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Home My WebLink About2013-00921 - windows � CITY OF ORONO * 2 0 1 3 - 0 0 9 2 1 * • • - 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2013 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 : $ 3,074.00 APPLICANT pERMIT FEE SCHEDULE 103.25 SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 1.54 10751 EXCELSIOR BLVD HOPKINS,MN 55343 MAIL-IN FEE 2.00 (952)277-1600 TOTAL 106.79 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 pertnit 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 requires separate pertnits. 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. 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 fo�due cause �/1`., � � l/��. / / Applicant Permitee Signature Date Issued By Sig ture Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOVE. . . > ' � ' City of 4rono . Building Permit Application for Maintenance 1 Replacement / Renovati�n (No structural expansion. Only w,indows, doors, ';siding, re-roof, etc.}; ��r Mailing Address: Permit number. �� /_� ' ��`i2/ PO Box 66 � �v� Crystal Bay, MN 55323-0086 Date received: ^'";�" /_'� � � �� Street Address: Received by: ,'�—�. ' s �'' 2750 Kelley Parkway plan review fee: `� L Orono, MN 55356 l�k�s�� 'T'otal Fee: Main: 952-249-4640 Fax: 952-249-4616 www.ci.orono.`mn.us This application form must be completed in full and all required information must be submitted. ' tncomplete applications will be returri'ed. {Please pnnt) ' GENERAL INFOF2MA710N: Job SitE Address: i � (,,(,C.�L t V1 e-' �fG� � Will this be a Parade of Homes, Remodelers Showcase Home o otHer Display Home? Yes �No !f yes,a specia!event permit is requlred with Police Qepartment and Cify Counci!approva!60 days prror to the event. Shuttfe bus service wi!!be required unless applicant demonstrates su�cient on-site parking is available. Non-permitfed events wi!!not be allowed. CONTRACTOR/APPLICANT INFORMATION: q ' Name: !1. �Y, S, 1..1�YVL�2-{� State License# �j Expiration Date: .� j �� Lead Certification Nurt�ber: ' Expiration Date: {for work on homes:that were consfnr i�ed prror to 1978 Phone: (cell) (office) ., f(p j� Mailing Address: 1 ; �� =- CQ S i d!� u Gity: ', ZIP: 5' 3 Contact Person: j✓f,$�a � Applicant i � ',Contra tor ! Homeowner (Cl�rcle One) Email and/or Fax: Cd,!✓1 fi�,y�dY� L 5�,��,(�g �ayy� PROPERTY OWNER INFORMATlON: Name: �� p� �� Phane(day}: r� (p;. Address: � � � City: �y'OHO ZIP: ��j;?jj� Email and/or Fax: PROJECT INFORMATION: Overall ro'ect descri tion: Type of Project: � Any earth movement may also re�uire ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Bivd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(speclry) ❑Siding , ❑Other. (specify) Fax: 952-471-0682 indow(s) ' www.minnehahacreek.ora Estimated Construction Valuation of Project(excludingjland) $ ' �v'7 4 , APPLICANT ACKNOWLEDGEMENT: ' • Agrees to'provide'all information required or requested by the Building Qepartment; ', • Certifies thaf fhe information supplied is true and correct to the best of hislher knowledge. The applicant recognizes that they are solely responsiblej;for submitting a complefe application being aware that iupon failure to do so, the staff has no alternative but to reject it untii it is complete; , ' • Some or all of the informatian that you are asked to provide on this application is'classified by State law as eifhe� private or confidential. Private data is information which generally cannot be given fo the public buf can be given to the subject:of the data. Confidentiai dafa is'information which generally cannot be given to either!the public or the subject of the data. Our p;urpose and intended use of this information is fo annually update our records and records of:other governmentai agencies requiretl by law. If ou refuse to su 1 the information;the a lication ma not be issued. Applicant's Signature: Date: �� Owner's Signature: Date: ' Last Updated:03/06/2013 ; , i �� ATE TIME � CITY OF ORONO CALLED IN I�.-, I ' l`z —�—�\ INSPECTION NOTICE scHe�u�eo �.G:�'r�'.� �L�dJ PERMIT NO. ZD i�`" COMPLETED ADDRESS � � � L � �.�`C� C f /`-�_ � OWNER ` � -` TELEPHONE NO. �J��'7��.// CONTRACTOR `5�� .5 . � DESCRIPTION �� 1/1 Cl��'= ��-' �/�7c� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORFJWETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v P PLUlABN�G,RI ❑ SEPT C FINAL ❑ FOUNDATION/REMOVAL � �nWNERICONFqACTOR TO MEET YOU:�ES_NO � COMMENTS: ��T'�"/'� F'�'�' � W C � J O ). � O � W � Q � 2 W � w � � J d � ❑WORKSATISFACTORY:PROCEED P T COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on sit � Inspector. White Copyllnspector's File Canary CopylSite Notice