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Home My WebLink About2014-00010 (replace 1 window) . � CITY OF ORONO * z 0 1 4 - 0 0 0 1 0 * 2750 KELLEY PARKWAY DATE ISSUED: O1/07/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3779 CASCO AVE PIN : 20-117-23-31-0066 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 1,736.00 NOTE: RF_PI,ACE(1)WINDOW [NTO GXISITING OPENING. APPLICANT PERMIT FEE SCHEDULE 6725 STATE SURCHARGE(VALUATION) 0.87 RENEWAL BY ANDERSON MAIL-IN FEE 2.00 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 TOTAL 70.12 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC130983 CREDIT CARD 8777 70.12 OWNER GREIMANN, DEAN 3779 CASCO AVE WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc State[3uilding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws and ordinances governing Ihis typc of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days ofthe date of issuance,or ifconstruction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all rcquired inspections are requested in conformance with the State Building Code.This permit may bc revoked at any time for due cause. �`"�'1/I � / ��'Y� �c-�_ /l 7 //5L Applicant Permitee Signa at Iss E3y Signature Date A � � City of C�rono Building Permi# Applic�tion for Maintenance / Renovation {windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: p�� -b D D O.�I„Q j�.� PO Box 66 Cryst�l Bey, MN 55323-0066 Date received: �' '� a a Street Address: Recelved by: '�, �' G�' 2750 Kelfey Parkway Plan review fee: �yA�sHo�,� Orona, MN 55356 r�,D//� � Totai Fee: / Main: 952-249-46q0 Fax: 952-249-4618 www.ci.orono.mn.us This application form must be compleYed in ful(and all r�quired information must be submitted. Incomplete appllcations wfll be r�rned. (Please print) GENERAL INFORMATION: �� t ` � Job Site Address: � ��- `�C� � Wi11 this b�a P�rade of Homes, Remodelers ShoSrvC�se Mome or other Display WomQ? ❑Yes No !f y�es,a specf�l evenf permlt Is requ�red with PolJca�eFe.tmqnt and CrYy Cpunc!/approva!BO days prlor to the event Shuttle bus service will be regui�d unless applicant demonstrates su�cienl on-site parking is availabl6. Non permined events wlll not be a!lowed. CONTRACTOR 1 APPLICANT iNFORMATION: Name: 1�,�.Wo.\ �y Ar�-�rS�e^r� - - Sta#e License# �,��"�jQq g� Expiration Date: �j f'�1 Lead Certificaiion Number_ (��_ a'�-�$� --� Expirati�n Dat�: �(��r. (for work on homes Ehat wer�constracted prior to 7978 Phone: �S S- o�[p�-�O�- �t,�qn (a�ice) (cell) MailingAddress' �� . � �� (,y_i��- City�'��y�� , ZIP� s�� pntact�'erson: App�icant is: nt r / Homeowner �ci.�ie o�a� Emall and/or Fax: PROPERTY OWNER INFORMAYIp Name: � �'(-� �i(Y��1(� Phone (day): � �y� � � "�� Address: � �S;-�, City: ZIP: Email and/or Fax PROJECT INF�RMATION: Type of ProJeat: Any earth movement may requlre ❑Door(s) ❑ Rerrtodel ❑ Fire Damage MGw�review&permits� Minnehaha Creek Watershed District(MCWD) ❑Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Mlnnetonka B4vd j�fte-roof, cedar (]Restoration ❑Water bamage Deephaven, MN 55391 Phpne: 962�71-0590 ❑Re-roaf,other(spec�fjr} ❑Siding [�Other: (specityj Fax: 952-471-�0682 �Window(s) www,minnehahacreek.orq Qverall Project Descrip#ion: ��.Q �J�JI r� 1.�� v'� �.Q�(i �j �n ' Estimated Construction Valuatfon of Project(excluding �and) $ �� '�- �j(y,QQ —� APPLICANT ACKNOWLEDGEMENT: . Agreas to p�ovide all information required or requested by the Building Department; . Certifies that the information supplied is true and correCt tp the best of hislher knowledg�_ The applicant recognizes th�t they �re solely responsible for submitting a complete applicaiion being aware that upon failure ta do so, the staff has no alternative buf io reject ft unttl it is complete; • Same or aEl pf the information thai you are asked to provide an this �pplication is classified by State law as either private or w�fidential. Private data is infarmation which generally cannot be given Co the public but can be given to the subj�ct of the data_ Confidential data is information which generally cannot be given t� either the pubilc or the subJect of ihe data_ Our purpose and intended use o4 this information is to annually update our records and records of other govemmental agencies re uired b law. If ou refuse to su I the information,the a lication ma n�f be sssued. Aaokicent's Sianature: �~-� Date: W�� ' JC I/ l �� / TE/ ,/ TIME CITY OF ORONO CALLED IN — 7' INSPECTIO TI SCHEDULED " � PERMIT N� ' � c LETED ADDRESS OWNER TE PHO N �� CONTRACTOR �� — �� DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q O 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a� . a l �v,�eo� 2g,rol, o � SQr.�te 5 /?� , Sa� s�crl� � ' c�r�a G�co ,p/'o v rn��Z r o ^ _ _ / . � e�C7�r�o r �,5 S��t lC� — W � Q z - ��J��!C r'��1� � iDG�ra�„G �'r•T2fee� — � � J d � ❑WORKSATISFACTORY:PROCEED flOJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSU CERTIFICATE OF OCCUPANCY � O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: _ /u�kL Inspector. \ White Copyllnspector's File Cenary CopylSite Notice