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Home My WebLink About2012-00481 - windows CITY OF ORONO * 2 0 1 2 - 0 0 4 8 1 * 2750 KELLEY PARKWAY DATE ISSUED: 06/OU2012 » ORONO, MN 55356- 4 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 455 SUSSEX LA PIN : 04-117-23-32-0011 LEGAL DESC : FOX BEND : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS VALUATION : $ 50,000.00 NOTE: REMOVE PARTIAL STUCCE,REPAIR SHEATHING&STICK FRAMING,DETACH AND RESET AFFECTED WINDOWS APPLICANT pERMIT FEE SCHEDULE 681.75 UNGERMAN CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 25.00 4450 NICOLLET AVE S TOTAL 706.75 MINNEAPOLIS,MN 55419- (612)825-2800 PAID WITH CC# 4264 Minnesota State License#:BC001239 OWNER CRAWFORD,BRUCE&CAROL 455 SUSSEX LA 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 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 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. ��Z �`- � / � / �� /'Yl,�rt i i Applicant Permitee Signature Date Issued By ' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. May, 31, 2012 12:29PM R. A, UNGERMAN CONST, 6128752901 No. 7116 P, 2 ��v 5,3� � � City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc. Mailing Address' Pertnit number. 010 Ic��D � O.¢�,�0 PO Box 66 Crystal Bay,MN 55323-0066 �ate reoeived: -�J�- a-- � h,, Street Address: Reoeived by: S 2750 Kelley P�rkway Plan review fee: . �� $�� Orono, MN 55356 � �� ?� Total Fee: Main: 852-248�600 Fax: 952-248�616 www.ci.orono.mn.us This applicatlon form must be completed in full and all required information must be submitted. Incotnplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: J Will this be a Parade of Nomes�Remodelers Showcase Home or other Dlsplay Home? ❑Yes No ff yes,a speaal.sv+ent permit is required►�th Police Oepa�tment and G�ty Council approva160 days prior fo the event Shuftle bus se�vloa wlq De ___.. required unless applicant demonahafes sufiraent on-site parking la available. Non-permitfed ev�ents will not be albwed. �BN��B�f RP�LIeaa�F IN�O�IUIaTI�N: Name: � E� � State Ucense# �, �Z3 q �P��a �e= d 3/ Lead Celtificstion Number: _J�/,��S 3�../ Expiration Date: 07 ro�'�2e�S� (fip�wo►k on homes that were con cAed r!a to 19y8 Phone: � (office) _p� (cell) Mailing Address: � � y City: G ZIP: l/ Contact Person: Applica�t is: nti'dC / Homeowner �ciRio on•� Email and/or Fax: t�o,�.��.. � ��,�1�.,[� _ PROP.ERTY OWNER I ORMATION: Name: �rG�,Gg � �,4�,'� P.��Q��t'o�� Phone(day): �{��_ ac(C�_ � Address; !� ��, Cit�r: QL.c.-a ZIP: ,�',�� Email 8nd/or Fax PROJECT INFORMATfON: � Type of ProJect: Any earth movement may requlre ❑Door(s) ❑ Remodel ❑Fire Damage MCWD review&pertnits: Minnehaha Creek Watershed Distrid(MGWD) �Re-roof,asphalt �Repair ❑Storm Damege 18202 Minnetonka Bivd ❑Ra-roof,cedar ❑Restoration ❑Water Damage Deeph�ven,MN 55391 Phone: 952-479-0590 ❑Re-roof,other(epocly) ❑Siding ❑Other,(specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Overall Pro'ect Descriptlon� �x. �� w�. S-�u,�co �+— S r!