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Home My WebLink About2013-00584 - windows _ . CITY OF ORONO * z 0 1 3 - 0 0 5 8 4 * 2750 KELLEY PARKWAY DATE ISSUED: 06/27/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3450 BIRCH LA PIN : 08-117-23-43-0023 LEGAL DESC : LYDIARDS PARK LAKE MTKA : LOT 018 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING- UNDEFINED VALUATIOI�I : $ 12,248.00 NOTE: REYLACG(6)WINDOWS INTO EXISTING OPENINGS. APPLICANT pERMIT FEE SCHEDULE 236.00 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 6.12 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MISC FEE 0.00 (612)502-4777 MAIL-IN FEE 2.00 Minnesota State License#: BC130983 TOTAL 244.12 PAID WITH CC# 8788 OWNER ENGLER, MR. & MRS. 3450 BIRCH LA WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd according to the approved plans and specitications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and docs 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 commenecd within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any[ime afrer 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. r /��/ � A licant Permitee Si n Date �� pp g- Iss By ignalure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Ap�lication for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �O Mailing Address_ �' �' PO Box 66 Permit number: � Q -'�0 S� � �� Q Crystal 8ay, MN 55323-0066 Date reoeived: �o-vZ -/ � ,��,:'� � Str�etAdd�ss: Received by: �, � E' 4�0'` 275U:Kelley Parkway Plan r+eview fee: �sHo Orono, MN 55356 ` Main: 952-249-4600 Fax: 952-249-4616 www.Gi orono mn us Total Fee: d( L I, `� / / This application form must be c4mpleted in full and af�required inforrnation must be submitted. lncomplete applications wil! be retumed. (Please prrnt) GENERAL lNFORMATION• Job Slte Address: 3� � �,�{ � '� �� Wil!this be a Parade of H�mes, Remodeler�,Showcase Home or other Display Home? Yes /1 yea,a Specra!event pe�mit ia required wrfh Volice Ogpartment and Cify Council a � N� required un/ess spplicant demonstrates sufficient on-site arkin pProva!60 days p�or to the event. ShuKle bus servrce wil!be p g is available. Non-permi[ted events wAl nof be adowed. CONTRACTOR 1 APPLICANT INFORMATI�N: Name: �� __�wa.\ 'A State License# �C„�309$3 �cpiration Date: lead Certification Number. ��31 �"' a�Q7$3 - 1 Expiration Date: y�� (for worlr orr homes lhai were constructed nrro�tp 1978 -` Phone: (e5�_ a�-�a�� (office) — Mailing Address: � a� , � ,� „ e� C� {cefl) Contact Person: tY��C.v;l e. ZIP: 55113 Ernail and/or Fax: Applicant is: ontractor / Homtowner (ci�e�a,e) PROPERTY OVyNER INFORMATION: Name: �_�t1..� � !'\G'��_ Phone (day): -G9Y Address_ � �.,� Email and/or Fax C�� ZIP: PROJECT INFORMATION: Type af Project: My earth movoment may requine ❑ Door(s) ❑Remodel [J Fire Damage M��view 8 permits: ❑ R�roof,asphaft ❑ Re air Minnehaha Creek Watershed District{MCWD) P [] Storm Damage 18202 Minnetonka Bfvd ❑ Re-roof,cetlar ❑Restoration �Water Damage Deephaven, MfV 55391 ❑Re-roof,other(specify) ❑Sidin Phone: 952-471-0590 9 '�„p p� ther: (s eci ) � ��«� �� Fax: 952-471-fl682 �Window(s)��' � www minnehahacreek orp Overall P�oject Description� � � Estimated Canstruction Valuation of Project (excluding fand} $ � APPLICANT ACKNOWLEDGEMENT; • Agrees to provide all inflormatlon required or re'quested 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 responsibte for submitting a completie application being awar�e that upon failure to do so, the staff has no alternative but to reject it uniil it is complete; , • Some or a!I af the inforrnativn that you are asked to provide on this application is classified by State law as either private or confide�tial. Private data is informa#ion 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 eiiher the public or ihe subject of the data. Our Purpose and intended use of this information is to annually update our records and recorrls of other govemmental agenc�es re uired b law. ff ou refuse fo s I the information,the a fication ma not be issued. Aoo(icant's sianature: p� �� Date: a�� Z 'd 06i9�L9TS9 3�IA213S lIW?J�d Q '8 S �1 0� ��i ETOZ L� un� ,.,1 C/�� DATE TIME � CITY OF ORONO —CALLED IN g– �3 INSPECTION NOTICE SCHEDULED /O–/3 � PERMIT NO. — PLETED r< <! ADDRESS � �� OWNER TELE HONE NO. ��8� CONTRACTOR ./�� 1G�-!'�J � DESCRIPTION ��LrL�G(�f G�U��G�`� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPtAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS:�(�(�F(��/I�,,/,l1— 92�� B� W a � � O � � O � W � Q ti Z W � W � � GW ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WfTHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR G'CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46�0 Owner/Contractor it Inspector. White Copyllnspector's File Canary CopylSite Notice