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Home My WebLink About2013-00335 - windows .,, CITY OF ORONO PERMIT NO.: 20��-oo33s 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUE�: 05/09/2013 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 50� FERNDALE RD N PIN : 36-118-23-U-0006 LEGAL DESC : FAIRWAY VIEW : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,540.00 NOTE: REPLACE 4 WINDOWS WITHIN EXISTING OPENINGS APPLICAI�TT pERMIT FEE SCHEDULE 132.75 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 2.77 1920 COUNTY RD C. WEST TOTAL 135.52 ROSEVILLE, MN 55113 PAID WITH CC# 8788 (612)502-4777 Minnesota State License#: BC130983 OWNER BIERMAN, EDWARD&NANCY 505 FERNDALE RD N WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to: (1)the conditions of this permit; (2)the approval plans and specifications; (3)the applicable City approvals, Ordinances and Codes; and(4)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. This permit will expire and become null and void if construction authorized is not commenced within 60 days, 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. - SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DES BED ABOVE. � � City of Orono Building Permit Application for Maintenance / Renovation {windows, doors, siding, re-roof, etc.) Mailing Address: a � l � �3S O�O.�O PO Box 66 Permit number: � Crystal Bay, MN 55323-0066 Date received: .� �, ,;� h StreetAddress: Received by: �'� �" ��' 2750 Ketley Parkway Plan review fee: {eg��' Orono, MN 55358 " Total Fee: �� 5 �j Main: 952-249-4600 Fex: 952-249-4616 www-ci.orono.rnn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. {P/ease printJ GENERAL INFORMATION: Job Site Address: �s ��(h�,p�,t�, y��(•� Will this be a Parade of Homes,Remodefers Showcase Home or other Display Home? ❑Yes No lfyes,a special eveni permit is rtrquired with Police Department and Clty Courtcil approva!60 days pnortn the event. ShutUe bus service will be required unless applicant demonsirates sufl7ceent on-site parking is available. Non-permifted events will not be aDowed. CONTRACTOR/APPLICANT INFORMATION: Name: 1�1rGr�,i,Ja.\ �'Ar�t<serJ State License# �C 1309$'3 Expiration Date: 3 f 3� Lead Certification Number: (�j�-�_ a� a$� _ � Expiration Date: +{f�e (for work vn homes that were constructed n.ler tn 1978 Phone: (p5�- a l04-�{Q$� (o�ce) (ce11) Mailing Address: l9 0'1 C . 1� '�C" WQ.S-4- C�tY="�,prS�V,11e Z�P� SSl 3 Contact Person: Applicant is: onVactor / Homeowner �c�i.o�.� Email and/or Fax: PROPERTY OWNER INFORMATION: Name; �c� ��( 'f'r�� Phone (day): 95�1- �� a�.D Add ress: �S�-}Cr City: 21 P: Email andlor Fax PROJECT INFORMATION: Type of Projeci. � My earth movement may require + ❑ Door(s) ❑ Remode! ❑ Fire Damage MCWD review 8 permits: I ❑ Re-roof, asphalt ❑ Re air Minnehaha Creek Watershed District(MCWD) p ❑Storm Darnage 18202 Mi�netonka Blvd ❑ R�roof, cedar Restora2ion Daephaven, MN 55391 ❑ ❑Water Damage ❑ Re-ro�f, other(apeciry) ❑Sidi phone: 952-471-0590 �g ❑Other: (specify} Fax: 952-471-0682 ❑Window(s) i www.minnehahacreek.orq Ove�all Project Description: p� � i � Estimated Construction Valuatio of Project (exc{uding land) $ S'+5s�/Q� APPLICANT ACKNOWLEDGEMENT: . Agrees to provide al4 information required or requested by the Building Department; • Certifies thai the infnrmation supplied is true and correct to the besi of his/her knowiedge. The applicant recognizes that they are solely responsible for submitting a complete apptication being aware that upon failure to do so, the staff has no alternati�e I but to reject ii until it is complete; � Some or all of the i�formation that you are asked to provide on this applicaUon is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public bui 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 informaaon is to annuafly update our records and records of other governmental agenaes re uired b law. If u refuse to su I the information,the a lication ma not he issued_ AneficanYs Sianature• Date: v �� Z 'd 06T9�L9TS9 3�IA213S lIW�l3d Q '8 S f� BE �ST ETOZ BO �eW i � DATE TIME V " CITY OF ORONO CALLED IN � V l � a-'�� INSPECTION IaIOTICE _ scHEou�eo � — t�/ C�(.�-� PERMIT NO.'`��3 '33� COMPLEfED � ADDRESS ��`� ��r�°`� �� OWNER Z + �� TELEPHONE NO. CONTRACTOR � "�-�-��" � DESCRIPTION � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � J d W� ❑WORK SATISFACTORY:PROCEED �PI�OJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN 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. (952� 249-4600 OwnerlContractor on site: r Inspector. White Copyllnspector's File Canary CopylSite Notice