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Home My WebLink About2009-00482 - windows CITY OF ORONO PERMIT NO.: 2009-oo4s2 " '~ 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/28/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3060 SIXTH AVE N PIN : 28-118-23-32-0014 LEGAL DESC : LESLIE ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 35,276.00 NOTE: REPLACE(12)WINDOWS IN EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 531.25 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 17.64 10751 EXCELSIOR BLVD HOPKINS,MN 55343 MAIL-IN FEE 2.00 (952)277-1600 TOTAL 550.89 Minnesota State License#:20239369 OWNER KOSEK,CHRISTOPHER&HEATHER 3060 SIXTH AVE N 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. 1'his 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 constsuction 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. / / � �/D / Applicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Aua-12-2009 09:31am From-CITY OF ORONO +9522494616 T-T19 P.002/002 F-A04 ,,.,o. � �• _.., _ ,.. ... ' r City of Orono Building Permit Applicafi�on for Internal Work (windows, doors, siding, re-rocf, etc. ��'�'�� Permd n�rnber D 0.�,O,�,O Po Box se . a Cry9t91 gay,MIV 55323-0086 Dete received: v / 0 a Sbeef Addnis� Received 6y: 2750!(,elley Parlcway Plan T�eView fee� p�� Orono,MN 55356 � Maln� 952-249-4800 Fex: R52-249�616 www.a.orono.mn.us �Total Fee:' ��'1�� 9 This applicatlon form must be c�mpleted in fuu and all req�ired information must bH submitted. �,,Qp Inwmplete applioadons w10 be retumed, (P/ease pnnq � • � GEN��INFORNu►noN:�b�Q �� / � a�� Job Sibe Addwss: �� wll this be a Parade of Homes, Remodelers Showqse Mame or other Dlspl�y Home? Yes No Myea,e speciel ew�►t painrt is�apulnid wJEh Pohoe DepaM�anf end p7y Counci�app�ova160 doyt9 p�ar b Ohe event. Shudle Dus senice wIp be /equU�d unlass appNCaAr demor�ebstes sulndenf on-�7te p9dvl+g Ls av1!/i41s. Ab/l�pe�m�teC eve�Ifs wUl net de adowed CONTRAGTOR I APp�;I�ANT 1 OfZIIAA 0�1 N: , � Name: 7 �'�' r�5• (�r..hP.r � Stste wcense# 3 � E�Ira6on bate: ( 1 a Phone: � - '1 � !�0 office cel Malling Addre.ss: 't� Y C' :. �� Zlp: .� Cont�t Person: i Applicant is: Nomeowner �cMp.o,,.� Flnall snd/or Fax. o'��d�1 r b PROPeRTY OWNER FORMATIO - NaMe: a` Pr G.S�e Phone(dey): — D- D /� Address: 0 D Ci _ LJ�/10 21P: �5,��0 Email and/or Fax PRo.�ecT INFORManON: Type of Pro�eoL Arqr earth mav�t may require MCWQ�vletil�3 permits O Door(s) O'Remode�. D Water oama9e . . Minnehahs C►selc Wate�shed Disdict(MCIND) �Vlfindow(S) (�Repai� ; ❑Sbrm pamage 182b2 Mir►netonka�Ivd DeephavEn,MN 55391 ❑Siding ❑Rest�radon ❑Oth�r.(specify) Phone: 652-471-0590 " Fa�c: 952-471-0882 0 Re-roof ❑Fro D mage www.minr�ehaheaeekora Overall Pro ect Descr( o�: ( �,C4rn er� l� G'� �r�,�' a • ^ , Esdm�bed Construetion Valuation of ProJect(exclualnp land) S .3�$'�a']� APPLICANT ACiUIOWLEDG�NlENT: • Agrees to provide all InfoRnaqon required or requesred br the Buflding Depal�tme� • Certlfies that the Infortnadon supplied Is trve and oome�t Uo the best of his/her knowledge, 7he epplksM reCognites that they are a�ly�sponsible for tubmitting a complete epplication being avra►e thst upon failure to.do sn,the sta(f has no aliemaGve but to ro�ect it untii it is amnplats; • Some or all cf tAe I�formation that you ere ssked to provlde on this eppliGatio� is da9sifiad by�;�te law as afthar private or oonfidential. P�lvate dab is lnfom�atlon whidt penereAy cartnot be givon to the publlc but can ba given to the subject of the data. Confidential data is infotmetion which genarsNy cannot be given to elther the publl� or bie subjed of 1he dat�. Our purpose and intei�ded use o(this infolmation is to annuaJly update cur reaordo E�f►d recflrds of�ther goverrWne�tal apenrJes ulred D IdW. If u feNse to su into 'on the a licatfon rna not be issued. Applic,�nt's Signeture: Date: ��l�9 �ast u�aaien: os�oa.2ooe �en tw �n.�• / n/1/1� ... � ' �-1 � , DATE TIME ✓ CITY OF ORONO CALLED IN �O D INSPECTION N ( CHEDULED � O � PERMIT N . ��Er ADDRESS OWNER CONT TELEPHONE N0. ' ` � DESCRIPTION � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAI FINAL ❑ LAKESHORENVETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z �WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q INAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTO TO MEET YOU:_YES NO � COMMENTS: �---.��l,lL�/I�,I�G J � �� a � . � � O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑1SSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTIONRE�UIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary Copy/Site Notice