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Home My WebLink About2013-01225 - windows CITY OF ORONO * Z 0 1 3 - 0 1 Z 2 5 * . 2750 KELLEY PARKWAY DATE ISSUED: 11/2l/2013 � ORONO,MN 55356- (952) 249-4600 FAX: (952) 249-4616 ' ADDRESS : 480 LINDEN AVE PIN : 06-117-23-41-0111 LEGAL DESC : N/A : LOT 000 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 13,057.00 NOTE: 14 WINDOWS& 1 ENTRY DOOR APPLICANT pERMIT FEE SCHEDULE 250.75 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 6.53 2690 CUMBERLAND PKWY, STE 300 30339- MAIL-IN FEE 2.00 (763)542-8826 TOTAL 259.28 Minnesota State License#:20268257 OWNER WHITTINGTON,MICHAEL 480 LINDEN AVE 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 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. / / / / Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , • City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ; �,0,�. �,,, PO Box 66 � � �A;� Crystal Bay, MN 55323-0066 Date received: �(,� ,�, r v. �,�� Street Address: Received by: "� 1'�'�" ��F� ; ti'' 2750 Kelle Parkwa �� t�� , �% Y Y Plan review fee: t'�'-��it��r:��"`�r Orono, MN 55356 ,�xEsxo��: - __= 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: � � O / 1 n �4 � /� �P � U � Job Site Address: �• L`t Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sutficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: J 0 d, �s��3 y s•� C1�l 7 Name: State �icense# THD At- Home Service, Inc, Phone: 2690 Cumberland Pkwy, Ste 300 (cell) Mailing Address: Atlanta, GA 30339-3913 zIP: Contact Person: Lic# CR268257 Ph. 763/542-8826 lomeowner (Circle One) Email and/or Fax: Na OP ERTY OWNER INFr,O'R11�A�TIOI�: h I �1 n /� n K l.J '7� Phone (day): G f � � O 3 • S Q O ! Address: 0 ,�/� C Cit : l�, n/1 14 � ZIP: J� 's' 3 5'V Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits Door(s) � ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) Window(� ❑ 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.minnehahacreek.orq Overall Project Description: � G�/n C �1J 5 r � /` 0 0 r /` � Q' �,L � � Estimated Construction Valuation of Project (excluding land) /3 O '"j 7 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 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 information is to annually update our records and records of other governmental agencies required b law. If ou refuse to suppl the information, the application ma not be issued. Applicant's Signature: ��/ Date: �l! l �( � 3 Last Updated: 05-04-2009 DATE TIME V CITY OF ORONO CALLED IN `�'-1 - I INSPECTION NOTICE ��sc HEDULED -�-/!-� /4.'0� PERMIT NO. 3 - �2-� co PtEfED ADDRESS �� OWNER TELEP ONE NO. ��3 8Sa�l�S� CONTRACTOR � DESCRIPTION n �� ry�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT�C FINAL p FOUNDATION/REMOVAL 2 OWNERlCONTRACTOR TO MEET YOU:_Y �� COMMENTS: a � D o , � ' 0 W � Q � _/ W W aC J d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � O CORRECT WORK 8 PROCEED ❑I E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner►Contractor on site: Inspector: White Copyllnspector's File Canary CopylSite Notke