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Home My WebLink Aboutwin‌dows CITY OF ORONO * 2 fd 1 2 — 0 0 3 4 8 * � .� 2750 KELLEY PARKWAY DATE ISSUED: OS/OU2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 55 GOLDEN V[EW DR PIN : 33-118-23-43-0011 LEGAL DESC : PETERMAN 2ND ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 29,791.00 NOTE: REYLACE l9 WINDOWS WITHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 466.75 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 14.90 1920 COUNTY RD C. WEST ROSEV[LLE,MN 55113 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 483.65 Minnesota State License#: BC130983 PA[D WITH CC# 8788 OWNER ERICKSON, VAN&NANCY 55 GOLDEN VIEW DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMEIYT Thc work for which this permit is issued shall be performed according to the approvcd plans and specitications,applicable City approvals,and thc 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 governing this type of work shall be compied with whether or not specified herein.This permit will cxpire 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 I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confonnance with the State Building Code.This permit may be revoked at any time for due qause. �_�� v� / / V )�.lti-6�-+� / / Applicant Pennitce Signature Date Issued y Si ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB E. City of Orono � � � Building Perrnit Application for Internal Work (windows, doors, sidin , re-roof, etc.) MallingAddress: Permi!�umber: '�0� PO 8ox 66 Q � Crystal Bay, MN 55323-0066 Date received: f� �• Stneet Address: Received by: � • �� 2750 Kelley Parkway Plan rev'iew fee; �e��Ho�� O�ono, MN 55356 Total Fee: Main: 952-24�4800 Fax: 952-249-4816 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete appltcations will be retumed. (Please print) GENERAL INFORMATION: Job Site Address: SS �6�df,� v�•Q.W i�f i Will this be a Parade of Homes, Remodelers Showcase Home or other Display Horne? Yes No If yes,a specie!event permit is�qulred with Po!!ce Department and City Council approval 60 days priw to the event. Shuttle bus service will De ►Cquired unless applicani demonsh�fes s�cient on-sJte pa�cing ls svailab/e. Non-permftted events wil!not be alJowed. CQNTRACTOR 1 APPLICANT INFORMATION: Name: Kenewal tiy Andersen State License# 1920 County Road "C" West Expiration Date: Pnone: Roseville, MN 55113 (cell) Mailing Address: License#BC130983 Ciry: 21P: Contact Person: �t is; Contractor / Homeowner �c�c�a o�e► Email andlor Fax: 651-264-4777 PROPERTY OWNER INFORMATION: Name: ,� � �� Phone(day)� 95 • 99 �-Sa4p Aad�ess: �►,e.� r. c�t : ziP: Ernail andlor Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review 8 perm(ts ❑Water Damage ❑ Window(s) ❑ Repair Minnehaha Creek WaterShed OlstriCt(MCWD) ❑Storm Damage 18202 Minnetonka 81vd Deephaven, MN 55391 ❑ Sidin9 ❑ Rastoratfon ❑Other: s c ( Pe ffY) Phone: 952-471-0590 ❑ Re-roof ❑ Fire Darnage Fax: 952-471-DB62 www,minnehahacreek.ora Overnll Project Description: p� � •� p WS w �n ..Q�� Estlmated Constructian Valuation of Project(excluding land) $ a�j� �-9 �.0� APPLICANT ACFCNOWLEDGEMENT: � • Agrees to provide all information required o�requested by the 6uilding Department; • CertiBes that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submiiting a complete application being aware that upon f�ilure 10 da so,the staff has no alternative but to reject it untll it is complete; • Some or atl of the information ihat you are asked to provide on this application is classified by State law as either private or confiderrtial. Private data is inforrnation whlch generally cannot be given to the public but can be given to the subject of ihe data. Confldential data is information which generally cannot be given to either the pub{ic or the subjed of the data. Our purpose and intended use of this information is to annually update our reoords and records of other governmenlal agenaes re uired b law. If ou refuse to su I the information the a lication ma not be issued. ApplicanYs Signature: 3 � ��' I 2 Date: Last Updated: 05-04-2008 z 'd 06T9trG9iS9 3�IA213S 1IW213d Q '8 S f� f�b =9T ZiOz OE �dd D TE TIME � CITY OF ORONO CALLED IN J� �y� INSPECTION OTICE SCHEDULED � //•�D� PERMIT N . �d�� COMPLETED ADDRESS �-� �d� vI �° � OWNER TE PHO E N . ��7- �� CONTRACTOR �� : DESCRIPTION �(�/�-�`�- �`�vvl �v�'�/S � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINA� ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTA�L ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O / � � L� � l O � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-46�� Owner/Contractor on site: Inspector. v White Copyllnspector's File Canary CopylSite Notice