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Home My WebLink About2012-01047 - windows � CITY OF ORONO * 2 0 1 2 - 0 1 0 4 7 * � 2750 KELLEY PARKWAY DATE ISSUED: 10/22/2012 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1074 LOMA LINDA AVE PIN : 08-117-23-23-0008 LEGAL DESC : LOMA LINDA : LOT 007 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-IJNDEFINED VALUATION : $ 4,000.00 NOTE: REPAIR FROM WATER DAMAGE APPLICANT pERMIT FEE SCHEDULE 103.25 CODE PLUS BUILDING&REMODELING STATE SURCHARGE(VALUATION) 2.00 8014 OLSON MEMORIAL HWY TOTAL 105.25 GOLDEN VALLEY,MN 55427- (612)298-1514 PAID WITH CC# 8541 Minnesota State License#:646824 OWNER LINDQUIST,JOHN 1074 LOMA LINDA AVE MOUND,MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and speci£cations,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 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 after work has commenced. 7'he applicant is responsible for assuring all required inspections aze requested in conformance with State Building Code.This permit may be ked at any time for due c e. / �/ � /O �2 2-- �/ Z Applicant Permitee Signatur Date Iss B Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 10/18/2012 10:53 7635251566 THE UPS STORE 1886 l� PAGE 01/61 , �� . � � � City of Orono '�� Building Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) Me�ing Addreas: Permit number, 070!7,-Oi o 0 PO Box 88 � O� �O Crystal Bay,MN 5532'.�U066 DeEe reveived: /a-! �� , Sbeet AddreBs: Reoelve0 by: 2750 Kelley Parkway plan reviewfee: j ��e Orono,MN 55358 � Tota�Fe� /�7 �5 Maln: 952-249-4800 Fax: 952-249�818 wuuw.ci.orono.mn.us Thls appllcatlon form must be comple�ed in.full and ail required Informapon must be submitted. Incomplefia appilcatfons will bo reh+rned. (Please print) �ENERAL INFORMATION: ob Site Address: %O 74� �d�rh� Lr� WIII thls be a Parade af tiomes.Itemodelers Showcasa liome or othe�Display Homa? Yes o Ifroei,e spaciel ev�nt permh Is requbed wilh Poliw Department and CI(y Council epproyel BO days prlor to the event. Shuttk 6ua senrlce wIM be iequlred uMess applicsnt de�nonahafea au1Rc%nt onslte parkiny is eveilable. Non pe►mdted ever►ts will not be elbwed. CONT _,.., , _� -._.__... - _ __ . . RACTQR I APPLICANt INFORMATION: /'� ' � Name: � �� ' /� ��l . State Lloense# � xpiradon Date: �.ead Certificatlon Number: ExplreUon Oete: //_ iy— �/ I r�•�r on ha►►ea ati,e wei.eonsbucted p.iw co 9978 �hone: /�- AeZ ^' l�d� �o�) �� ,Mailing Address: D/ f� ,�,ac,Jr City: ZIP: S",s'�/� �ontact Person: �jn ,{,�� plicant is: Co� / Ho eowner �ci�e on.� Email and/or Fax: f�q.� q�a�'�S�. PROPERTY OWNER INFORMAT�ON: . Name: � L.,1J �Yi,S� _ Phone(day): ZIP. � A►ddress: /D 7' � LriiE/a /�-✓� ��e � �d� � Emalt and/or Fax PROJECT INFORMATION: Type of Project: My eaMh movemen!may requlre C]Door(s) Remodel ❑Flre Damage MCWD raview 8 peflnl6B: Mlnnehaha Creek Watershed District(MCWD) ❑Re�roof,asphalt Repalr ❑Storm Damage 18202 Mlnnatonka Blvd ❑Re-roof,cedar �R�toration �Water Damege Deephaven,MN 66391 Phone: 952-471-0590 �]R�roof,othor(sPac�y) ❑Siding 0 O�►er(spec:ify) Fax: 952-471-0882 �W��S� v�w.minnehahacreek.ora � Owrall P oct Descrlption: Estimated Constniction Veluatlon of Project(excludine land) � � pDl�' APPLICAN7i ACKNOWLEDGEMENT: . Agreeg to provide all inforrnatbn requfred or requested by the Buildir�Depa�tment; • Certlfl¢s ihat the information supplied is true and co�ect to the best of his/her knowledpe. The epplicent reoog�lzes that they ere so'ely responsible for submitting a complete epplication being aware that upon failure to do so,the statf has no altemalive but to reject it untll It is oomplete; � Some�or all of the irrfortnation that you are asked to provide on ihis appllc�tlo� ts classHied by S4aie law as either privaie o� � co�id ntlal- Private data is infortneUon which generally cannot be given to the publfc but can be given to the subject of the dete. �Cor�fMerrtial dats is ir�formatlon which generally cannot be g'n►e� to either the publlc or the subJect of ihs date. Our � Durpage and intended uae of this i�ormalion Is to snnually updete our rewrds and rewnis ot other govemmental aga�cies � re w b law. If u refuse to su I the informadon e a IlcaUon ma not be issued. ApplicenYs Signature: I �e: ��" �l� I I Lafi[Updaled: 0�-0�2011 - � '�� _:_�� DATE TIME ✓ CITY OF ORONO CALLED IN I—l!-' �� INSPECTION N TI� D/0 SCHEDULED /�TI� B' / PERMIT NO. COMPLETED � ADDRESS ��`� 1�� L� ��. OWNER ELEPHONE NO. ��-�� CONTRACTOR � �: DESCRIPTION �� E%�G��— � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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. ❑ FOILOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � J C�,t�� '�'� f}C "�'C-� � I� � (-. O '' � !�-Q lC � ,� � Ga � C�F� � � � 0 � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED j�PROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. �-✓ ji� � White Copylinspector's File Canary Copy/Site Notice