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Home My WebLink About2011-01215 - windows CITY OF ORONO PERMIT NO.: 20��-o�2�s � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 10/18/2011 = 952 249-4600 FAX: 952 249-4616 ADDRESS : 2965 CASCO POINT RD PIN : 20-117-23-31-0063 LEGAL DESC : REG. LAND SURVEY NO. 1470 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 21,765.00 NOTE: REPLACE 4 WINDOWS&3 DOORS WITHIN EXISTING OPENINGS APPLICANT pERMIT FEE SCHEDULE 368.75 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 10.88 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 381.63 Nlinnesota State License#: 20130983 OWNER SWENSON, CLIFFORD 2965 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and [he 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 specitied 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 construc[ion 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 du�cause. ��Z�� / / / / Applicant Permitee Signature Date Issued By S ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. �� Cit of �� y Orono . .r Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.j Mailing Addr�ss: i�� PO Box 66 Permit number: ;��y;.� � Crystal Bay, MN 55323-0066 Date r �� ;.0 i�, eceived: � � �� Received by: ,y � � �:_ - �,i Street Address: �'� � ��'�� G� � 2750 Kelley Parkway 9kESH0¢� Orono, MN 55356 Plan review fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn us Total Fee: This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: �� S S � Job Site Address: ��,.}. U� WII this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No lf yes, a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Renewal By Andersen State License# 1920 County Road "C" West Expiration Date: Phone: Mailing Address: Roseville, MN 55113 (cell) Contact Person: License #20130983 C�tv: ZIP� Email and/or Fax: 651-264-4777 t is: Contractor / Homeowner (CircleOne) PROPERTY OWNER INFORMATION: Name: C.�� S( �P v�S U✓1 Phone(day): 5 a y�.y t{Q�.�_ Address: � City� ZIP� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review 8 permits ❑Water Damage ❑Window(s) ❑ Repair Minnehaha Creek Watershed District(MCWD) ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) PhoneaV952 471 0590 ❑ Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek orp Overall Project Description: • �S � ��S �`�� Estimated Construction Valuation of Project(excluding land) $ r S � ; APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies re uired b law. If ou refu e to su I the information, the a lication ma not be issued. ApplicanYs Signature: �0� /' Date: � Last Updated: 05-04-2009 � // D�T� TIME ✓ CITY OF ORONO CALLED iN INSPECTION NOTI E�`Z`S SCHEDULED L � /� _Q �� PERMIT N0.aG�� COMPLETED ADDRESS a`l�� C�SGD � � OWNER TELEPHO E NO��I�T� o� CONTRACTOR >; DESCRIPTION��I�`�-�WS ?�3��- � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 � ❑ PIUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED /QPROJECTCOMPLETE W ❑CORRECT WORK&PROCEED � C ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CAI.I TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� Owner/Contracto on site• Inspector.�.�1/ White Copyllnspector's File Canary Copy/Site Notice