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Home My WebLink About2014-01475 - windows � � CITY OF ORONO * 2 0 1 4 - 0 1 4 7 5 * 2750 KELLEY PARKWAY DATE ISSUED: 12/29/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3493 CRYSTAL PL PIN : 17-117-23-43-0012 LEGAL DESC : NAVARRE HE[GHTS : LOT 000 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 8,370.00 NOTG: RFPLACF,(3)W[NDOWS IN EXIS"I'ING OPI�:NI]�GS. APPLICANT PERMIT FEE SCHEDULE 177.00 STATE SURCHARGE(VALUATION) 4.18 SCHERER BROS LUMBER MAIL-IN FEE 2.00 10751 EXCELSIOR BLVD HOPKINS, MN 55343 TOTAL 183.18 (952)277-1600 Payment(s) Minnesota State License#: BUIL-BC239369 CREDIT CARD 3989 183.18 OWNER ASPHOLM, RYAN 3493 CRYSTAL PL WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonned according to [he approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only thc work descrihed 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 authorired is not commenced within 180 days of the da[e of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. I�he applicant is responsible for assuring all required inspections are requesled in conformance with the State Building Code.This permit may be revoked at any timc for due cause. � � /� � � �/ Applicant Permitee Signature Date ssue ��Signature Date . �1 City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O� MailiPO Bo�r66� Permit number,p�QI�-i —�� 7`� � 0 Crystal Bay, MN 55323-0066 Date received: /a2 ' �� -� a Street Address: Received by: y� �' 2750 Kelley Parkway Plan revlew fee: � Orono, MN 55356 C�'�ESHO4� Total Fee: / �'3. 1� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us / This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: /-+ f (� Job Site Address: ��,� C��y��'�r r"!.`�ee Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes �] No !f yes,a special event permit is requrred with Police Department and City Council approvaf 60 days prior to the event. Shuftle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permifted events will not be allowed. � s CONTRACTOR/AP LICANT INFO�MATION: � Name: C 2i''� � �C��• t � " State License# � ' (p Expiration Date: � � � Lead Certification Number: ��aUj3O��J Expiration Date: /j � (for work on homes that were consfrucfed prior to 1978 ; Phone: (cell) (office) y�� - 7 7- (�� F Mailing Address: (j " �� p � � � Cit : ._ �� ZIP: � ' � Contact Person: ' U � � ' � y�.� Applicant is. Contractor / Homeowner (Clrcle One) Email and/or Fax: � j � ��ry��y�� SC�� Y-er�"OS �n�'✓� � � € PROPERTY OWNER INFORMATI N: Name: �z � �Q( � € Phone (day): (p (' . ' ' _ (� ( Address: _ S-�-a� City: (�Vpl�J� ZIP: � Email and/or Fax: - , . , ` � PROJECT INFORMATION: Overall ro'ect descri tion: � ��C. OI,CLS �S� C 2 �,�`S � Type of Project: Any earth movement may also re Ire ❑ Door(s) MCWD review&permits: ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑Re-roof, other(specify) ❑Siding ❑Other: (specify) Fax: 952-471-0682 t Window(s) www.minnehahacreek.orq � Estimated Construction aluation of ProJect(excluding land) $ � � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; t • 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; F • Some or all of the information that you are asked to provide on this application is classified by State law as either private or � confldential. 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 required by law. If ou refuse to su I t inform tion,the a lication ma not be issued. ApplicanYs Signature: � '� Date: � � �� Owner's Signature: Date: � Last Updated:03/06/2013 ; & DA� TIME � CITY OF ORONO CALLED IN r INSPECTION NOTICE SCHEDULED `' PERMIT NO. I,cOMPL � c.�. - �✓ ADDRESS , � OWNER L NE NO. CONTRACTOR �`^� ,� �; DESCRIPTION � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ ON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � � J O � O � W � � � Q W � � � W � J W ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED SSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REiNSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �249-46�0 OwnedContractor on site: Inspector. White Copyflnspector's File .. Canary C ylSite Notiee