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Home My WebLink About2013-00715 - windows � CITY OF ORONO * Z 0 1 3 - 0 0 7 1 5 * ' .. • 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2730 SILVER VIEW DR PIN : 33-118-23-42-0007 LEGAL DESC : MEYER DAIRY ADDN : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,299.00 APPLICANT pERMIT FEE SCHEDULE 162.25 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.65 1920 COLJNTY RD C. WEST ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 167.90 Minnesota State License#: BC 130983 PAID WITH CC# 8788 OWNER MONSON,DALE&CAROL 2730 SILVER VIEW DR LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces 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 conswction is suspended for a period of 1 SO days at any time aRer work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance withshe State Building Code.This permit may be revoked at any time for due cause. �y1�,/t.i.l !�• / l l l Applicant Permitee Signature Date Issued By Si ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB � � r � C�ty of Qrono Building Permit Apptication for Maintenance / Renovation (windows, doars, siding, re-roof, etc.) Mailing Aafdress� O�"��7' PO$ox 66 P��number: �� Q Crystal Bay, MN 55323-0086 pate received: 7�2 .:;ti �, 3`treet Address: Reoefved by: �� c,~ 2750 Kelley Parkway Plan review fee� �'s,�so�� rotro, MN 55356 �—�--_-_.- A9ain: 952-249�-0600 Fax: 9 249-461g wvyw.ci.orono mn y�s T��F�� ` � 7,R� `�2- This application farm must be completed in Futl and ail required iriformation must be submitted. lncornplate alppliaations will be retumed. (Plesse print) GENERAL INFORMATION: ��2 O ' 1 �(` �� Job Site Address: J ` � ' '�{� �� II this be a Parade of Homes, Remodefe�Showcase Home or other Display Home? Yes No lf yoa,a specJa(ey�ent permit is reqvired w/fh Police Departmer#e,►d Cny,Councrl spproval BO da s �equlr�c!ur�fess applJcarK demor�strates sul�cient on-site parking Is avai7able. fYon-pe�d eysnts wiN not��d N�w�71 be CONTRACTOR!AP�ICAIVT INFORMATION: Name: ,A�� State Lioense # '�C,1'3pg Expiration Date: Lead Certification Number: '✓� 131 N�A'�� a �'�a83 � 1 Expiration Date: Ylls (for work on homes that we�e conaLructedp►�or to t978 Phone: (p$�� o'� —t��. ��- (office} Mailirx�Address: � .. ..; (�I�) Contact Person: � � �e' C��' � � Z�P= SS '3 Ernail andlor Fax: APP��nt is: ritra / Homeowner �c��ao„e► PROPERTY OWNER INFORMATION: Name: _ a1 m `1f1 Phone(day); _ s _ _ � Address: Email and/or Fax C�ty' Z�P� PROJECT INFORMATION: Type of Pro�ect: ❑Door(s) A►nY earth movement may rsqulre ❑ Remodei ❑Fire Damage MCWD review�permits: ❑ Re-roof, asphalt Minnehaha Creek Watershed DisMct(MCWD) ❑Repair ❑StoRn Damage 18202 Minnetonka Btvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,other(apewry� ❑Siding Phone: 952-071-0590 ❑Other: (specifY) Fax: 952-471-0682 �Window(s) www.minnBhahacreek ora Overat! Pro ect Descri 'on: � S � Estlmated Construction Valuation of Project; excluding land) � �� ' � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide a!I information required or requested by the 6uilding Department; • Cerlifres that the information supp�ieci Is Vue and correCt to the �of his/her knowfed�. The applicant recognizes that they are solely respmnsible for submitting a comp�ete applicatlon being aware that upon faiiure to do so,the staff has no allemative but to reject it until it is complete; • Some or all of the information thai you are esked to provide on this application is classified by State law as either confideniiai. Pnivate data is ir�farmation whit� generafly cannot be given to the public but car► be given to the subjec�t of the date. Confidential data is infnrrnation whicfi generally cannot be given to either the public or the subjed of the data. Our purpose and intended use of this informadon is to annuafly update our record, and records of oiher govemmental agencies re uired b law. If u refuse to su I the in�ormation the a ication ma not be issued. A�olicanYs Slanature: �`-� �� U� � �'/' l Date: a U � _, z 'd 06T9�G9TS9 3�IA213S 1IW213d Q '8 S I� 9Z �ZT EZOZ SZ Z�C �� " �' t� /� DAT TIME CITY OF ORONO CALLED IN INSPECTION f�Q�C�E _�7��CHEDULED � — PERMIT NO.� C MPLETED 1 , ADDRESS V OWNER T EP N NO. 5� g� CONTRACTOR LGtC.� � DESCRIPTION �/�L/ ^�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVA� J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O �. � O � W � Q � 2 W � W � j d W� ❑WORKSATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR W4LL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on te: Inspector_ White Copyllnspector's File Canary CopyfSite Notice