The URL can be used to link to this page

Home My WebLink About2016-00580 - windows � ~ CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 6 - 0 0 5 8 0 * DATE ISSUED: OS/27/�016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 140 LEAF ST PIN : 04-117-23-22-0006 LEGAL DESC : REG.LAND SURVEY NO.0744 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,706.00 NOTE: REPLACE(8)WINDOWS INTO EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 154.85 STATE SURCHARGE(VALUATION) 335 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY,STE 300 ATLANTA,GA 30339- TOTAL 160.20 (763)542-8826 Payment(s) Minnesota State License#:BUIL-CR268257 CHECK 74664 160.20 OWNER KATCHMARK,GREGG&REBECCA 140 LEAF ST 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. This permit is for only the work described and dces 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � � � � � 7 �� Applic t Permitee Signature Date Issued By ' ature Date , • City of Orono Building Permit Application for Maintenance / Replacement/ Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �O�O Mailing Address: permit number: / _ PO Box 66 Crystal Bay,MN 55323-0066 Date received: — Z- —/ o � � Street Address: Received by: ti�, � 2750 Kelley Parkway Plan review fee: t L Orono, MN 55356 q'�fSH�� Total Fee: /�0, � 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: � u� 4� � Job Site Address: 7 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 su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# THD At- Home Service, Inc, Expiration Date: Lead Certification Nun 2690 Cumberland Pkwy, Ste 300 Expiration Date: (ior work on homes Atlanta, GA 30339-3913 / Phone: �� Lic#CR268257 Ph. 763/542-8826 ��e) QS?�3 y S• � o y 7 J 0 l�i Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATIO1�� / f�. Name: � �4Q7' C �ln'? alC Phone(day): G/� 0 • b O Address: ��{ 0 � �/� � City:� e A � Q�'�, z�P: Ss 3 s � Email and/or Fax: PROJECT INFORMATION: Overall ro'ect description: Type of Project: Any earth movement may also require ❑Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑Re-roof,as halt Minnehaha Creek Watershed District(MCWD) p ❑ Repair ❑Storm Damage ❑Re-roof,cedar 15320 Minnetonka Blvd ❑Restoration ❑Water Damage Minnetonka,MN 55345 ❑Re-roof,other(specify) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 ��IVindow(s) � www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ 7 l� 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 reoognizes 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 lication ma not be issued. ApplicanYs Signature: ��—./ Date: S �o? 3 ll � Owner's Signature: Date: Last Updated:January 2016 05/24/2016 10: 50 9522494616 CITY OF ORONO PAGE 01/02 MAY/2d/2016/TUE 12; 13 AM FAX Na. 952 654 4909 �. 001/0�2 1120 H�nt 60�"Stteat.Ste.#211;BloominQton,MN 55420 � . � . � � • 95234b-60+i7—Direet 952-615a-4909-Fax 'tb: Orono,Ci�j ofAttn: �Idg.Dept. t�om: Paxe 952-249-4616 . ' � Psges: PhorwG 952 249�800 Datet , Req U''��k�� . Q Urg � <Pfease Rep1Y �P{ease R�cycle � Q 1 1 �� ' � Con PleasE ElderJ�neS Suiidin�Fer�f�i��e�ic�,d��;, .' ..� -- r---� 1120 E.80'�Stre�t,�uite 21� Blaom;ngton,N1N 554�p � Thank �4 L 952•34 . ' , ;�' � , �1y SS�I �4qoq �-�j,_� � � , Vv , . � C;_Y�y ' " , � � /�D � ..� S � � �,��- � - ��s -�� '� . � � � �� DATE TIM � CITY OF ORONO CALLED IN 6, �3 '�� INSPECTION TI --�SCHEDULED "- � �`"�r PERMIT NO. - 5�COMPLEfED ADDRESS �`�� o�-� �� OWNER LEPHONE N0.�1 Z' ��3 'SO2Z CONTRACTOR � DESCRiPTION �L"� "'`'" l � 4� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q �FtNAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a C�KI�,.�� c�.,�,el�e�c ,�c� CG�r��<o�,� ' � � 0 � o� 0 � W � Q � 2 W � W � J W ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. ` White Copyllnspector's File Canary CopylSite Notice .��- ✓ �� -` TE TIME CITY OF ORONO CALLED IN �l INSPECTION N TICE � SCHEDULED �p� PERMIT NO. cOMPLEfED ADDRESS � � OWNER ONE NCly�o/�'o�Os �� CONTRACT � DESCRIPTION ��'��-�'S � �9 1 ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT ��NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO c�.� COMMENTS: � � � �t/�/�lQC��J.S' r'c,t9�•rect.� /�'' e.�c�s�+i..5 � � v f�I�f'l�S� � � � o �c. ,d _ � G_U� p�b��'s � lJl�' W � Q 2 Ga.r 1'� $/►22•t'� � �/.t�'Lf (�•9 ��'/1�/5 � � Gl3 �5 G4sfe�— � � �� a W� ❑WORKSATISFACTORY:PROCEED �OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WFLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: G Inspector. ti � White Copyllnspector's File Canary CopylSite Notice