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Home My WebLink About2009-00658 - windows/skylight � �� CITY OF ORONO PERMIT NO.: 2009-00658 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/05/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1971 FAGERNESS PO[NT RD PIN : 18-1 U-23-14-0007 LEGAL DESC : FAGERNESS : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEF[NED VALUATION : $ 18,985.00 NOTE: REMOVE AND REPLACE(4)WINDOWS AND SKYLIGHT APPLICANT PERMIT FEE SCHEDULE 324.50 KUEPERS INC STATE SURCHARGE(VALUATION) 9.49 14643 EDGEWOOD DR#115 BAXTER, MN 56425- MAIL-IN FEE 2.00 (218)829-0707 TOTAL 335.99 Minnesota State License#: 0002599 OWNER DELAY,WILLIAM& LORI 1971 FAGERNESS PT RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT Thc work for 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 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 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. �l�'1u,c�� /� o.s� oq i� � os� a 5 Applicant Permitee Signature Date �Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i Fro��'Kuepers Construction �188290383 09130/2009 08:23 #+498 P.001 � *`» City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: c .�,0,� PO B�x 66 Pelmit numper: ; �� J Q Crystel Bey,MN 55323-0066 pete reCelved. � �� D�• !��' ' StreetAddress: Recaivetl by. 2750 Kelley Parkway PI2n reviewfee: �g��o�� Orono, MN 55356 �otal Fee• Main: 952-249-4B00 Fax: 952-249-4616 www.ci.orono.mn.us � ,. � .�' This appllcation form must be completed in full and alf requlred infoRnation must be submitted. � Incomplete applications will be returned. (P/ease print) GE ERAL INFORMATION: Jo Site Address: �1 � F-G P�r��SS �o`� �� a �G ZA�-c� ✓"►N $S'3� 1 Will his be a Parade of omes, Remodelers Showcase Home or other Display Home? Yes o I ,e speGa/avent pem►it ia requlred wllh Pollce Department and C/fy Council approvel 80 days prlarr to the event. Shuk/e bus servioe will be requ/red un/ess app!lcant demonstrates suff/dent on�lte parkfng is eveilable. Nanperm/tted ev�nta wlll not be allowed. CO TRACTOR/A PLICANT INF R ATION: Na . 5 �iw► a�s _ � � s ',�.v�� . Sta �icense# �S�i Expiration Date: b3 /3 I /�)o Pho e: �1$- aS- o'�0-7 (office) �1 Y^� 83$-']r�i p (celp Mail g Address: -d< z�o�d v C I Ci � 13 � � ZIP: (� `��S Con ct Person: � aw�s Applicant is: onVact / Homeowner �c��ia o�.� �m I and/or Fax: ' S � �I�'-8Z�- 0 3�'� � I PRO ERTY OWNER INFORMATION: N arn�: 3:1 1 G�� l�o Y� 17e lm�l Phone(day): 5 - �1 1 - � S 1� Address: �1 �-Q, ��+CSs o; � � �a Ci :y�c. Z�+f�+ Z1P: S S 3�► / • Em I and/or Fax v� a r+nG�-+ : ,C��^^ ' : ► � � }a ,�o�-. PR JECT INFORMATION: Typ of Project: Any earth movement may requiro MCWD review&permits ❑D r(s) ❑Remodel ❑Water Damage Mlnnehaha Creek Wate►shed District(MCWD) ,� ndow(s) ❑Repair ❑Storm Damage 18202 Mlnnetonka Blvd Deephaven, MN 55391 ❑3' ing ❑Restoration ❑Other:(specify) Phone: 952-471-0590 Fax: 852-471-0682 ❑ roof ❑Fire Damage www.minnehahacreek.ora Ove II Project Descri tion: �v q.�d {� I�ce � w�� 5�S Gw.c1 ca, S K� 1 ' ►.,} Estf ated Construction Valuation of Pro'ect excludin land $ �g �i8� APP ICANT ACKNOWLEDGEMEAlT: • Agrees to provide aN intoRnation required or requested by the Building Department; • Cert�es that the iriformation supplied is true and correct to the best of his/her knowledge. The applicant recognlzes that they are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alfemative but t0 reject it until it is complete; • Some or aIl of the information that you are asked to provide on this application is Gassified by state law as either private or co�idential. Private data is ir�formation whlch generally cannot be given to the pubfic but can be given to the subjecf of the data. Confldentiaf data is Information whlch generally cannot be given to either the public or the subject of#he data. Our purpose and intended use of this information is to annually update our records and records of other governmenta1 agencies re uired b law. If u refuse to su I the information the a lication ma not be issued. Appll nYs Signature: \�, 1� `� Date: � I�O f�G1 LBst U ated: 05-042009 �$ ��- �i, /'� � TIME CITY OF ORONOo�� CALLED IN �v � v ► INSPECTION NOTIG �Q�SCHEDULED � PERMIT NO. COMPLETED ADDRESS � � � I /—aCJ��SS �� OWNER CONTR.��lL�'� �� TELEPHONE N0. �l� �� 7 ��S � DESCRIPTION _ —�-/�G�,r�l.v�� ` , e�cLS � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRA67l�1 /FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a j ,_. � �.-� � *� �.Ar.il�, �1 a � O � ti � Q � Z W � W � � � d � WORKSATISFACTORY:PftOCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED I ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on s' e: Inspector. � ( �i �� White Copyllnspector's File Canary CopylSite Notice