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Home My WebLink About2015-00051 - windows CITY OF ORONO * Z 0 1 5 - 0 0 0 5 1 * 2750 KELLEY PARKWAY DATE ISSUED: OU22/2015 ORONO, MN 55356- ' (952 249-4600 FAX: 952 249-4616 ADDRESS : 3499 LYRIC AVE PIN : 17-117-23-43-0090 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 3,893.00 NOTE: REPLACE(9)WINDOWS INTO EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 108.42 STATE SURCHARGE(VALUATION) 1.95 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY, STE 300 30339- TOTAL 112.37 (763)542-8826 Payment(s) Minnesota State License#: BUIL-20268257 CHECK 70169 112.37 OWNER SCHM[D, MARK 3499 LYRIC AVE 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 governing this type orwork shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced wi[hin 180 days of the date of issuance,or if construction is suspended for a period of I80 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. / . �i� / � �,---- � '�-� �1 ��U,� 1 � � L � / `_ Applicant Permitee ign ture Date [ssued By Sig ature Date JAN/19/2015/MON 03: 33 AM Elder Jones Building FAX No, 952 854 4909 P. 002 � � ' � � ' City of �rono Building Permifi Application for Infiernal Work (windows, doors, siding, re�roof, efic.) �.-^� MailiRgAddreSs: Permitnumber: Q�l�'(�/v� �g,o.�.O Po Box as Crysial Bay,MN 55323-0066 Date receiv�; - .20 /J v�_. �\� ,'`�'. �_ a� Street Address: Recen+ed by: .� � �ti�' 2750 Keflay Parkway Plan reviewfee: ��o�s.� Qrono, MN 55356 � � — `rota� Fee: ,,p�, 3 Ma�n; 952-249-4600 �ax: 952-249-4616 www.ci.orono.mn.us This application form must be cvmpleted in full and all required information must be submitted. Inc�mpleta applications will be returned_ (Please prinfJ GENERAL 1NF�RMATION: � � � � F� � �� Job Site Address: Will this be a Parade of Hpmes, RemodeEers Showcase Horne or other Display orne? Yes �] No !f yes,a speclal event p�rmrt is required with Po/ice Departmant and City Counci!approva!60 days prlor to the event. Shuttle bus servlce wrll be requl�ed un/ess applicant demvnstrates sufticlent on-srte parlcing is avai/abJe. Non-permltted evenls will not be a!lowed. G�NTFZACTOR!APPLICANT Ii�[FQRMA710N: Name: QS� 3 Y • G b�I � State License# THD At-Hozue Service,Tnc, � t�hone: 2690 Cunaberland Pkw�r, Ste 300 (ce1,� Mailing Address� Atlanta, GA 30339-39X3 Zlp= Contact Person: Y,ic#CR26825'7 ph. 763/542-8826 {Q'71�owner �ci«�o�> �mail and/or Fax: PRQP�R7Y OWNER INFORMAT�ON: Name: �,�1 �M � Phone(day): Q � � 7 . D I, � Address: y City� d 1'p I)� ZIP: $S 3 Q ! Email and/or Fax , PROJECT INFQFtMAT10N: Type of Project: A1�y earth movement may require ❑Door(s) ❑Remodel MCWD revlew&.pennits . ❑Water Damage • Minnehaha Creek Watershed District(MCWD) �1Nindow(s) `�] Repair ❑Stbrm Damage 18202 MinnetOnka BIVd /� r ' Deephaven.MN 55391 ❑Siding _ ❑ResYoration ❑Other.(specify) , Phone: 952-1171-0590 Fax: 952-471-0682 ❑ Re-roof ❑Fire Damage � www.minn ahacreek.ar Overall Project Description: f t /!� 1 x�� n � � �� Estimated Construction Valuation of Project(exctudi g land) $ $ APPLICANT ACKNOWLEpG�MENT: • Agrees to provide all information required or requested by the Building Departrnertt; • Certifies that the informatian supplied is true and correct Yo the best of his/her knowledge. Tha applicant reeognizes that they - are solely responsible for submitting a cpmplete�pplication bcing aware thaf upon failure tp do so, the staff has no alternative but ta rejeCt it until it is complete; � Some or all of the irlformation that you are asked to provide on this applicafion is Gass�eti by State law as ei�her pfiv2Ce Or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the . data. Confidentiai data is infortnation whfch generally cannot be given to either the publlc or the subject of the data. Our purpose and iniended use of this information is to annually update our records and records of other governmental agencies r uired b (aw. If ou rafuse to Su I the informati0n,the a lication ma nOt be issued. � s � �� s ApplicanYs Signature:� ❑ate: Last Updatad: 05-o4-2op9 JAN/19/2015/MON 03: 33 AM Elder Jones Building FAX No, 952 854 4909 P, 001 � . � 1120 East 80�'Street,Ste.#211;Bloomington,MN 55420 .. 952-34�r8047-Direct 952-8154-4909-Fax • - � : • • . � To: Orono,City ofAttn; Bldg.Dept F�om: Fa� 952-249�616 . � Pages: Phon� 952-249-4600 biate: Re: �uilding Permi�s) cc: ❑Urgent ❑ For Revlew 0 Ploas�Comment X Pleass Reply �Please RecyGe •Cornments: Please call when the permit fee(s};have beerr figures. Sa I can cut a chedc� _ , __ ,_ _. � . � . , . Thank You, � �!o CI I 952�45�047 �t�. S•S�L -�1 q D q .; � �� . , • 7f' C� � i�a , 3 � �� C� . - -�� . �� - , �� « � .. . . .. . . . .. , O \ �� DATE TIME CITY OF ORONO ��/ CALLED IN INSPECTION NOTIC� � SCHEDULED / PERMIT NO.�-�� COMPLEfED ADDRESS �y�� L��C OWNER TELEPHONE NO. �� "��' CONTRACTOR � DESCRIPTION �� L(,�/�"�'i�L�-�S ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v �NAL ❑ WATER HOOK-UP ❑ FOLLOW-UP �U ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC IN LL ❑ FOUNDATION/REMOVAL Z OWNERICONTWICTOR TO MEET YOU:_YES NO v�i COMMENTS: __ � W a � � oc/ pcc.� �'w�� !v��/�� W . � �- �o .- Q 2 .� S C'o w , e��r AJr�(�e� - � � � � /�, P�� r � K �/I9Z '�' �yJ— / W ❑WORK S�SF CTORY P�OCEE6 � ROJ ECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS_ Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlConVactor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice