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Home My WebLink About2014-00250 - windows RINIFERUMM CITY OF ORONO * 2014 - 00250 * 2750 KELLEY PARKWAY DATE ISSUED: 04/01/2014 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 : $ 20,701.00 NOTE: REPLACE(2)WINDOWS,(1)BAY WINDOW,AND(2)PATIO DOORS APPLICANT PERMIT FEE SCHEDULE 354.00 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 10.35 MAIL-IN FEE 2.00 30339- 2690 CUMBERLAND PKWY, STE 300 TOTAL 366.35 00 (763)542-8826 Payment(s) Minnesota State License#: BUIL-20268257 CHECK 67603 366.35 OWNER HATCHER, STEVEN&CHERYL 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. / t / � Applicant Permitee Signature 'Datd Issue y Signature Date City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) 5C� Mailing Address: j,� 0Permit number:,�. PO Box 66 Crystal Bay, MN 55323-0066 Date received: �, '✓: ;` p., Street Address: Received by: � t=- ��, �. GtiiS 2750 Kelley Parkway Plan review fee: �gkE3140�`� Orono, MN 55356 = Total Fee: 3 [p 4p,-3s Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.ma 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: � � � � NtJ�A S lA /� Job Site Address: o re, Dlw c /�, / /o V n Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No ff 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 demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Q610?139`f• 0�l7 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 INFOM TION- Name: C Q Name: 9 Phone(day): V3 1 R 1-7. • 5 5 9 IVY Address: q I. 5IV D P AA QA O re- ( City: M U U n ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits Door(s) (ID E] Remodel ElWater Damage Minnehaha Creek Watershed District(MCWD) Window(s)(a) ❑ 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.org Overall Project Description: 3 14 1 A UTS 4 D4 d' Estimated Construction Valuation of Project(excluding land) "' $ O 0 -j V f I'to 14 U MAO- 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,the application may not be issued. 3 Applicant's Signature: �� Date: 1 ` ` Last Updated: 05-04-2009 DATE TIME CITY OF OR CALLED IN /J` INSPECTI feE SCHEDULED :?- �ff PERMIT N � CQMPLETED ADDRE ' � OWNER TELEPHONE N0.k1d- CONTRACTOR > DESCRIPTION 4r ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SIT ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL Z OWNE EET YOU:A YES_NO COMMENTS:�6ti a&-.)Y aS�r✓l e� �/z c, /w e,�ccs /6t c dD!-t�s� j r O �r)C l e 10 r&VCj r.J C' O LU L p Q �aD469--.,f co"(6 2 IH' 11 or �C - J. LQ EJ WORK SATISFACTORY:PROCEED (PROJECT COMPLETE W ❑CORRECT WORK&PROCEED I I ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 11 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 Owner/Contractor on site: Inspector. ^--- White Copyllnspector's File Canary Copy/Site Notice