HomeMy WebLinkAbout2014-00544 - windows �, CITY OF ORONO * Z 0 1 4 - 0 0 5 4 4 *
2750 KELLEY PARKWAY DATE ISSUED: 06✓03/2014
� ORONO,MN 55356-
(952 249-4600 FAX: (952 249-4616
ADDRESS : 760 HUNT FARM RD
pIN : 31-118-23-11-0010
LEGAL DESC : HUNTINGTON FARM
: LOT 001 BLOCK 009
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE . /�S��t-�
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 16,000.00
NOTE: (I 1)WINDOW REPLACEMENTS AND(2)ENTRY DOOR REPLACEMENTS(KNEE WALL BUILD UP ON PORCH FOR 8
WINDOWS)
APPLICANT PERMIT FEE SCHEDULE 280.25
STATE SURCHARGE(VALUATION) 8.00
THE HOME DEPOT A.H.S. MpIL-IN FEE 2.00
2690 CUMBERLAND PKWY,STE 300
30339- TOTAL 290.25
(763)542-8826 Payment(s)
Minnesota State License#:BUIL-20268257 CHECK 68224 290.25
OWNER
KURNVILLA,MICHAEL&LEENA
760 HLTNT FARM RD
LONG LAKE,MN 55356
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. 7'his 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 cause.
�
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Applicant Permitee Signature Date Issued y Si ature Date
F: h
•.x .
. City of Orono �
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address:
� PO Box 66 Permit number.
O�O� \
�� �\,, Crystal Bay, MN 55323-0066 Date received:
ii�,� �"r� ,,,�1� Street Address: Received by:
�'�,c, �`���`�f��f�:��, ��ti%� 2750 Kelley Parkway Plan review fee:
'L`�kESHo�"�� Orono, MN 55356
`- -` 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:.7G O �/� � / �� �� no � �
Job Site Address: �t t� ��
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. Shutt/e bus service will be
required unless applicant demonstrates sutficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: � S�? 3 S�5'• G v V?
State �icense# THD At- Home Service, Inc, od
Phone: 2690 Cumberland Pkwy, Ste 300 (ce��)
Mailing Address: Atlanta, GA 30339-3913 ZIP:
Contact Person: Lic# CR268257 Ph. 763/542-8826 �omeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER IN�yQ RM TION: /� r
Name: /'/ � A L l� L� I`!a I/`�t �Q.
Phone (day): �j$? �{ 0 '� -?O (. Q
Address: (, b C ! � /� C3' Q � Cit �� n �4 � ZIP: 's S 3 S L
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
MCWD review&permits
oor(s) ❑ Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
Window(s) ❑ Repair ❑ 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.minneha acr k.or
Overall Project Description: �✓i� v W r,� p/? /` Q�o u�' /�1 6 (,� I'�1 �bl�j� (✓�/f 6 v�l�
Estimated Construction Valuation of Project (excluding land) $ O O U G 8/f � �►�p
APPLICANT ACKNOWLEDGEMENT:
9 W.neruc.,s
• 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 in�ormation is to annually update our records and records of other governmental agencies
re uired b law. If ou refuse to sup I the information,the ap lication ma not be issued.
ApplicanYs Signature: �,J Date: `� ( � 3 �l �_
Last Updated: 05-04-2009
06/02/2014 14:57 9522494616 CITY OF ORONO PAGE 03/03
JUN/02/2014/MON 03:22 AN Elder Jones Building FAX No, 952 85d 4909 P, 003
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�� s�� �``� � � UDATE� TIME �
CITY OF ORONOL�(,/I� '" �1.���ALiED IN �^
INSPECTION N E SCHEDULED --1���'---�
PERMIT NO. COMPLEfED
ADDRESS ��' 7""��11�=C.��I��
OWNER �� IC' iZ� I �rV����-TELEPH N� ��c��O����y�
CONTRACTOR ►'�-m: ��-n��
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� DESCRIPTION �
ll� ❑ FOOTING ❑ DEMO-FINAL '3 ❑ SEPTIC FINAL
� ❑ POURED WALL ❑ PLUMBING RI�--�-��;�{�L��CAV/GRADING/FILLING �
Q
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS
� �❑ IN,S,'ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q�� riNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY S WER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE S PTIC INSTALL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU: YES_NO
� COMMENTS:
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GW ❑WORK SATISFACTORY:PROCEED Gs`„"___T COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERT�FICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILI REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
all for the next in ion 24 hours in advance. (952 49-4600
.
Ownerl ntractor on site:
Inspector. �� �-
White Copyllnspector's File Canary CopylSite Notice
DATE TIME4'
CIN OF ORONO CALLED IN F�
INSPECTION NOTI E SCHEDULED
PERMIT NO. ' � COMPLETED /� d ��
ADDRESS 7�i�1K�t�� �'�"'� �
OWNER TELEPHONE NO.
CONTRACTOR —L✓le �
� DESCRIPTION G✓/��� ��!`
�
� ❑ FOOTING � PLUMBING FINAL � EXCAV/GRADING/FIWNG
Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHORENVETIANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
�/�FINAL ❑ SEWER HOOK-UP ❑ COMPUUNT
v V� DEMO-SITE ❑ SEPTIC MAINT. �QL�OW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:./��+'�•C /f.�c�c� t4•��.� � �C �/
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W ❑WORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE
� ❑CORRECT VYORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
0 �( CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V � BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP OFiDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-46��
OwnerfContractor on site:
Inspector. �
YVhite Copyllnspector's File Canary CopylSite Notice