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Home My WebLink About2013-00215 - windows CITY OF ORONO * 2013 - 00215 * 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2013 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 4685 NORTH SHORE DR PIN : 07-117-23-32-0056 LEGAL DESC : TONKAVIEW GARDENS : LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 20,316.00 NOTE: 3 PATIO DOORS AND 2 WINDOWS REPLACED IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 354.00 HOME DEPOT AT HOME SERVICES STATE SURCHARGE(VALUATION) 10.16 2690 CUMBERLAND PKWY SUITE 30 ATLANTA,GA 30339- MAIL-1N FEE 2.00 Minnesota State License#:20268257 TOTAL 366.16 OWNER CHRISTENSEN, SARAH&RON 4685 NORTH SHORE 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 governing 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 are 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 ► ature t,%Vate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO ,APR/N/2013/TUE 01 : 12 AM PAX No. 952 854 4909 P. 002 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. ok 13—O 0.215- 0" � Crystal Bay,MN 55323-0066 Date received: Street Address: Received by: 5 2750 Kelley Parkway Plan review fee: Orono,MN 55356 Total l=ee: � 36�• ! Main. 952-249-4600 Fax: 952-249-4616 www.ci.arono.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:y G $ Nd i--1A 51) 0 to D/ Iva, Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes ❑ No !f yes,a special event permit is required with PorCe DapaNment and City Council approval 60 days prior to the event. Shuttle bus service will be required unleas applicant demonstrates suffldent on-site parking is aveilabla. Non permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Joc% Qf9lgSo y7 State License# THD At-Home Semce, Inc, Phone: 2690 Cumberland Pkwy, Ste 300 (cell) Mailing Address: Atlanta, GA 303393913 ZIP: Contact Person; Lic#CR268257 Ph. 763/542-8826 lomeowner (clrae One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ( Y Phone(day): S b Address: q 6 15- N. 5A b f)1 City: Mo a n d ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits Door(s) ❑Remodel ❑Water Damage Minnehahe Creek Watershed District(MCWD) Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd beephaven,MN 55391 ❑Siding ❑Restoration ❑Other.(specify) Phone: 952-471-0590 Fac: 952-471-0682 ❑Re-roof ❑Fire Damage www.minnehaha r k.or Overall Project Description: d r Estimated Construction Valuati n of Project(excluding land) $ 20 3 / b 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 by law. If you refuse to supply the information,theapplication may not be issued- -� y� 11-3Applicant's Signature: �--, Date: Last Updated: 05-042009 • APR/M/2013/TUE 01 : l l AM FAX No. 952 854 4909 P. 001 1120 Fast 8&Street,Ste.#211;Bloomington,MN 55420 952-345-6047-Direct 952.8154-4809-5ax ElderJonesBldg. Pen-nit Service, Inc. Fwc To: Orono,City of Attn: Bldg,Dept From.- Fam 952-249A616 Pages.- Phone: 952-249-4600 Date: Re.- Building Permit(s) CC.- ❑Urgent d For Review 13 Please Comment X Please Reply r]please Recycle •Comments: Please call when the permit fee(s)'have been figures_ So I can cut a check. Thank You, -Cj6 C/ 952-345-6047 �Y BsLr -t49041 J DATE TIME L, CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.a0 13-b6 Zlc�) COMPLETED ` ADDRESS Osf_ 1"ertA srI� OWNER y�eTELEPHONE NO.710 SVZ ?CF4 CONTRACTORQ DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Lj) ❑ 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 2 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W a CC Z) O Cr O W CC Q Z W z W cc j O � ❑WORK SATISFACTORY:PROCEED e�,? OJECT COMPLETE W ❑CORRECT WORK&PROCEED �J ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY OU BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 1; PHOTO TAKEN INSPECTOR WELL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sitdde:�� Inspector. It White Copy/Inspector's File Canary Copy/Site Notice