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HomeMy WebLinkAbout2011-01323 - windows CITY OF ORONO PERMIT NO.: 2011-01323 2750 KELLEY PARKWAY d ORONO,MN 55356- DATE ISSUED: 10/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4736 NORTH SHORE DR PIN : 07-117-23-32-0009 LEGAL DESC : BERGQUIST&WICKLUNDS PARK LOT 000 BLOCK 003 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 2,988.00 NOTE: REPLACE(8)WINDOWS IN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 88.50 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 1.49 2690 CUMBERLAND PKWY,STE 300 30339- MAIL-IN FEE 2.00 (763)542-8826 TOTAL 91.99 Minnesota State License#:20268257 OWNER ANDERSON,TRAVIS&ERIN 4736 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. Uptra�14l4ti Applicant Permitee Signature Date Issued By Sighature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVt. • ' City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �.,0 PO Box 66 0 (� Crystal Bay, MN 55323-0066 Date received: Received b Street Address: y 2750 Kelley Parkway Plan review fee: e-19soti`� Orono, MN 55356 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. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: 4( 73 1 NO I' ll -5 h 0 r e. ,®!`l V G 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: THD At- Home Services, Inc. State License# Phone: 2690 Cumberland Pkwy, Ste 300 (cell) Mailing Address: Cumberland Office Park ZIP: Contact Person: Atlanta, GA 30339-3913 lomeowner (Circle One) Email and/or Fax: Lic#20268257 Ph. 763/ 542-8826 PROPERTY OWNER INFORMATION: ,✓ Name: 4ir"I) 4/)c[ ! f s o n Phone(day): '?S20f 7 ' .36—C& Address: Q7 3 to N. S Ao F,& ®r City: ESI G Y M Q7e4 ZIP: f S 3 5 t. Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Doors MCWD review&permits ( ) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) Windows) Repair F-1 Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Siding ❑ Restoration ❑Other:(specify) Phone: 952-471-0590 ElRe-roof Fax: 952-471-0682 ❑Fire Damage www.minnehahacreek.org Overall Project Description: w r n cl0a op U o A / / 0 ., 3 Estimated Construction Valuation of Project(excluding land) $ Q 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 classed 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. Applicant's Signature: /J Date: l 0[ ell J Last Updated: 05-04-2009 Ir DAT TIME / CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.c2©/1—0 f 37.�3,,�hCOMPPLLETED ADDRESS 7 3 I�&y Jh-Ol� / OWNER TELEPHONE NO. 70 ( 67 5�/7'Z— CONTRACTOR A40 YY >: DESCRIPTION W l ndot- S � 11 FOOTING El PLUMBING FINAL ElEXCAV/GRADING/FILLING Q El POURED WALL El MECHANICAL RI ElLAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q El 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W Q_ CC O O O U_ W cc Q Z W z W O WU ElWORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. L; PHOTO TAKEN INSPECTOR WILL RETURN i STOP ORDER POSTED.CALL INSPECTOR r' CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. / White Copy/Inspector's File Canary Copy/Site Notice