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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. � \��1�'l.�.til�f / / 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 . s.�'s -�'„ � � R' ` � 4 a ��� � A - � �6°b ���� s� �� i � _�: ,� ��k � �/1 �, � , X X � � �� �$ I F � . �u e � � � � : I a � i � ej � 4 � � � �, � S �V C,p C� F� � � � Q s � � ��� �' � �. � e � ,� c - �b � j ^ a E V � T �usq�eH 1 � � 9 � � � " � � o �� � � uepps� , � � • � 9 P�ual!.yH . e ° C � � �� ' � i ' ' ~� t b ��� I �e � �d i I 1 6 \� I � Q 'al� • O �' � �` ( lOA9'O 111�KA I I � � � � � � Qg � 8 M � O O � �J !s f� fJ n� 3� � V r . � V y � � H ' y � � r r ' �. � �o � ti�! Vo ` 6 � � �u�eH T ,�• � �9.� � � � �APM1 r � T' l'(�' �'1� q'� ns\ ('7� i� � � ?�-� � ? I 3' T a t'IC► � LL o � � �o�'aa'� � � y�j � O d yQ h Q Q � . 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COMPLEfED ADDRESS ��' 7""��11�=C.��I�� OWNER �� IC' iZ� I �rV����-TELEPH N� ��c��O����y� CONTRACTOR ►'�-m: ��-n�� Z" - � 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: a � W � ybo c.� fc�l�p_..,.e.�5 ' S�s.r Q ��L P � . T j c54w►r S� �2 � C5 "' r�''<<S� Lt 4l�C� � p K- e h {,, e,s 7a a. �.r� ert/. - o[ . ° / �t.v �aor - �P��"�e��n,►� c�,f W � Q z / N6�e��G� � <<� �6 � � ' jL'Sfi Z1f� ,�Gdl�'►-�� �vt�/�� 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 �/ � /' C ��G irls s�.Q��ia.� j 0 � k/Q r/� ,5�`•l/ i h .O��''G�S" � 0 � W � Q �O n�fa��� .0� .� c�/l �� �;,��/ � z � W � j 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