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Home My WebLink About2012-00139 - doors ,� -- CITY OF ORONO * 2 0 1 z - 0 0 1 3 9 * 2750 KELLEY PARKWAY �pTE �ssU��: 02/27/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 AllDRESS : 2965 CASCO POINT RD PIN : 20-117-23-31-0063 LEGAL DESC : REG. LAND SURVEY NO. 1470 : LOT 000 BLOCK 000 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING - UNDEF[NED VALUATIOI�t : $ 6,057.00 NOTG: REPLACG(2)DOORS WITHIN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 147.50 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.03 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 152.53 Minnesota State License#: BC130983 OWNER SWENSON, CLIFFORD 2965 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The�vork for�vhich this permit is issued shall be performed according to tha approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not speciYied 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 are requested in conformance with the State Quilding Code.This permit may be revoked at anv time for due cause. `�t� �c� l l C9�y� l l Applicant Pennitee Signature Date Issued By 'i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. Fab-21-2012 09:18am from-CITY OF ORONO +8522494616 T-443 P 002/002 F-1B1 • ' v�� v� v�v��V . _ . Building Permit Application for Internai Work -� � (windows, doors, sidin , ra-roof, etc. � -• MaH1n8 Addrees: . '�� PO Box 96 Permet number. � .. Q Q Crysiel9ay,MN 65323-0088 Dube rooefved: ��/ /Y... � � street Address: Reaiv�rd by: � 2750 Keqey Psrkuvey Plan r�uiew fee: a� Orono. MN 55356 ,. . - rQ�i F�: /s�, 5�.3 Mein: 652-249-4800 Fax: 9b2-246-4616 ww�y.cl.orono mn,�s This epplicaEon foRn must be compleDad in full and all requir+ed informatian muat be Submlt�ad. � I�comple� applicetlons will be returneid. (P/essa prini) GENERA� INFORMATION: �� C � ,�� d ,�ob si�aaaress: Witl this be a Parade of Homes, Remodelers Showcros� Home cr other Oisplay Harn�? Yes No If yos,a speeial ev�e�rt psntrlt is►aqWisa wtt�AoHc�e peperLnent ano Cl�Coundl epprov�/60�rsya pilor f��he swnf. Shuftb Dw eeMo�Wll/be requl,�d unbsa eppticanf demonaharos suRPc�nr on,slle pantc�np�a s+reueble. Non-psrmilesd eyents,�i//not pe albn,b CpNtRACTOR/APPLICANT INFORMATION: Name: Kenewal �iy Andersen State License!t � 1920 County Rdad "C"West Expiretion �ate: Ptwne: Roseville,MN 55113 (ce11) Mailing Address: License#BC130983 ��L-�- Z�p: Contact P�r6on: ___,___ 65I-264-477� �t is: Coniractor / Homeowner �c�tii.ane� Email and/or Fax: _ . _._ ._ _ ._ � . . -- -- , - � PROPERTY OWNER INFQRM T N: � ' ' "` Neme: C.,\' S l�iQ.1f15Cri Phone(day): 5 , Address: �► City ZIP: - Email and/or Fax w • PROJECT INFORMATI�N: � � � -, a ; � � .ry�e oI Pro�ct: . Any w ni►o ment m�pr u�ro __- - . - - MCWq�view 8 pacmlls._ ❑Door(e) ❑Remodel ❑Wecer oemage .._ , ❑�Window(sj �...." p rtepafr � Mirmehaha182D2 Mlnneto�ka B�Ivdlct(MCWD) Q 5torm Dam ❑Siding ❑ Restorat�on ', ❑pp�r $ @ - p�ePhave►1,MN 55391 -- , ._ .. _,. ._ . _ . .. _ ( P �Y) .. _ Phone::R92-47,1-0594._• _. . _ []Re-reof []Fire Demage Fex: 962�471-0682 1 Ove�all Pro O�crl tion; EBtinlated CoriatruCtlon Valuation ot Pro ect(excludin la�d $ � APPUCANT ACKNOWLEDGEMENT: � - Agrees to provide all Info�rneflon required or requesled by 1he B�ild�ng peparbnenk • Ce�tifiee thal the ir►formation 8upplied is true and oor►ect to the best of hi�/her knowledge. 7he epplicant tecoynlzes that they ere$olety responsible for su0mitling e complete applkstion beine awete that upon fallure to do so, the stafi hes no aRematiue but to reJect It until It is oomplete; � Some or all of ttte infotmetion that you are ssked to pivvide on this applioatlon ia daoslfied by Stete 10w ee aither prfvete o� tonfidential. Prlvete date 18 informstlon whidt generelfy cannot be gNen to the public but can be plven Op th� eub�Ct of fhe dela. Cpllfldentia{ defs is Informetien which generally cennot be given Eq eRher the publlc or the sub)ed of tha d�. Our purpoae a�d Into�ded uae of ihis Infom,eticn �s to annualry update our recoroa and raeoros of other gover�menrai a�ene;ea uirod lew, It ou Bfuse to su the Intormeilen Ihe a 1Caflon me no1 be isaue�f. Appl��ant's Signature: ��'� Date: _��C�/J�� a�upda�ed: o�-o�-2coe Z •d p619bL9T99 3�IA2l3S llWa3d Q '8 S �1 �O =Si ZTOz Lj qa� Z�� A TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ' ' Z PERMIT NO.�D/Z-�4/�9 COMPLETED ADDRESS �9�OS G4SC� C�f- �s� OWNER ELEPHONE NO.C�S��a/v � �� CONTRACTOR _1��X�—�� !1�, >; DESCRIPTION C.��' Fi na..� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � d W ❑WORKSATISFACTORY:PROCEED ��PROJECTCOMPLEfE � ❑CORRECT WORK R PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN �� CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor on site: Inspector. v`�' � White Copyllnspector's File Canary CopylSite Notice