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Home My WebLink About2010-01166 - windows CITY OF ORONO PERMIT NO.: 2010-01166 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �SSUED: 12/OU2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2100 SIXTH AVE N PIN : 27-1 18-23-31-0024 LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 1,200.00 NOTG: REPAIR/REPLACE ONE DAMAGED SKYLIGHT � APPLICANT PERMIT FEE SCHEDULE 47.75 GARRY D. OLSON COMPANY, INC. STATE SURCHARGE(VALUATION) 5.00 5701 KENTUCKY AVE N CRYSTAL, MN 55428- TOTAL 52.75 (763)535-2484 PAID WITH CC# 4279 Minnesota State License#: 20633479 OWNER Orono Woodlands 2100 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT � The work for which this permit is issucd shall be performed according to � the approved plans and specitications,applicable City approvals,and the F State Building Code. This permit is for only the wark described and does � not grant pennission for additional or related work which requires separate ; pennits. All provisions of laws and ordinances governing this type of wark �- shall be compied�+�ith whether or not specified herein."rhis pennit will � 'expire and become null and void iFconstruction authorized is not commenccd wi[hin (80 days of d�e date of issuance,or if cons[ruction is suspended for a period of 180 days at any timc atter work has commenced. � The applicant is responsible for assuring all required inspections are � requcsted in conformance with the State Building Code.This pennit may be revoked t any time for due causc. ' /� D1 , iv � l� �0 Applicant Permitee Sigi ature Date [ss � [3y Signature �ate SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � �11/30/2616 13:01 7635356424 GARRY D OLSON PAGE 02 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mading Address: permlt number. � . c�/<,.��-t')/�. ��,O,�.O Po sox ss .. C�rystel 13By, MN 553Z3-0�66 DetB fecelYEd: ��+ 'D/ /a' a� p St►eef Address; Received by: ��, �dS� aTOo Kelley Parkway Plan reviewfee� Orono,MN 55356 Total Fee: ��,�� Main_ 952-249-4600 FAx: �52-24�J-4B16 vrww.ci.orona.mn.us • . This application form must be completed in full and all requfred information must e submitted.� Incomplete appllcatlons wlll be retumed. (Please prirrf) G�N�RAL INFORMATION: Job Site Address: ZE e0 Ccv,vl+� Rd b� �on�g �ia�4��M/ .,SS�� Will this be a Parade af Homes, Remodelers Showcase Home or ather Display Home? Yes No If yes,a epeclal evenf peimlt Is►aqulred wlth Polloe Daparbr�nt end Gty Coundl approvAl 80 days pdorlo the event Shr�ltle bus aervlce wi/l be requNod unless eppUcant demonsVafes suH9dont on�lte parMng 1s a�rellable. Non-penMa+ed etire�nts wl!!not be aUowed, CONTRACTOR/AP I.ICANT INFORMATION: Name: ��r 0, 0 o,�r � aa State License# L b33y�1 Expiration Date: 31 !t Nnone: —'��3' S35�Z 8' office cs �Go-5/a csll Mailing Address: Ci : C �I fvliv ZIP: ss 2 s Corrfa�act Person: ,y�, .0 so.✓ Applicar�t is: tractor / Hom�er �c�rr�oon.l Email andlor Fax; � r ,,,v 5'�S- PROPERTY OWN�R INFORMA ON� Name: INn� 3 Phone(day): ►1�3-085Z Address: �ce ba� Ci : ZIP: Email snd/or Fax �� r ffi PRGJECT INFORMATION: Type of Project• Any earth mmremant msy requlre MCWD terlew d�permlts ❑Do�Ksj ❑Remodel ❑Weter Damage Minnehahe Creek Watetshed District(MCWO) ❑Window(s) (�Repair �Storm Damsge 16202 Minnetonka Blvd Deaphave�,MN 55391 ❑Siding ❑Restoration ❑Other.(�pedfy) Phnne: 952-471-0580 Fax: 952�d71-OB62 ❑Re-roof ❑Fi►ie Demege www.minnE+il�8119��k ora Overall Pro ect�escrl on; �.M a �, Estlmated Constructlon Valuation of ProJect(excluding land) $ 1�7.QDe ob APP6ICANT ACKNOW4EDGEMENT: . AprniA�fn�mvirfp all infnrmaN�n�uirF!c!or rPqupat�J hy th�i Building Depa�tmenk . Certifies that the informatien supplied Is true and corred to the best of hislher knowledge. The applicarrt reoogniaes thet they are solely responsible for submimng a complete applicetion being ewere that upon failure to do so,the staff has no altemsL1�e but W re�je�it unt�l it i�s wrt7ple�t�, � Some or all of the informatlon that you are asked to provlde on this application is dassified by StaN� law as either privete or confidential. Private data is infarmsbion which g�enerally csnnot be piven to the public but can be given to the suhject of tl�e data. CoMidentiel data IS fnfom�ativn which generally �annot be given to elther the public or the subJed of the data. Our purpoee end Intended use oi thls infortnatlon is to annualiy updabe our recor�s and rec4rds oF other govemmental a�qendes re uir�ed b Isw. If ou refuse to su I Informatl n th a licstion ma not be Iseued. �!__-- � ApPlicanYs Signature: - _ . . .. D�te: o a last Updated: 05-042008 �� D E � TIME ✓ CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED v /��30 PERMIT NO. oZ��O-aI l�� CQMPLETED ADDRESS c��DU S G�C� �� OWNER T LEPHONE NO. �I{aV�J�"°ZT�7` CONTRACTOR � � [/ �-- � DESCRIPTION v/�-� � '`� � ��-� � � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTEO.CALL INSPECTOR O INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice