HomeMy WebLinkAbout2010-00944 - windows CITY OF ORONO PERMIT NO.: 2010-00944
� M • 2750 KELLEY PARKWAY
r`� ORONO,MN 55356- DATE ISSUED: 10/06/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 700 SIXTH AVE N
PIN : 25-118-23-32-0003
LEGAL DESC : UNPLATTED 25 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 6,737.00
NOTE: (3)WINDOW REPLACEMENTS INTO EXISTING OPENINGS
APPLICANT pERMIT FEE SCHEDULE 147.50
PELLA WINDOWS&DOORS STATE SURCHARGE(VALUATION) 5.00
15300 25TH AVE N.-SUITE# 100
PLYMOUTH,MN 55447 TOTAL 152.50
(952)345-6047
Minnesota State License#:20165884
OWNER
STEINER,BRUCE
144 EDGEWOOD AVE S
WAYZATA,MN 55391-
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 pertnit 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 goveming 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 consWction 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 time for due cause.
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Applicant Permitee Signature Date Issued By Sign re ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER T DESCRIBED ABO .
..�r� � 10/MON 04: 17 PM P. 002
� � '��
, io(
City of Orono . ;
Building Permifi Appl�cation. for �n�ernal Work , .
(windows, doors, siding, re�roof, etc_)
MailingAddress: Permlt number: �a��7�
O.g,O,�Q PO Box 66
Crystal Bay, MN 55323-0066 Date received' �% l0
� ,, StreetAddress: Received•by:
�,� � �! �tiF 2750 Kelley Parkway � Plan revlewfee:
�`�k�sxo,i,,�• • Orona, MN 55�56 � ��� ,�
Total�ee:
Mdlll: 952�Z49-4600 Fex: 952-249-4616 www.ci.orono.mn.Sl�
This applicaiion form must be compivtcd in fuil and all rcquir�d information must be�sulamitted.' . ,
� , • • � lncomplete applications w1li be returned. (P/ease prinfJ ,
GENERAI� INFORMATION: � / y� A � � , � . .
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...._........_._..... .._.._...._.
Wfll th►s be a Parade of Nomes, Remodelers Showcase Home or other D1�play Home? Yes � No
/f yes, e spBcla/event permitls requ/red with Police D�parlment and Clty Council epprove/60 days prior to the event. Shutt/e bus servlcs w/l/be
rcqulred un/eRR appllcant derrronstrakes SufflClent On-si�e peiklnp 15 aVellab/e. Non-pe1'm/lfed evenfs w!!!nOf 6e ellowed. . .
CQNTRACTOR/APPLICANT INFORMATION: � � � .
Name: � .
5tate License# Pella W'indows &Doors
Phone: ., --15300 2�th ,Ave�T. Ste 100 (ceIIL
Mailing Address: . p�y���.outh,�I�T�55447 ziP:
Contact Person� Z,ic�#20165884 Pl�. 763!745-1�100 °meowner ������o���
Email and/or Fax; nd` dD �/�tI' ,� /�,�5
4s� ��34s •4ay7
PR�PERTY OWNER IN�ORMATION: � � �
� Name: �
Phone(day): L I ? a - 7 6 �
Address: �T o o 'S t r F �S �v�t c�ty: �l'�S� Z�e� �'e z�P: S S 3 9 ./
7 .
Email and/or Fax
PROJ�CT 1NFORMATION:
Type of PfoJeCt: � Any Qarth movement may raquire �
. MCWD revlew& Dermits
❑ Door(s) ❑ Remodel ❑Wat�r Dam�pe
Minnehaha Cresk Watershed DistrlCt(MCWD)
Window(s) �Repelr ' (] Storm Damage 182D2 Mlnnetonka alvd� �
Deephaven, M N 55391
p Siding ❑Rest01'ation ❑Other:(apecl'Fy) • Phone: 952�471-0580 �
Fax� 952-a71-06B2
0 Ra-roof ❑Fire Damage •� www.minnehah k.or
Ovefall Pr�ject Description: 3 w,n C(v W- /'` � G J�I t / � l•� 0 I �'
Estlmated Construction.Vafuation of Project (exclu ��g land) $ (, '] � '� � , . .
APPLICANT ACKNOWLEpGEMENT: �
• Agr�:es to pfovide afl info�matlon r�quired of requested by Lhe Bullding Department; • ' •
• Certifies 4hat the informatlon supplied IS true and correet to the best of his/her knowledge. The appllCant recognizes that they
" are solely responsible for submltting a complete application being aw2re that upon fallure to ao so, the staff Ytas no altemative
but to reject it until it Is Complate;
. 'some or a1l of the Information that you are asked to provide on this appllcatlon is classified by State law as elther private or
Confidentlal. Prlvate data IS Infofmation whiCh generally CannOt be given to the publfc but can be glven to the subject of the
data. Confidential data is informatfon which generally cannot be glven to eltner the publle or tYte subject of the data. our .
purpose and intended use of this irtformation is to annuafly update our records and records of other governmental ageneies
fequiretl b law. If ou refuse to euppl thc Infotmstion the a IlGatipn ma not be issuQd.'•
ApplicanYs Signature: pate: r� j Y ` � �
ated: S-Oa-2009 �
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