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Home My WebLink About2014-00380 - windows , CITYOFORONO * z0 14 — PJ0380 � , 2750 KELLEY PARKWAY DATE ISSUED: 04/28/2014 ° ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4030 DAHL RD PIN : 07-117-23-11-0022 LEGAL DESC : PIRATES COVE : LOT 018 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING - UNDEFINED VALUATION : $ 17,678.00 NOTF,: RI:VLAC� 10 WINDOWS AND 1 PA"CIO DOOR WI"I�HIN EXISTING OPF.N[NGS APPLICANT PERMIT FEE SCHEDULE 309.75 STATE SURCHARGE(VALUATION) 8.84 RENEWAL BY ANDERSON MAIL-IN FEE 2.00 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 TOTAL 320.59 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 320.59 OWNER GfLBERT, JAMES& MARY 4030 DAHL RD MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable Ciry approvals,and the Sta[e 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 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 Building Code.This permit may be revoked at any time for due cause. I`�1�K.1/Ci / / Applicant Permitee Signature Date Issued I3 ignature Date O � �� City of Orono Building �ermit Applicat�on for Maintenance 1 Renovation (windaws, doors, siding, re-raof, etc.) Mtr!!i»g Address' P�rmit number: a.�,Q�.O Pd Box�6 Crystal gay, MN 55323-0066 t�ate received: '' '� Received by: � � ^;�„ a, Street Address= �� ' 2750 Kelley,Parkway Plan review fie�: �{.��I;��' Orono, MN 55356 Total Fe�_ Main: 952-249-4600 �9x' 952-249�61fi www.ci.orono.n�n.us This appfication form must be completied in full and all required information must be submitted. lncornpiete applications w111 b� returned. (Please print) GENERAL INFORMATION: �02 b ��h� �Q� Job Site Address: J Will this be a Parade of Homes, Rempdelers Showcase Mome or other Dfsplay Home? ❑Yes No If yes,a specia!event permlt/s requlred wlth Police Departm�nt and Gity CpuncU approval 60 days pRor to thy event Shultle bus service rvill be required unless epplicant demonstrates sufflclent on-site parKing is aveUable. Non-permitted events w1l1 npt be a!lowed. CONTRAC70R/APPL[CANT INFORMATION: Name: �-e,n�a.� 3y �qr�d.erse,r� State License# "$G\��`�S3 Expiration Date' '?�(3� Lead Ce�tification Number� �j —r�. ��ag� — Expiration Date: y Jts � (for work on homes that wer�a�canstruci�ed prior ta 1978 Phone: (a51- a(py-�10$$- �t.�Ah (office) (Ce11} Mailing Address' �qa� C,O. "j�d '�" wey� City: ; � ZIP: $S(l�a , Cantact Person: Applicant is: n rae r / Womeowner ic�rcie one) Email and/or Fax: � �� ^ PROPERTY OWN�R INFORMATION: 1` Name: �G�'h�,S � ,1 C2Q.,{�- Phone(day): `1 �2� —6W� _� Address: �D3tj�Vq,�,, City: ZIP� Emaii andlor Fax PROJECT ItNFORMATION: Type af ProJect: Any earth movement may requir� MGWD review 8 permits: ❑ Roor(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWQ) ❑ Re-roof,asphalt � ❑ Repair �]S#orm Damage 18202 Minnetonka Slvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Ra-roof,other(spsclfy) ❑Siding �Okher: (specify) Fax' 952-471-0682 ❑Window(s) www,minnehahacreek:arq � Overall Project Description:�{j�p (O , �� '� U �i'Z Estimated Construction Valuation of Project(exciuding land $ � - � ;�APPI.lCANT ACKNOWLEDGEMENT: . Agrees to provlde aIl Informat.ion required ar request�d by the Build',ng Department; � . Cortifies thaC the information supplied is true and correct ia the best of his/her knowiedge. The applicant r�cogni�es that they are solely responstbie for submitting a complete appfication being aware that upon faiiure to do so, the stafF has no alternative but to reject it until it is complete; • Some or aIl of the information that you are asked to provide on this appfication is cEassifsed by State law as eith0r priv�t� or oonfidential. Private data is inivrmation which generally cannvt be given to the publlc but can be given to the subject ot the data. Confldential data is infarmation which generally cannot be given to either the public or the subj�ict of tl-�e data. Our purpos� and intQnded use of th1S infprmatiqn is to annuaily update our records and records of other governmentaE ageneies re uired b 1aw- If qu refuss tp su 1 the information the a lication ma not be issued, Apolicant'sSianature: �/' �✓ bate_ �� 1 �� DAT TIME � CITY OF ORONO CALLED IN J�S - INSPECTION NOTI E SCHEDULED ►-5-/ ao/ - Do3�'� � PERMIT NO. cOMPI,ETED ADDRESS ��.30 ,��-C /�-� OWNER TELEPHONE NO�IZ 7Q0 ZD77 CONTRACTOR �,/l/J'�,�C�!"� Ql�/J�il�� DESCRIPTION ��1� 9 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y �FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL O SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �/GG . �k=Pravrr��. c�cG. /�� a /�1S17QG��bw Dr►br c� CGGo,• tn ,c � J O � . _ , � ��l.�r�� J/KU�4?f -- eSL�St'��,o4Y�er S — e7•�'G�+/ � � �- I� L�cS�/. ! ,� � _— /_rr�� _/. — W t� . � �CJ4✓ 1'��r — Q � 2 � dK � L'o 1�t2✓ W � j d W ❑WORK SATISFACTORY:PROCEED O PROJECT COMPLEfE � �CORAECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑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 ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� Ownerl ntractor on site: �� Inspector. � White Copyllnspector's File Cenary CopylSite Notice C�I�� D E TIME v CITY OF ORONO CALLED IN `o� —1 INSPECTION OTICE �J SCHEDULED —' -- _1J�� PERMIT NO � � v'� OMPLETED ADDRESS � OWNER T EPH NE O.�S�1�`7`'� � CONTRACTOR w — . A � DESCRIPTION S � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y ❑ 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 v ❑ PLUMBING RI � SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTFiACTOR TO MEET YOU:_YES_NO � COMMENTS: o� W a � J 0 �. � 0 � W 2 Q � 2 W � W � J a � W ❑WORK SATISFACTORY:PROCEED ❑ OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY w 0 ❑CORRECT WOHK,CALL FOR REINSPECTION TEMPORARY V BEFORECOYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in a 5 249-46�0 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice