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Home My WebLink About2014-00654 - windows ` CITY OF ORONO * Z 0 1 4 - 0 0 6 5 4 * 2750 KELLEY PARKWAY DATE ISSUED: 06/26/2014 ORONO, MN 55356- (952 249-4600 FAX: (952) 249-4616 ADDRESS : 3382 SHORELINE DR PIN : 17-117-23-44-0100 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 005 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 3,000.00 NOTE: REPLACE WINDOWS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 88.50 Narrows LLC STATE SURCHARGE(VALUATION) 1.50 PO BOX 36 TOTAL 90.00 NAVARRE, MN 55392- Payment(s) CHECK 3116 90.00 OWNER Narrows LLC PO BOX 36 NAVARRE,MN 55392- 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 S[ate Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate 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 are requested in conformance with the State Building Code.This permit may be revoked at any � e for due cause. _ / / pplic t Permitee Signature Date Issued By S' ature Date � City of Orono � t � � �3uilding Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O . `O Mailing Address: Permit number: �/ — C� 1V PO Box 66 Crystal Bay, MN 55323-0066 Date received: �o-?1v-f Street Address: Received by: y G` 2750 Kelley Parkway Plan review fee: `� Orono, MN 55356 �� qkESH� Total Fee: 90� 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: q J Job Site Address: ��",j p � �fj' or P J� dt� J�/'� Will this be a Parade of H es, Remodelers Showcase Home or other Dis pla y Home? ❑ Yes [�F� If yes, a special event permit is required with Police Department and City Council approva/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: State License# iration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) �ce) Mailing Address: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��y� 0.�5 �� y� Phone (day): �f� � ��r,��-��) Address: �� City G y�{��`� I P:�"'S Email and/or Fax: PROJECT INFORMATION: Overall project description: >'� C�- Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 [�'�Vindow(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ C�f' 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 required by law. If ou refuse to su I the information,the a licatio ma not be issued. ApplicanYs Signature: Date: .6 �'0�1,6 ` � Owner's Signature: Date: Last Updated:03/06/2013