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Home My WebLink About2012-00369 - windows �` � CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 2 — 0 fd 3 6 9 * ' DATE ISSUED: OS/07/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 115 LUCE LINE RIDGE PIN : 31-118-23-34-0006 LEGAL DESC : PAINTERS CREEK : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,400.00 NOTE: REPLACE WINDOWS-NO STRUCTURAL CHANGES APPLICANT pERMIT FEE SCHEDULE 162.25 ULTIMATE EXTERIORS OF MINNESOTA LLC STATE SURCHARGE(VALUATION) 3.70 425 IOTH ST NE TOTAL 165.95 MILACA,MN 5635� (888)360-6633 Minnesota State License#:BC489489 OWNER LOCKMAN, STEVEN&SONJA 115 LUCE LINE RIDGE MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,appticable 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 od of 180 days at time after wock has commenced. The applican ' esponsible for rm I required inspections aze requested' c formanc � e S t ui g Code.This permit may be re at y time fo due cause l D�l � �� `Z � / a- App ' ant Permitee Signat r Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �/ � �(� ,O �,0,�. PO Box 66 0 �\ � Crystal Bay, MN 55323-0066 Date received: � �'�=��'��z Received b �� ,�� Street Address: Y� �'�,c, �� ' Gti�' 2750 Kelley Parkway Plan review fee: �9kEs8�4'� Orono, MN 55356 �-- Total Fee: ,�5� � 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: r�S L�C. Job Site Address: ! e L e h e, f2 i�e Will this be a Parade of Homes, Remodelers Showcase Home or ot r 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: l:� 1-�-� �Tl-c_ �' ,c-�� :�dr � �`�.-� ivc,i.`% State License# � Expiration Date: ?��c� Lead Certification Number: �j�¢T_ j 3Z 9 - / Expiration Date: ��3i�-- (for work on homes that were constructed prior fo 1978 Phone: ��5 ��Co� --C-,�'�"� (office) (cell) MailingAddress: </ZS /�•F-� � , C City: y�„%�-�_ ZIP: �pv�,,� � Contact Person: ��/��,�,� �,,� r� � .� Applicant is: � ontrac Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: � c� � ,.�. �,� �.--.,�� Phone(day): _ y ��„ -O:3�- Address [ j�5 L-L,�_v �,J jZ_��{� � City: �r�y� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof,other(specify) ❑ Siding ❑Other: (specify) Fax: 952-471-0682 ��4lindow(s) www.minnehahacreek.orq Overall Project Description: j�lo-� i,`.��.. � S,' Estimated Construction Valuation of Project(excluding and) $ "��-j �P� 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: --�—�-'' _ Date: �=e-�-J '� Last Updated: 08-09-2011 y�. DATE TIME � CITY OF ORONO �w / INSPECTION NO ICE SCHE�ULED '� PERMIT NO. Z'�3�OMPLETED ADDRESS � � '�J I�! �G��c-/'�-Q �C�� OWNER Z��. LC��Y�G-� TELEPHONENO. 32-C��3�0'G�� CONTRACTOR l��`�� DESCRIPTION,�� 1-�-�1� �-��,la. � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � . J O � � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4f)00 OwnerlContractor on site- Inspector. ' � � � White Copyllnspector's File Canary CopylSite Notice