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Home My WebLink About2015-00439 - windows CITY OF ORONO * 2 0 1 5 - 0 2' 4 3�9 � 2750 KELLEY PARKWAY DATE ISSUED: 04/16/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 765 DICKEY LAKE DR pIN : 34-118-23-22-0010 LEGAL DESC : RINGERSWOOD : LOT 006 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS c;�s i'�� VALUATION : $ 21,342.0 NOTE: REPLACE(1)ENTRY DOOR,(2)PATIO DOORS AND(3)WINDOWS WITHIN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 387.24 STATE SURCHARGE(VALUATION) 10.67 RENEWAL BY ANDERSON MAIL-IN FEE 2.00 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 TOTAL 399.91 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 399.91 OWNER FENSKE, JAMES 765 DICKEY LAKE DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permi[is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only[he work described and does not grant permission for additional or related work which requires sepazate permi[s. 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 afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Code.This permit may be revoked at any time for due caus `� '/ G�'�ii.�C.C�, � _�i (�. ,� � / l �W l �J Applicant Permitee Signatur Date [ssued Signature Date Ci��r af �rono Building Permit App�[ca#ion #or IlAaintenance I Renova#ion (windows, doors, siding, re-raof, etc.) MalAng Addross: Permii number' �/�-- Q.�,Q,�.� PO 6ax 66 Crystal Bay, MN 55323-0066 D�te rec�lved: � - � Streef Addtess: Received by: �� o�`� 2750 KsNey P�rlcway Plan revlew fee: ��ag2 Orono, MN 55356 Total Fee� �� Maln: 952-249-�600 Fax: 952-248-4616 www.cf.orona.mn.us �'his appfication form rr�ust be completed in full and afl required lnformation must be submitted. : Incomplate applications will be retumed. (Please print) GEN�RAL INFORMATION: � f - C � ; ��r� � ��{�� Job Site Adcfress: W J �`, Wifl this be a Parade of Hames, Rerrtodelers Showcase eme or other Dlsplay Home"T � Y�s No /f yes,a specie!ev6nt pAm'rit fs requirr�d rvith PoJrce IIepartmerrt�nd Clty Council approval 6D day8 prlor to lhe�vent. ShutHe bus sen/iCe W/ll be required unless 8pp!lCant demonstrates scrtficienf onsife parking 1S avallable. Non-permitted aVents Wll/npt be allowed. C4NTRAGTOR/APPLICANT M�OI�MA'CION: Name: t`�tr�, a.� "A��trSe� State License# �,\3p�j S� � _ �xpiration Dat�: � �1'3 4 Lead Certification Number. �j�-S'� a�.a�3 �1 Expiration �ate: �()je,., (for work on homes H�at wene constructed prlor to 9978 - -- Phane: (05�� a t�y-�.o SS�Ar� (Qffce) (cell) Mailing Address: , j� "��• t�J� ---MC�tY��D ; �, Z1P: ar'"S I '3 Contact Person: Applicant is: n �or / Homeowner �c�rot@ o�e� Emai!and/or Fax: PRdP�RTY OWNER INFORMATfON: Name: �, �-� �, • Phone(day): ��j _�0� � Address� Jj� City: ZIP: Email and/or Fax PROJECT INF�RMATIQN: rype a�p�ge�: My earth movement m�y requlre � Door(s) ❑ Remodel ❑Fir�Damage MCWD revlew&pemnits� ' Minnehaha Creek Watershed Dlst�ict(MCWD) Q Re-roof,a�phalt ❑ Repair ❑Storm Damage 78202 Mlnnetonka Blvd ❑ R�roof,cedar ❑ ReStofation ❑Water Damage ��ephaven,MN 55391 PhOne: 952�79-0690 ❑Re-roof,other(�paciiy) ❑Siding �]Other: (specify) Fafc' 952-471-0882 �Window(s) www�3"►'�Innehahacreek.ora ' 4v�re11 Pro ect Descrip#ion: �acA � `�1:vti d0u�f 'Z 'o - � � � rh ��stimated G�nstruction V'aluatfon of Pro)ect(exclu ing lan ) $ a(� ��J Z-� _ ,,Q_�( ;��, �_� APP�.fCANT ACKNOWL,�DC�EMENT: � ��'� • Agrees to provfd�all infoRnation requir�d or requeated by the Bu��ding Department; . Certfies thaf the Informatian suppiied is true and correct to the basi of his/her knowledge. The eppficant recognizes that they are soleEy respdnstble fOr Submltting a complete application being aware that upon t�ilure ta do so, the sfaff hes no altemative but to reJect it until it is complete; - • Some or all of the information that you are asked to provide an this appllcatlon is classified by State I$w as eithe� prfvate or r,onfldenUal. Prfvate data is information which gener8ily cannot be glven to the publio but can be glven to the subject of ihe data. Canfldential data is infiormadon which generally cannot be given to either the publlc or the svbject of the'data. Our purpoee and intended use of this information 13 to annuelly updaie our rewrds �nd records of other govemment�l agenCips re ufred b law. If ou refuse to su 1 the inivrmation the a lication ma noi be issued. A�olicant's Sian�ture: � d��' /� �� '�"� � �� DATE TIME CITY OF ORONO CALLED IN INSPECTION N TICE �SCHEDULED �5 \\ �Y1 PERMIT NO. � - �1COMPLETED ADDRESS � "n— � OWNER TEL ON NO.� �a� `�'�(LO-'�"d5 � CONTRACTOR �- �� `'�-� `-'�-' � DESCRIPTION � � ��X b� �-'J��'�`S ' `�j ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J �f+�VAL ❑ WATER HOOK-UP ❑ FOLLOW-UP ? ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � � . n a �J /►� /Mb t�cJ Q � �D4�'v �/�at o re�/ 4t¢•+�e-n� 7�. �'�c`Sfi�- �, T � , � ° - ,5�4G s4c..c 4L O 6 0�Ec �.•. .�} �,o - � ✓� �t �r ' Q � � �s� li��u�s O�C - w � ` � ,G d / I'CL� "F �e✓ v+�•� t•rl�r� J GW ❑WORK SATISFACTORY:PROCEED �'�ROJECT COMPLETE � ECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COYERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. all for the next inspection 24 hours in advance. (952� 249-46�� Ownerl ntractoronsite: � ��^�` � spector. w White Copyllnspector's File Canary CopylSite Notice