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Home My WebLink About2013-01194 - windows - � � � CITY OF ORONO * Z 0 1 3 - 0 1 1 9 4 * 2750 KELLEY PARKWAY DATE ISSUED: i U08/2013 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 : $ 9,287.00 NOTE: REPLACE 5 WINDOWS IN EXISTING OPENINGS APPLICANT pERMIT FEE SCHEDULE 191.75 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 4.64 10751 EXCELSIOR BLVD HOPKINS,MN 55343 MAIL-IN FEE 2.00 (952)277-1600 TOTAL 198.39 Minnesota State License#: BC239369 PAID WITH CC# 3989 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,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 reyuires sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due�ause. / / / / Applicant Permitee Signature Date �� Issued y nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. • r. 7'l City of Orono Building Permit Application for Maintenance ! Replacement 1 Renova#ion (No structural expansion. 4nly windows, doors, siding, re-roof, etc.} AT Mailing Address: Permit number: c�0 3'��l� �O�Y(7 Cry sal Bay,MN 55323-0066 Date recelved: l�—0—�3 Sfrest Address: Received by: '� ,C' 2750 Kelley Parkvvay Plan reviow fee: �� . y�' c? Orono,MN 55356 t`�k�sHn�`�' Total Fee: !�' �. �9 Main: 952-249-11600 Fax: 952-249-4616 www ci orono mn.us rf_g This application form must be completed in fu11 and all required information must be submitted. , Incompiete applications witl be returned. {Please prinf) GENERAL INFORMAATION: Job Site Address: _f�� (.��'� ��h e'�!�� Wlll this be a Parade of Homes,Remodelers Showcase Home o other Dispfay Home?�Yes No !f yes,a specia!evenf permit!s requlred with Pofice Departmant and C!ty Council appmva!60 days prior to the event. Shuttle bus ke wll!be requirecf unJess app!lcant demonstrates sufticient on-sfte parlJng is availabfe. fJon-perrnitted evonts wi11 not be allowed. CONTRACTOR/APPLlCANT 1NFORM TkON: Name: ��Q.ir' �IrO$ �.11+�r�P�(�- CO State License# Expiration Date: 31 � Lead Certification Number: -alp,�05-� Expitation Date: �. 6 (for work on homes that were constructed pdor to 1978 Phone: (cell} (office) �oZ-dZ%7-/r0� Mailing Address: 47.5 / � S,�v � City: Z�P� �53 4 3 Contact Person: A, � y� Applicant is: ontracto / Homeowner �circieon.) Email and/or Fax: (' {,y� �dy� ��/1�V�-+��JY10S . COV+ti PROPERTY OWNER INFORMATION: Name: �'jpVl�c:� �O �UM.a_l�► Phone(day): � - ��{y;Qy'Of�lO /UN ZIP: J�3J��'7 Address: �Cj ��,t C Q ^ l�1.� G�R G � Email and/or Fax: PROJECT INFORMATION: Overail ro'ect descri tion: ._.__ Type of ProJect: My earth movement may also requtre ( ) MCWD review 8 permits: ❑Door s �Remodel ❑Fire Damage Minnehaha Creek Watershed Disirict(MCWD) ❑Re-roof,aspfialt ❑Repair ❑Storm Damage 1g202 Minnetonka Btvd ❑Re-�oof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof,other(spectiy) ❑Siding ❑Other.(specify) Phone: 952-471-0590 Fax: 952-471-0682 Window(s) �'1NL�W's www�innehahacreek.orca Estimated Construction Valustion af ProJect(excluding land) $ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide aN information required or requested by the Building Department; • Certifles that the informatioi�supp{ied is true and correct to the best of his/her knowledge. 7he applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no altemative but to reject it until it is comptete; • Some ar all of the 9nformation that you are asked to provide on this application is Gass9fied 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. Confidenlial data is information which generally cannot be given fo either the public or the subject of the data. Our purpose and intended use of tnis information is to annually update our records and records of other govemmental agencies required by law. lf ou refuse to su I the'nformation,the a ficatiom m �ot be issued. Applicant's Signature: Date: �3 Owner's Signature: Dafe: Last Updated:03I06/2013 �^ � DATE TIME �/ I��RONO CALLED IN �'� INSPECTION��TICE `� SCHEDULED _1 5-t�l- � �ERMIT NO. � --d S COM�LETED ADDRESS � �� 'Z-E--- l � OWNE ' � l ��f�YLC�I TE EPHONE NOfS '�7�"D37S CONTRACT R C�/lc�Y'�' i'�O�te-/'-S � DESCRIPTION �.D �'(�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNEWCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a J `� i � .��____�e� o � _ � W � Q � 2 W e�_ � W � J d W� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE w ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on site: Inspector._�c�� White Copyllnspector's File Canary CopylSite Notice