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Home My WebLink About2010-01063 - windows CITY OF ORONO PERMIT NO.: 2oiaoio63 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 1UOU2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 650 NORTH ARM DR PIN : 06-117-23-43-0001 LEGAL DESC : AUDITOR'S SUBD.NO. 362 : LOT 001 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,428.00 NOTE: (1)WINDOW REPLACEMENT IN EXISTING OPENING APPLICANT pERMIT FEE SCHEDULE 88.50 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 5.00 2690 CUMBERLAND PKWY,STE 300 30339- TOTAL 93.50 (763)542-8826 Minnesota State License#: 20268257 OWNER SCHOONOVER,JEFFREY BRAUCHLE&ELISA 650 NORTH ARM DR MOLJND,MN 55364 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 permiu. All provisions of laws and ordinances goveming this rype 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. / / V /�lJ� / / Applicant Permitee Signature Date Issued By i nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. . ' City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �� ' �� ' 3 .¢,0,�. PO Box 66 !D � / � O � a Crystal Bay, MN 55323-0066 Date received: d? �.'��rL Received by: "1r Street Address: `�,F, ,� �v�� titi 2750 Kelley Parkway Plan review fee: r9kESH0�`� Orono, MN 55356 Total Fee: �3 � � 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: �( �� p1�. � v,G Job Site Address: �i 5 O �/O f'7�/� (Y� /J 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. Shuttle bus service will be required unless applicant demonsfrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: THD At- Home Services, Inc. State�icense# 2690 Cumberland Pkw Ste 300 Y� cell Ma�ng Address: Cuinberland Office Park ZIP: ( ) Contact Person: Atlanta, GA 30339-3913 iomeow er (Circle One) Email and/or Fax: Lic#20268257 Ph. 763/ 542-8826 �S� 3YS• G b4 7 od� Q El4�r J�nT S PROPERTY OWNER IN,,F�DJ�MATION: Name: C/ q �J l. �10 b � D y f �' Phone(day): �'S9 3� �D t�!?d ZIP: 'S'�3 L � Address: L S� N o�r, �/�1 Q1 City: 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(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.minnehahacreek.or Overall Project Description: / W� n�o W `!p a� r�e n /�1 Q Yi � / n j �Q./n! !1 �j _ Estimated Construction Valuation of Project(excluding land) $ o?�J � � - . 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: � Date: ! �l a � ` �� Last Updated: 05-04-2009 �� D TIME � CITY OF ORONO CALLED IN �Z"� INSPECTION TICE SCHEDULED f� � PERMIT N0. o�` �/��'3 COMPLETED ADDRESS �SD /VOv'D� �'1"/1�1 �� — OWNER �SCc sC�idOl'�'U-p�TELEPHONE NO. fP�z 3c1�O �-3`�� CONTRACTOR �"��Y�t.p o�� : DESCRIPTION ��n� w ��'`f'�� ❑ FOOTiNG ❑ PLUMBING F�NAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � �� / /y0�I WORK SATISFACTORY:PROCEED �PROJECT COMPLEfE W� ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN : ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED � ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on sit : Inspector. _ White Copylinspector's Ffle Canary CopylSite Notice