HomeMy WebLinkAbout2017-01191 - windows � ,� �, CITY OF ORONO * 2 0 1 7 - 0 1 1 9 1 *
2750 KELLEY PARKWAY DATE ISSUED: 09/25/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 2675 SILVER VIEW DR
PIN : 33-118-23-42-0012
LEGAL DESC : MEYER DAIRY ADDN
: LOT 001 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 2,265.00
NOTE: REPLACE(1)WINDOW WITHIN EXISTING OPENMG
APPLICANT PERMIT FEE SCHEDULE 92.89
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 1.13
1920 COLJNTY RD C.WEST TOTAL 94.02
ROSEVILLE,MN 55113 Payment(s)
(612)502-4777 CREDIT CARD 8788 94.02
Minnesota State License#:BUIL-BC130983
OWNER
JACQUEMART,RICH&JENNIFER
2675 SILVER VIEW 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
revoked at any time for due cause. ,
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Applicant Permitee Signature Date Issued ignature Date
f t *r
C�ty Of �DrOno
Building Permit Application for IV��inten�nce I I�.enovation
windows, d�or� �9�iinr� rewrts�f .�t�.
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Maili»g�ddt�s9t �'�trnit nUmber; �
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����� Cryst�i E�ay,MN 5���3�066 i��t�r received: � —,
i�e�eived by:
��n�er Ad�r���:
� ; ` � 2750 Keii�y Parkw�y PI�t1 fevleW'Pee:
���� �'� �ronv. MN��356
�"ot�i Fee; � � ��a�-� � �
M�in: 852-a49-4600 �ax; 95�-��9-4fi'16 r •
7his application form must be complmted in fwil and alE r�qulred In�arrt�atlort must be swbm9tted. Y�
Incomplete applications will b� returned. (Pr�ase print} y� �C I
CaENERAL IN�'ORMATION: r� :'" • • `�
.lob Site Acidress: � �4�� � °��`J Nn
Yes
Will Chls b�a Parade of Womes,Remodeler�5�c�wcasa W�me ar oth�r blsp y y Ho�hQ e�,�ent. shurr/e 4us servrce w111 be
1f ys9,a specla/event permrY Is reqUired wlth Polrce l�epartment anrl Cr#y Counci!�pProv�!60 da s p
requir'ed unless appliCBnt demonstrates 8v�17cfent on�ite parking�s availab�e. Non-p9mriftcd evente w!!1 not be ailowsd.
CON?'RAGTQR/APPLiCANT INFORMAT10�1:
�a"��: �`C' ���K�� �xpiratian Date: 3 (3
�tste Licensa# G�30�
SU T� c��� Explratian Date: �j
L.ead Certificatlon Numher. _ $3 -' l —
(for wvrk on homes thaf were consb'ucioedprlor.fo 1878 `��) (cell)
Phone: �5�~ o�� " d�- zIP: �
Mailing Address: tiQ 1 •'G•, � �����'��' �'
C�ntact Person: Appticant ls: ntr� r / Homeowner cc�rose o�a�
Emaii and/or Fax:
PROPERTY OWNER iN�O�;AT10N: t� @
Natt�e;
�hvn�(day): �� �. . �- ' �lP:
,�dress: - ��tY_.
�mai!and/or Fax
pE20J�CT 1NFaRMA71�N: - p,ny ed�{�,ma�ment m�y requiro
*ype of ProJect: MCWD review 8�p�rmlts:
�QDDf��� � ❑ Remodel (��lrA�amag� �y���s�g�a 6ra�k Watershed Distrfct(MCWD)
�� �i� ��to��g��g� 18�tl2 Minna�onka�Ivd
(� E��ro�t,asphglt � - W t����I�aven, MN 553�i
[,� (��-roof,cedar �I��stargti�it �W�t�P���1�c�� �hone: 952Y4'�1�059Q
(�QtNer:(�psc . Fex: 85�a47�-0582
�F��-tbt�f,ot�ter(spectiy} �Sidin� �� ,,,,��inr�ettaha�rsek>orq �
[�Window(s) - _
_ _ � �. - ..r`o_ � .��, _� ���� o
[aver�ll �raject Descrl�t�on: ; �. a,
v
�stimat�d Canstruction V�luation of Wraj+�ct(�x�ludin iand �
APPt�1CAN7 ACKNOW�.EDGEMENT:
. Agrees to provlde all information required or requ9sted by the 6uilding C�epsrtm8nt;
• Geftifles th8t fhe information supplied i6 tfve �nd�orCSCt tb fhe bsst o�hl6/her knOwledgA, 'Th� appll�nt recognlx�s ihat thBy
are solery rgsponsible for submitting a cornplets applic�tion being aware fnat upan fai(ure tn do so,the staff has na altemative
but to reject�t untif it is complete;
• Some or a1i oi the ;nformatian that yau are asked to provide on this appiicatlon is classified by State law as either private or
conl5dentiaL F'rivate data is Infarmatlon Whlch generally �annot be given to the publiC bUt C8n be given to the subjeaf vf the
data. Confldential data is infnrsn�kton which g�nerally cannot b� giV�n to aither th� pub}ic or the subj�t of the dat2_ Our
purpose and Intanded use of this information is to annu8lfy upd�te our recoCds end recotdS of other goVBrnmenia! agencles
re ulred b law. ff ou refuse to su 1 the inform tlon the a If tlon mS n t be fssue�.
j-� �,l,ti.�'�'��"�.--� �ate: t������'
Anolicant's Sionature: �1,