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Home My WebLink About2011-00966 - windows � . � CITY OF ORONO PERMIT NO.: 2011-00966 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 08/30/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 680 MINNETONKA HGLD LA PIN : 06-117-23-44-0004 LEGAL DESC : MINNETONKA HIGHLANDS ESTATES : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 12,000.00 NOTE: REPLACE SIDING AND WINDOWS ON BACK&SIDE OF HOUSE APPLICANT pERMIT FEE SCHEDULE 221.25 SOBERG,PAUL&KARI STATE SURCHARGE(VALUATION) 6.00 680 MINNETONKA HIGHLAND LANE TOTAL 227.25 LONG LAKE,MN 55356- OWNER SOBERG,PAUL&KARI 680 MINNETONKA HIGHLAND LANE LONG LAKE,MN 55356- 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 requires separate permiu. 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 nuli 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 e t' for due cause. _ , , r, , , Applic itee Signature Date Issued By ' nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB VE. b�e: � City of Orono : „ i Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 0�.,�,j�O PO Box 66 �;, Crystal Bay, MN 55323-0066 Date received: ,a �:� s. Street Address: Received by: ��.�n �,�q„ �ti 2750 Kelley Parkway Plan review fee: kESH 4� Orono, MN 55356 Total Fee: 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: � n . �� Job Site Address: U �O ( /!1�e tU�K � - � L� �, �jl - Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required wifh Pofice Department and City Councif approval 60 days prior to the event. Shuttle bus s ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will nof be allowed. CONTRACTOR/APPLICA,N�T INFORMATION: . Name: --�- - �" �x: State License# Expiration Date: ;K;:. Lead Certification Number. Expiration Date: (for work on homes that were constructed prior to 1978 ��; Phone: (office) (cell) "�� Maifing Address: City: ZIP: '` :`;, Contact Person: Applicant is: Contractor / Homeowner (Circle One) '.� Email and/or Fax: �� .[�F PROPERTY OWNER INFORMATION: Name: '� 5v Phone (day): 3-' C�l"2- ��C� ��6 75 Address: � � ' City: �/ ZIP: �S .35�6' ? Email and/or Fax �� b - . G ,� PROJECT INFORMATION: r� Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�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 `�,9 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: � � - �--j� �, �ie Q4Js vy1 b�C,c�C cl-,se �'s UF �u�� Estimated Construction Valuation of roject (excluding land) $ , O(J DlJ � APPLICANT ACKNOWLEDGEMENT: 4�" • Agrees to provide all information required or requested by the Building Department; f":"' �. • 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 u I the inf rmation,the a lication ma not be issued. c..___ ----� � � � * ', ApplicanYs Signature: Date: �� U� l� Last Updated: 08-09-2011 / TE TIME V CITY OF ORONO CALLED IN � ' INSPECTION NOTICE SCHEDULED - - 3: CT� PERMR NO�Q1/- Bf��i ro� COMPLETED ADDR � OWNER EL PHONE NO. CONTRACTOR � � DESCRIPTION �(/«� � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ��FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAHD COVER REMOVAL J O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 �NNERICONTRACTOR TO MEEf YOU:_YES_NO r � y COMMENTS: _ S/a�K G e4 4J�I�tdo rr � � Qf i p L 4� �r0 r C�PI�� 1 �G/ I✓�N Gbr✓1 � �- �4a�S �— l,1orle �-,�t�l�tc � � ° 5�� CD-�nl�fc �- W � R Q • � �Grw►.f" �/!?rl@� W W 0C j � ❑WORK SATISFACTOFlY:PROCEED �W ECT COMPLETE � ❑CORRECT V1fORK 3 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: �k f s ! � Inspect w White Copyllnspector's File Canary CopylSfte Notiee