descriptlon: � -!'0 o e�,t r �� W,n�✓V g.�S � / 4 i o (!��o/ � �fi!�'�I/)7� Estimated Construction Valuation of Project(excluding (and) $ q 8 G J APPUCANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department: • Certifies thai the information supplied is true and correct to the best of his/her knowledge. The appfic2nt recognizes that they are solely responsible for submitting a Complete application being aware that upon failure to do s0, the staff has no altefnative but to rejact it until it is comp(ete; • Some or all of the information that you are asked to provide on this application is classified by State laW as either private or confcdential. Private data is irrformation which generally cannot be glven to the public but can be given to the subject of the data. Confldential data is informatlon which generally cannot be given to either the public or the subject of Lhe data. Our purpose and intended use of this information is to annually update our records 8nd records of other governmental agencies re uired b law. lf ou refuse to su I the information,the a IiCation ma not be issued. Applicant's Signature: �'�6� Date: 'J �� S l!� �v�.��„�aTA,,- n�_na-�no. LJ' /�, T TIME V CITY OF ORONO CALIED IN K�� '' � � INSPECTION NOTIC / SCHEDULE� PERMIT NO. r�,�D� ��D��` COMP ETE � ADDRESS �`� �l� OWNER TELEPHONE NO.7��7b ��" CONTRACTOR -' a DESCRIPTION ��L � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � r ��-� ��5 �`�-'4._�� 0 �. � 0 � W � Q � • Z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site:�� Inspector. White Copyllnspector's File Canary CopylSite Notice