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Home My WebLink About2016-00971 - windows • ' IIIII IIIHIIIII II I III1IIII 1111111 CITY OF ORONO * 2016 - 009 7 1 2750 KELLEY PARKWAY DATE ISSUED: 08/15/2016 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1350 ORONO OAKS DR PIN : 35-118-23-34-0006 LEGAL DESC : ORONO OAKS : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 4,790.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 123.87 STATE SURCHARGE(VALUATION) 2.40 THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 2690 CUMBERLAND PKWY,STE 300 ATLANTA,GA 30339- TOTAL 128.27 (763)542-8826 Payment(s) Minnesota State License#:BUIL-CR268257 CHECK 75483 128.27 OWNER RIDGEWAY,RON&KAREN 1350 ORONO OAKS DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued hall 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 spegified herein.This permit will expire and become null and void if constrction authorized is not commenced within 180 days of the date orissuance,or if construction is suspended for a period of 180 days at anyitime after work has commenced. The applicant is responsible for assuring required inspections are requested in conformance with the State uilding Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued)Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) ��!VO Mailing Address:6 Permit number: Cr1 PO Bax a REMYED Crystal Bay, MN Date received: Street Address: AUO 1 E `. Received by: y L� 2750 Kelley Parkway Plan review fee: `� Orono, MN 55356 `4kfSHO�� WY OF ORQNO 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: 125D 0 ro r10 Oak-5 br. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If 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: State License# Expiration Date: 3-3 I-► 7 Lead Certification Number: (al 21(o-'7--- Expiration Date: (_tict—20 (for work on he Phone: THD At- Home Service, Inc, (office)) C(5 2 3'(S(0(7 S 7 Mailing Address: 2690 Cumberland Pkwy, Ste 300 City: ZIP: Contact Person: Atlanta, GA 30339-3913 Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax Lie#CR268257 Ph. 763'542-8826 - PROPERTY OWNS INFORMATION Name: 0.V'e Y e-t-t` Phone(day): (l l 1— ,_9_---_(2.1)4 Address: .54,..y1,--e_ City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) 0 Remodel CIFire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration 0 Water Damage Minnetonka, MN 55345 0 Re-roof,other(specify) 0 Siding 0 Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 4indow(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 4� ?RD -- 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 sup.ly the information,the application may not be issued. � Applicant's Signature: -� `i v� . Date: —1 ' `1 c, Owner's Signature: Date: Last Updated:January 2016 PATE q1e4A_ TIME CITY OF ORONO CALLED IN /2-�" 1-19 INSPECTION NOT�E �/SCHEDULED /AI-F/h PERMIT NO. OQ�/� !( CO PLETED ADDRESS 43 5-O "//te DG t `e OWNER ELEPHONE N• "/, - W / -45W , CONTRACTOR VA,/ — i z0 t 00: L, DESCRIPTION W // --ARV Mitd fl- 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL Q ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING C ❑ FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL Z ❑ RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT Q ❑ FINAL 0 WATER HOOK-UP 0 FOLLOW-UP 41 ❑ AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL ✓ ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OMINERICONTRACTOpR TO MEET YOU:_YES_NO 2 COMMENT& W.17)44 tS bit ( cc4 C • /1 O�.J J 0 k_ it O •° „S— r-A, 0 4.e., ct IQ / L I ccs Q D A. ti, 1�/ f��'C �,✓4 tel, r 4,0.4.4 ..% ` i • C 0 &fie v] r s r ,A`r--e /'L, l�JJ- W J Lai 0 WORK SATISFACTORY'.PROCEED ECT COMPLETE CC W 0 CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY CI ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN 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 OwnedContractor on side: Inspector: p o [- White Copy/Inspector's File Canary Copy/Site Notice