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Home My WebLink About2015-00663 - windows t , � CITY OF ORONO * 2 0 1 5 - 0 0 6 6 3 * 2750 KELLEY PARKWAY DATE ISSUED: 05/28/2015 ORONO, MN 55356- 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 ACTMTY : O/S BUILDING-UNDEFINED VALUATION : $ 4,280.00 NOTE: 4 WINDOW REPLACEMENT IN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 12391 STATE SURCHARGE(VALUATION) 2.14 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY,STE 300 ATLANTA,GA 30339- TOTAL 128.05 (763)542-8826 Payment(s) Minnesota State License#:BUIL-CR268257 CHECK 71315 128.05 OWNER SCHOONOVER,JEFFREY BRAUCHLE&ELISA 650 NORTH ARM DR MOLTND,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 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. 1'he applicant is responsible for assuring all required inspections aze requested in confortnance with the State Building Code.This permit may be revoked at any time for due cau� �//�/ Applicant Permitee Signature Date Issued y Signature Date r , ' r City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Z g^� ��,0,�. PO Box 66 number: j��.,,\ � Crystal Bay, MN 55323-0066 Dat�rZoaiP�d: / U� � � R�eived by: 1 � 3�R''?J�� :._ a. Street Address: �,�, ��.. �,U �titi 2750 Kelley Parkway p�y \l �� Orono, MN 55356 ur�� 9kEsxo4`'� C+� �---�� 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: Job Site Address: G �� ND /'��/S �f� �/� 1 V (� 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 approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Q'f? 3 S . (, 0 S/7 State License# 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: PROPERTY OWNER INFORMATIO Name: El � �� 0 0!� OVl � Phone(day): �� 4� • 3� . /� 0 u A � Address: G S� e t /�/�'1 /'► Ci . ZIP: S S 3 t y 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.orq Overall Project Description: w o /h � ,� Estimated Construction Valuation of Project(excluding land) $ S/ � � p 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 classffied 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: �` � 1 [ � ✓ � Last Updated: 05-04-2009 � � �/ DATE TIME �� CITY OF ORONO CALLED IN INSPECTION NOT�E �/-`_� SCHEDULED PERMIT NO. �� «' COMPLEfED ADDRESS �P S D �_�-Y-i')'1 �f2- OWNER �� 5� TELEPHONE N . �'r '�3��9 CONTRACTOR � �—{c"3YV\� �P,�'� . � DESCRIPTION �/v � �� v�� : v;� J tL ❑ 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 ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP _ ❑ ILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v E O- ITE ❑ TIC INSTALL OWNE NTRACTOR TO MEET YOU:�YES_NO c��, COMMENTS: W a �/ �,r/��vno� �,O�a.�.�•r�'S o � 5 6tc, 54�� — � � ° " lvo rK ��r� ��+So`� � W � Q �' ✓ fGr.Gg �lic�/tiK j� � r d .� 2 �^ � (XJ „. ��O/ BitS��rJ �. � �� .�lao � ❑WORK�SATISFACTORY:PROCEED �gQl_ECTCOMPLEfE ��ARFtECT WORK 8 PROCEED l/� ISSUE CERTIFICATE OF OCCUPANCY 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) 249-460� OwnerlContractor on site: � '� Inspector. ►�--' White Copyflnspector's File Canary CopylSite Notice