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Home My WebLink About2013-00604 - windows .� CITY OF ORONO * Z 0 1 3 - 0 P1 6 0 4 * � • 2750 KELLEY PARKWAY DATE ISSUED: 07/02/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2464 DUNWOODY AVE PIN : 20-117-23-21-0001 LEGAL DESC : REG. LAND SURVEY NO. 0660 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-iJNDEFINED VALUATION : $ 2,200.00 N07'E: REPLACI�7 W[NDOWS IN EXIS7�ING OPENINGS APPLICANT pERMIT FEE SCHEDULE 88.50 SELA ROOFING& REMODELING, INC. STATE SURCHARGE(VALUATION) 1.10 4100 EXCESIOR BLVD ST. LOUIS PARK, MN 55416- TOTAL 89.60 (952)915-7227 Minnesota State License#: BC 1050 OWNER HENDERSON, JOSEPH&MARGARET 2464 DUNWOODY AVE WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The�iork Sor which this permit 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 the work described and does not grant permission for addi[ional 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 specified herein.This permit will expire and become null and void if construction au[horized 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 inspec[ions aze requested in conformance with the 5[ate Building Code.This permit may be revoked a y time r due cause. � �/ / l L/ � plic r te ature Date Issucd By Signa e Date SEPARATE PERMITS REQUIRED FOR WORK OTHER TH DESCRIBED ABOVE. „ City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: y ` 2750 Kelley Parkway Plan review fee: `� �' Orono, MN 55356 `q'�FSH�� Total Fee: 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: Job Site Address: �� V �W�U� `v1 'kl�l�C_ Will this be a Parade of Homes, Remodelers Showcase ome or other Display Home? ❑ Yes ❑ No !f yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��.'lcn V�U��iy, .., State License# �� L Expiration Date: �� Lead Certification Number: Expiration Date: G (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: � U + r ' v City: �� • �• �_ ZIP: ' Contact Person: �� :�,�N�� Applicant is: Contrac of r� omeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �C�� '�,V\c�-�v�C�11� Phone (daY): ��'ot�` �-E-`� l-- ��'�'1� Address: '�L�[,L�, ��v�WGtX{� City:j��P� ZIP: Email and/or Fax: PROJECT INFORMATION: Overall pro�ect description: f� `'C�e � LU � l ' �!�w��.�t��-�- Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �,T/Vindow(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ � , �GU APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • 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 required by law. If ou refuse to su I the information, the a lication ma not be issued. ApplicanYs Signature: Date: � Owner's Signature: Date: Last Updated: 03/06/2013 i,� �� '� � � l�-e�� DATE TIME CITY OF ORONO CALLED IN 7_�? � l � INSPECTION N IC �� O�SCHEDULED PERMIT NO. COMPLETED ADDRESS d �" �� OWNER TE P NE . �5a��5 ��.� CONTRACTOR �- � � DESCRIPTION �� 41 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALI ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J y ObEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL O HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO . v�i COMMENTS: /20 /'r5/J�c�ta� Cc�� P>�( Sf� � • . • � ,�P� w�r�� H �.�_ - � ��,. � � Pxl�^� D�H.S • ' '� � � O � ' ' �/�S.0 S�a/i�c eXfC�cb r -}-- D� /wt•t W , � L S �� Q � 2 W � W � � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE � �RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-460� OwnerlContractor on site: Inspector. � White Copyllnspector's Ffle Canary CopylSite Notice