/i' � � �d� Estimated Constructlon Valuation of Pro'ect excludln land $ APPLICANT ACKNOWLEDGEMENT: , S0� od0 • qqrees to provide sll inFormation required or requested by the euilding Department; • Certifies that the inforrnafion supplied is true and correcl lo the best of his/her knowledge. The applicar�recogn¢es that they ere solely responsible br submitting a complete application being aware thai upon failure lo do so,the steff has no altemative but to reject It unlil it is oomplete; • Some or all of Ihe infortnation that you are asked to provide on this application is classified by State law as either privaie or confidenlial. Private data is information which eenerelly cannot be given to the public but can be given to the subject of the data- Confidential date is information which eraUy cannot be given b either the public or the subject of the data. Our purpose and intended use of this info n i o en ally update our records and records of other govemmental ag�ncles re uired b law. IF u reiuse to su th ' ati , a licatian ma not be issued. Applicant's Signature: �ete: � � �� May, 31, 2012 12: 29PM R. A. UNGERMAN CONST, 6128252901 No. 7116 P. 1 . � 1 � ' � � U1�GEYtMAN CONSTRUCTION COMPAI�Y'YNC. Facsimile Cover Sheet TO-, � From // _ . ��.�i�i.;�! ��'� ��c./ (�1.�6''E�it/ Company Date .� 3/ 2�1Z. F�# ��a a�i- �� Re: �� :�- Number of Pages(Including Cover) - 2 COMMENTS: �h� t 7" /� L,.�;ri a.N � � S� �r�d� 7' � G �S7'�a�JS o�, �r �tr�" rv �2 �--,G�w�s •� a� / Genetsl Cont�actor� ��a»' g Tn o lete pm�e+ RPstorarion 4450 Nicollec�.venue South•I4�inneapolis,Minnesota•55419 (lfflrP• ffi1�1 R�S.�Rnn.��r�»�R�5_�nm ao�a ov��J �' `TE TIME ✓ CITY OF ORONO CALLED IN � � /Z INSPECTION NOTICE / SCHEDULED � `/ '^�L /f� �` ` �' PERMIT NO.�' ��SS"`v� COMPLETED << �U' ?� ADDRESS S�5/ Cu-� OWNER J�� Gc�" TELEPHONE NO. � �� " ��'��`�� CONTRACTOR �'`.`aL��'r�7�'`� �°��,,��"O 7 Ob' �c"� �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP�FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � a ^�-.di�.��(�1El� ,'�,!� �� /�C�t�i.� W ., j � G' 0 � >. `.� , � �-/a'�C4�1'Z� L��+,,T • .�J�:-r^-�Gj.Zt... C:Z�Y�,, i,CtN�i�'�.ck^ O � ��'C .�C�'ylZt�� Q � Z W � w � � a W RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR W4LL RETURN !� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTIOIV RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next ins ction 24 hours in advance. (J52� 249-4600 OwnerlContra r Inspecto White Copyllnspector's File Canary Copy/Site Notice {)'/ �� • DAT,E'Z TIME Y�� CITY OF ORONO CALLED IN �' ' INSPECTION NOTICE �('' SCHEDULED �/� PERMIT NO. -�L-�� —L-�.`(��I COMPLETED ADDRESS `�{..�� .c� l-lS ��X �-f� � c�c�5'`�_��07 OWNER TELEPHONE NO. �� CONTRACTOR �`�I��-1 �S�-1,�('C�Q >; DESCRIPTION �"`"`f� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL`f ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES�y NO /t � COMMENTS: '� � W a � J O � � O � W � Q � Z W � W � � K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice DATE TIME � CITY OF ORONO CALLED IN ��INSPECTION NOTICE SCHEDULED � PERMIT NO. Z�IZ-ab�$ � COMPLETED ! ADDRESS �� 5�� OWNER�1-�� e� �C1 TELEPHONE NO.�'��2- ��Z- 61°� CONTRACTOR ��J�►'� �^�� DESCRIPTION ��'� �� S�cc� � ❑ FOOTING ❑ PLUMBING FINAL ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a o �� ,�.�In.�'� � '' �'�"c�C Gt� C��✓' � 0 � W � Q � 2 W � W � � O W� ❑WORKSATISFACTORY:PROCEED �G'�ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED ❑INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� Owner/Contractor on site: Inspector. White Copyllnspector's Fite Canary CopylSfte Notice