HomeMy WebLinkAbout2012-00420 - windows CITY OF ORONO * 2 0 1 z - 0 0 4 2 0 *
2750 KELLEY PARKWAY DATE ISSUED: OS/18/2012
/ ` ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1169 NORTH ARM DR
PIN : 07-117-23-14-0060
LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 4,724.00
NOTE: (7)WINDOW REPLACEMENTS
APPLICANT pERMIT FEE SCHEDULE 118.00
THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 2.36
2690 CUMBERLAND PKWY,STE 300
30339- MAIL-IN FEE 2.00
(763)542-8826 TOTAL 122.36
Minnesota State License#:20268257
OWNER
ALNESS,RYAN&STACY
1169 NORTH ARM DR
MOUND,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
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 i�conformance with the State Building Code.This permit may be
revoked at any time for due�ause.
`,"�!Z��� �iGC_ l l i l
Applicant Permitee Signature Date Issued By gnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE.
May-17-2012 08:20am From-CITY OF ORONO +9511494616 T-55T P.002/002 F-545
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City of Orono
6uilding Permit Applic�tion for Internal Work
(windows, doors, sidi�g� re�raof, etc.j
Melling Addiess: pertnit number: a�-� '� �
0,�,Q,�,� PO�ox ss
Crystal Bay, MN 55323-0066 pate reoafved:
Sbeef Address: Re�eNed by:
� � 2750 Kelley Pa�lcWay plan rovlew fe6:
o��� Orono,MN 5535B �
Tatal Fee: � ����2
Main: 952-249-4600 FaX; 952 249-4616 www.a_orono.mn.us ��
This application form must be complebed in full and all required infonnatio� must be submitted_
, Incomplata appllcations wlll be retur�ad. (Pleasa print) ,
GENERAL INFORMATION:/�G � �Q��1 �/�� ' / � �
Job Site Address: �� l't'
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
.. If yov,a speclal eva�pBnne�t is required wldl PoNce DepaKment end Cijy CovncN app�oval BO days priar to th�.averrt. Shutrle bus 8�avfcs wqFoe
. iequiretl unresd 9AAlicent dOmonstrefes 6uf!'�nt or►-site parkinp 1s dv9�7dbk. NOIHp9ImVltsd avarfa will not de allowpd
GONTRACTOR/APPL.ICANT INFORMATION; ,
Name: THX3.A►t-�ome Service9,Tna -
State Ucense# L690 Cumberlat�d Pkwy, Ste 300 ����
Phone: - �
Mailing Address: Cumberland Office Park ZIP:
Contact Person: ' Atlanta, GA 30339-3913 lameowner ��a o�.�
Email and/or Fax: Y.�c#20268257 Ph. 763/542-8826 ,�
PROP�RTY OWN�R INFOR ATION:
Name: �4 L �l�t S �
Phone(day): �� 0 ' s� S'f 3 � Y
Address; L o !'/� Cf : �a v� c� ziP:
Emait endlor Fax
�r
PROJECT INFORMA710N:
7ype of Projec� Any earth mov�emant may require
MCWD revietiv 8 pemiits
❑poor(s) ❑Remodel ❑watar Damage
nninnehaha Cresk Wa�torshed D(strlct(MCWp)
�Nindow(e) �Repair O s��Damage 182oz Mlnnetonka Blvd
D9�phavE�t1,MN 55391
❑Siding ❑ResCu�ion ❑otr►er.(specity) Phone' E152�471-05�0
Faxc 952-471-0682
❑Re-root �]�fre l]amagb www.minn�a ahacreek.ora
Overall Projeat Description: 7 v� e d �.I /Y) /!) S ,
Fstimated Co�truction Veluation of P�oject(excluding 1 ndy S �/�7 a y _.
AppLICANT ACKNOWLEDGEMENT::
• ,qgrees to pravide ao Ir�formation�quired or requested by ihe Building Oepartment;
� . Cartlffes U1at the infornnetlon supplled is true and carroct to the best o1 hls/her knowledga. 7he F�ppllcarrt recognlzes that they
are Solely responsible for submtttlng a comp�at6 appl'�cadon being eware that upon failure bo do so,the staff has no alternative
but to reject h until it is complete;
. Some or all oi the Informadon tha[you are asked to provide on this 2pp�cation is cl2esRed by State law as either p�lvote or
corrtldential. Prlvete data IS if�ormatlOn which 9enerally cennat be 9ivan to 1he public but can be given to the subject of the
date. Confldential data� Is inform�tion which generaly c�nnot be glven 'to either the public or �he subJeet of the data. Qur
purpose and irrte�ded use af thls icrforrr►atJon Is to annusly update our rec�ds �1d records of other govemmental agenci�
uired b law- If U rafuse to su I the i�orcnattOn.the ticaGon ma not ba issued.
� Date: 7 l L ` � �
Applicant's Signature: —
t,ast UpdBl�d_ 06-04-2fJ08
/ DATE TIME
CITY OF ORONO CALLED IN /�
INSPECTIO I E ,/�SCHEDULED L7� �' ��
PEF�MIT,:, v COMPtETED
ADDR � - ���Y`
OWNER o TELEPHONE NO. 95Z'�jZ—OIo�LT
CONTRACT R
� DESCRIPTION l,�J lhrllJC(�S
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAI � SEPTIC INSTALL ❑ WARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED 'B�pROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑I SUE CERTIFICATE OF OCCUPANCY
0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CANDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 forthe next inspection 2a hours in advance. (952) 249-4600
Owner►Contractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice