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Home My WebLink About2013-00932 - windows � � � CITY OF ORONO * z 0 1 3 - 0 0 9 3 2 * 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2905 DEER RUN TR PIN : 04-117-23-24-0010 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 003 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 104,164.00 NOTE: REPLACE(52)WINDOWS AND(I)DOOR WITHIN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 1,086.75 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 52.08 1920 COUNTY RD C. WEST TOTAL 1,138.83 ROSEVILLE, MN 55113 (612)502-4777 PA1D WITH CC# 8788 Minnesota State License#: BC 130983 OWNER MANZONI, CHARLES& DEBORAH 2905 DEER RLJN TR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to Ihe approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gran[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 cons[ruction authorized is not commenced within I SO days of[he da[e of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. "rhe applicant is responsible for assuring all required inspections are requested in conformance with Ihe S atc Building Code.This permit may be revoked at any time for due cause. , �� 3 `�� / � �3 Applicant Permitee Signature Date Issued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . �� ; . ''� 'C�ty of Orono Building Permit App�lication for Nlaintenance I Renovation (window$, doors, siding, re-roof, etC.) �.G—� �=� Mailing A�dress: O � y_,�,�7. pp gk�c ss Permit number: -- � � Crys#!al Bay, MN 55323-Q066 Date received: - Q - �� a �'�,��-� �• Street Ad��ess: Received by: �� , E ��o o'� 2750'�ICelley Parkway ly �., Plan review fe � jc�Ho j �ronp; MN 55356 � �Main: 952-249�600 Fax: 952-`�49-4616 www ci.orono mn us Tobl Fee: 1/� 3 � � This application form must be co'�hpleted in full and all required information must be submitted. �ncomplete a�plications will be returned. (Please print) GENERAL 1NFORMATION: Job Slte Address: a� b� -e,�,�(' � � � �'� � 1 Will this be a Parade of Homes, Remodele 'Showcase Home or other Display Home? ❑Yes No !f yes,e specia!event permit is requrred with Police O�psrtment and Crty Council approva(60 da s required unless applicant demonstrates sll�cient on-sihe parking is avai/able. Non-permifted evsnts w7lrnof be�allp edervice wiU be CONTRAGTOR/APPLlCANT INFORMATIOtV: Name: 1�`�.W0.\ �y 'av�,CrSer� State License# �j�„�30�$� Expiration Date: '3�3S Lead Certification Number_ f�j�-j'r. a�. ''�' $3 - l Expiration Date: t�f�s (for work on homas that were constructed pri�r to 1g78 " — Phone: (DS y- o�(D -4��i�- (office) (cell) Maiting Address: (q a 0 C . '1� "C" WeS� Cit SS( 3 Y'�Scu:11C Z(P: Contact Person: ' Applicant is: ontractor / Home�wner �c;rcia o�� Email and/or Fax: PROPERTY OWNER INFORMATlON� Name: � � ' 'F'l �Q`f� 1 Phone (day): �Q\a.S� � Address: �� ' City: Z�p: Email andlor Fax PROJECT fNFORMATION: Type of Project: Any earth movemerrt ma r y equire � Door(s) 1�p� ❑ Remodel ,�Fire Oamage MCWD review 8 permits: ❑ Re-roof, asphalt ❑ Re �r Minnehaha Creek Watershed District(MCWD) Pa� ',Q Storm Damage 18202 Minnetonka Bfvd ❑ R�roof,cedar ❑ Restoration Dee ha�en, MN 55391 �� UVater Damage P ❑ Re-roof,other(apeciiy) � ❑ Siding Other. s Phone: 952�71-0590 'Q � Pe��tY) Fax: 952-47�-0682 �Window(s)CZ www.mmnehahacreek orp Overal I Project Description: �,', 2 �;�,��,� l C,�I;r� - Estimated Construction Valua2ion of Pro'ect � S� '� _ � �xclu�ing land) � f O4 , �y �p _ APPLlGANT ACKNOWLEDGEMENT: - Agrees to provide all inlormation required or r'epuested by the Building Department; • Certifies that the information supplied is true;and correct to the besi of his/her knowledge. The applicant rec�ognizes that they ane solely responsible for submitting a complete application being aware that upon failure to do so,ihe staffi has no alternative but to reject it unti!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 inforrnaiion which'j generally cannot be given to either the public or the subject of tfie data. Our purpose and intended use of this informatior� is to annually update our records and recorcis of other govemmental agencies re uired b law. If ou refuse to su I the in `rmation, the a lication ma not be issued. Ao�licant'sSionature: � �jt�� /O��/� �ate: � ! Z 'd 06i9�L9TS9 3�IA�13S lIW�l3d Q '8 S f� O� �bT ETOZ Ot daS 6�— T TIME � � _ CITY OF ORONO CALLED IN �O �� INSPECTION N�O��E DO�� SCHEDULED 7-S- l � PERMIT NO. COMPLETED ADDRESS aCI�^ ��- � T�'' ��,,v OWNER TELEPHONE NO.�s� Z6 �l c�o�iS� CONTRACTOR ��.(J�.Q liwl � DESCRIPTION �� l'`1`r � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FI�LING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��FiNAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: o� • a �,�/I�l�� r�d��..�te.� ' � J 0 '� sf-4!c � .�� S�LC_ �,►�t C O � W � r,�o�K Car�o le-f� Q � z W � W � � J d � ❑WORK SATISFACTORY:PROCEED �JECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP OFDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: Inspector. ` Whi opyflnspector's File Canary CopylSite Notice