HomeMy WebLinkAbout2011-00086 - windows CITY OF ORONO PERMIT NO.: 20�1-000s6
2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE ISSUED: 02/08/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 2350 SHADOWOOD DR
PIN : 27-118-23-32-0013
LEGAL DESC : SHADOWOOD FARM
: LOT 001 BLOCK 001
; PERMIT TYPE : MINOR ALTERATIONS
` PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTNITY : O/S BUILDING-iJNDEFINED
VALUATION : $ 7,100.00
NOTE: REPLACE 3-SMALL WINDOWS AND 2-LARGE WINDOWS
APPLICANT PERMIT FEE SCHEDULE 162.25
COMPANION CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00
3305 HARBORLANE N
PLYMOUTH,MN 55447- MAIL-IN FEE 2.00
(952)836-4806 TOTAL 169.25
Minnesota State License#: 20638527 PAID WITH CC# 1543
OWNER
LYNCH,PATRICK&MIA
2350 SHADOWOOD DR
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
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.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
rev ed at any time for d cause.
� �G o2 �i // �� ar 8' i / /
_ Applicant Permite gnature Date Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Feb081109;18a MERRITTRESTqRATION 3039538985 p,1
� �
. � � City af Orono . � '
;
� . ��uilding Permit Ap�plication for Internal Wor�c � `
� tw��t�dQws, d�oors, siding, re-roof, et�.) .
I�ellir�gAddress: �=�'a�rrii��n�4er'.'::�: '.��� '
•�� P08ox88 .: ; _ . , _ 1���� �"- ....::.: I
Q Crystal Bay, MN 55323-OOB6 `�Datei�eceitied .-`�.��...�'�.�`�`-;:`.:'%��:'-' .
:�- �,�-<� �, ,`•�—r--,;. . _ ;.�_, :
= .:.. � •:,-�:i. ,a::.
-�_;`,i �' .�r �f��•.°'.
,� � sa�ra�a►�ss: �,.,�eo��oea�y;�"::;�:i .: - ,. : �::� ��� � -
;rk; �-::� :r�.• ':�� .��'{'4Ab'r^Ji.
� 2750 Kelley Parktivay .�Pla rs� � �-`''�:Y.��;::�.,��"j�'��
� Orono,MN 55358 �� �1���•.:;.' -� :�.. .
-..�_•.::.,�,.: ... '� :: ��.�. -.�•��:,z:_•::.,,.
` - �.. f; t
' 36:181,'Fe `: ';.� .�::.;' ,:._�
� ' ..,., ��
�,�: `. -:�••;::.:•,.x, =}.:<
FeX: 052-249-�B16 -:'�.,,�.�.�•�`;>.,�'�''ha-i
Main: 952-245-4600 www.c�,;orono.mn.ue '�}-:��.;�` - - �_: ,��:;...--,:;�;r,,...
f.
This applica�n farm must be oompleted in full and all reQu�r-ed (nforma�ion must i�e sUbmitted. '
` {ncorn�[etie applicaf3ans wlb!be returned. {Pleese print) :
GEN�RA INFORMA�TION:��CD��L� fo���� �r �D ��' !✓3 C�
Job $ite ress: �7 /� Q J �7
Will this b �Parac� of Hontes, Remodelers Showcase Home or other Display Home? Yes No
lf yrea,a s,Recfel ewant permlt!s►eq�rfied wt�Poh'ce Departa�erM and Ci'ty Cow�dl a�ovel BD deys pnor to fhe event ShuGls(xes seFvfce vylA'be
requirad unless eppUcsn!damongUates sufRdanf an�slle parlafng�s avadable. Novrrpermltted everrts w(8 not be�fowed. �
I �
CON RACTOR!I�PT�ICANT INFORIWIATI . �/O� �
Na
( Sta Lic�nse# E�iralion Date: �-3� �OIZ -
Pf�w�e: office oell
Mailing Addre : � C : IP: S
Corrtact Perso : i G � ' Applicant Is: on or / vmeawner �cfrraaonel
Ema�andlor Fa�c: .G
PROPER WNER INFORMWTION:
Nsrne: — �
� Phone (day): � Q
Addr+ess: C' D!1 ZIP: Jr�3s�i
Emaii arrd�or ax ' .
PROJECT F(3R�Ai4TJON:
T �p Any earth movementmay require
y� - � MCVIID review 8 peFmita �
❑Door(s) Remodel ❑Waber Damage ' � ' '
Mi�nehaha C�ee1c Watershed Diat�ict(MCVWO)
- �'�fVindow(s� Rep�lr . ❑S'form Damage 18202 MEnnatoraka Sivd
Deepl�►aven,MN 55351
❑S{�ing Restoraaon ❑ane�: �specit� Phone: 952-471-0�80
Fax: 952-071-0682
❑R�.roof Fre Darna e vu�w�nF.minnehahacreek.a'`fl
O�erall Proj ct Dascrlptbn; - ` � G�f/ S
EsEimated C nstruation Yaluatian t�Project�excludin land � IO . -
APPL CAN ACKNOW DG�EMENT:
• !tg bo prvvide�aA intormatbn required�or requested by the Siiilding �epa�nent;
• Ce�i'i tf�at the iniormatlo�supplied is ttue a�d correct to ihe best of hfs/her knowled�e. l�e applicent recognizes that they
are a ly responsible for submittirtg a oomplete epptica�on being awars that upon feilura to do sa,the statf h�no alterrtative
b�to ject it until i is canplete;
• Some r all of the formaiion Ihat you are asked to pro++ide an ihis�eppl�Cation is classified by 8tate law as eithec private or
cor�d tial, Prlv data is information whlch generafly ca�ot be given to the{wblic but can be 8iven to the subject of tf�e
daCa, onfidenttal data is irzFormation which 8enerally carmot be glven to eitl-i�1�e public or the subjeot of the d�a. Our
p�rp anci tnbended use of Ehis information is to a�nually vpdate our r8ca�da and records of other governmental agendes
re �f b law. If �refuse ta su the information the a Gcadom m �ot be issued.
• � Q'� /
Ap�licant's Si na�t�ue: � Date: � v �!�
� .
��t updac�: o oos �
i ► �