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Home My WebLink About2012-00255 - windows CITY OF ORONO * z 0 1 2 - 0 0 2 5 5 * � 2750 KELLEY PARKWAY DATE ISSUED: 04/13/2012 � ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 185 CYGNET PL PIIY : 04-117-23-23-0011 LEGAL DESC : SWAN LAKE ADDN : LOT 008 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING- UNDEFINED VALUATIOIY : $ 45,434.00 NOTG: RGPLACE 26 WINDOWS&2 DOORS WITHIN THE EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 638.75 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 22.72 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 663.47 Minnesota State License#: BC 130983 OWNER EZELL, ROXANNE& ROGER 185 CYGNET PL LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall bc performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for oniy the work described and does not grant permission for additional or related work which requires separate pemiits. All provisions of laws and ordinances governing 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 commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. "f'Ihe 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. t `�'K1��. C�1� / / l l Applicant Yermitee Signature Date Issued By i�nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . J.� °1'J ,�.'� City of Orono �9� �'' Building Permit A lication for Internal �� pp Work (windows, doors, siding, re-roof, etc.) ,�� -=� Mailing Address: 0�\ PO Box 66 Permit number: �� Crystal Bay, MN 55323-0066 Date received: �I '��,�,. _ �� 1�� '�;_;-� �� Street Address: Received by: � �t ;, �' G� ' 2750 Kelley Parkway 9 ESHO � Orono, MN 55356 Plan review fee: \x==—g/ 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 INFORMATtON: Job Site Address: ��j C��Y1�� laC,� WII this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. ShuKle bus service will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Kenewal tiy Andersen State License# 1920 County Road "C" West Expiration Date: Phone: Roseville, MN 55113 Mailing Address: (cell) License #BC130983 C�ty: ZIP� Contact Person: t is: Contractor / Homeowner Email and/or Fax: 651-264-4777 (Circle One) PROPERTY OWNER INFORMATIO : Name: X0.r�r1�. ��.\\ Phone (day): q Sa• yt�q -p-�.. Address: � Cit : ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement ma re uire �{�� p�vi OWS �► a d ��r� -QJx i S'�in� MCWD review� ermits Door s p � ) ❑ Remodel ❑ Water Damage(�/'n � Window s "Mmnehaha Creek Watershed District(MCWD) � ( ) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Sidin Deephaven, MN 55391 9 ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 ❑ Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek orp Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �-f . 00 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; i • 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 refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: G�v Date: y Ap{►��Z Last Updated: 05-04-2009 �i � �' Q � DA �j TIME V CITY OF ORONO => cA��Eo iN l � �' INSPECTION NOTICE SCHEDULED � ---��I� PERMITNO. ;,xLil�—�-C��._�COMPLETED ADDRESS �� r7 � `-l<<1` W��I C�F' OWNER TELEPHONE N . � ��0�-� �� CONTRACTOR ✓1C-�,��,�� DESCRIPTION � �� % Z- �:�, t l�r� � �_v � , r � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLIN � �'a Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 FINA� ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES ' NO � COMMENTS: � y C'1'� L�'�c�� C �r� �� l�� `lk l �'Z. �l'�,i�t�' � � O � � Q �� O r t W � � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ��SSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on si : Inspector. �9 White Copyllnspector's File Canary CopylSite Notice