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Home My WebLink About2017-01132 - windows s ^ CITY OF ORONO * 2 0 1 7 — 0 1 1 3 2 * 2750 KELLEY PARKWAY DATE ISSUED: 09/14/2017 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 : $ 9,982.00 NOTE: REPLACE(4)WINDOWS WITHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 201.32 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 4.99 1920 COLJNTY RD C.WEST MAIL-IN FEE 2.00 ROSEVILLE,MN 55113 TOTAL 208.31 (612)502-4777 Payment(s) Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 208.31 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 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 aze 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 Date } r • City of �rono �ui[ding Permit Applic�tion for Maintenance 1 Renovation (windows, door�;, siding, reMroof, at�.) �� Mailin0�ox 66� Permlt number: /� ^. d l� � � Crystsf Bay,MN�53�3-OU66 Date reGeL�d: �- �J`� � ,a a, SrreerAddress: Reoeived by: 275U Keiley Parkway plan tevEew fee: �i p$�.� Orono.MN 55356 Totsi Fee: ��U �� 1 Main: 952-2491t600 Fex: 952-2�4�4616 www.ci.orono,mn�u� This application farm must be campfeted in full and all required ir�formation must be submitted_ Incomplete appliaat7ons wifl be!'e'tum�d. (Please prirtf) GENERA�.ENPORMATION: � Job Site Address: �t�V�.`C � �•� 1 WIYI thls be a Parade af Homes, Rerttadeler9a Showcase Home or oth�rr Dispfay Home? Yes ❑ No Ny�as,a special evisnt permit is required with Police OBp�ttlr�Ernt and Cfly Coundl spprova160 days p�for to the ever� ShufHe bu8 9eMG�9►a�lll be required unless appllcant demonstrafes sufficieM on,8ite parking!8�veUabls. Non�emritted events w!H not be allowed. CONTRAC70Et/APPL�lCANT INFQRMATION: Name: �{. \ 'A �C.rSe�U State License# ��p9$-3 � _ �xpiratlon Date: 3�� Lead Cer�fic�tion Number: �j��. a'}�$3 -� Expiratbn bate: � (fior wiorK on homes�e#were construct�sd prior to 1978 -- -- Phone: (051� c� -�.Q$$� (office) (cetl} MaiiingAddress: ►• •� W�S�- CifY: �, � ZIP: SS1} ContacE Person: Appiicant is: n ra r / Homeawner (c�rci•onc> Emaii and/or Fax: � PROPERTY OVYNER IN�ORMATIQN: Name- A,�-Q. �Y10�S�i � Phone(day): �� -`�i�{ ,.6 ) Address: � Cfty: ZI P: �mail and/or�'ax PRQJ�CY INFORMATI�N: Type of project: Any earth movement may requ[re ❑ Dvpr{s) ❑Ftemodel ❑Flre Damage MCY1►D revlew 8�permfts: Minnehsha Creek Wa�rshed Dlstrict(MCWl7) C]R�roof,asphaEt ❑Repait ❑Sform Damage 18202 Mtnnatar�ka Blvd []Re-ro0f,Cedar ❑FZestoration 0 Water Damage Deephgven,MN 55391 Ph�na: 9ra2-47'l-0590 �Re-rovf.other(spectiy) (]Siding ❑Other.(specify) Fax: 852-471-0682 ❑Window(s) www.minn$hahacreek.orn Overall Project Descr�ption: �rL c 5 Estimated Constructlon Valuaticn of ProJect(excluding land} $ � $� -• ApPLICANT ACKNOWLEDGEMENT: . Agrees fo providB afl infcrmstion required or requested by the Building Department; • Cgritfie3 th�t the information suppt[ed is true arttf corr9CC t0 the bpst Of hlsJher knowledge. The applicant reCogNzeS th�t they ar+e sofely responslble for su6mfiUng a complete application being aware th8t upon fa�{ure to do so,the stafF has no aitemative but to r�eject ft urdtl R IB complete; • Some or sll of the InfiorrnaUon thst yau are asked to pravid�on this application Is classf�ed by State law as either private 4r cor�ffdentisl_ Private data Is Informaflon which generally cannot be gYerr to the pub�iC bui cen be given to ths subject of the date. Confiderrtial data is infarmation which generally cannot be given to elther the public or t3ie subjeci of the ri8ta_ Our purp�e and Ir�tended use of thfs informatiors is ta annually update our records snd rec�rds of other govemmental agenoies re ulred b law. ff ou refuse to su I the inftxmation,the a {ica#ipn rrr� nat be Issued. AoolicanYs Sidnature:�a,(,p�„�.vlr0� Date: �� r/� / �/ DATE TIME � CITY OF ORONO CALLED IN INSPECTION NO E SCHEDULED _� ��O D PERMfT NO. — � coM� eo � ADDRESS OMINER L HONE NO. ��•a�y' � CONfRACTOR � S�/L O �� DE8CRIPTION r 'n-�- ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBINd RI ❑ EXCAV/GRADINGIFILLIN(3 Q ❑ FOUNDATION WATERPROOF ❑ PLUMBIN(i FINAL ❑TREE REMOVAL Z � RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMIN(3 ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATpN ❑ WOOD BURNER/FIREPLACE ❑COMPLAINT � 0 FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W � AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATIOWREMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL Z O�WN6YCONTMCTOR TO MEEi YOU:_YE8_NO � COMMEN'TS� W /` �.lc C o �-�' C.✓ r`► (�' 4 o �d or � G �. � � W OC � � W W � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W O OORRECT WOHK t PRO(�ED o ISSUE CERTIRGITE OF OCCUP�►NCtl o O OOi�IECT WORK,CALL FOR i�INSPECTION TBiAPORARY �j BEFORE CCVEAINO pERMANB�IT ❑(bRRECT UNSAFE OONDITION WITHIN HOUR3. ❑PHOTO TAKEN INSPECT�OR WILL RETIIRN 0 STOP ORDER P08TED.CALL INSPECTOR ❑qTAT10N ISSUED ❑INSPECTION RE�UIRED.G1LL TO AfiRAN(iE ACCESS. csN tor u,s next�p�ion u na,rs�n a�ranos. 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