HomeMy WebLinkAbout2018-00381 - windows CITY OF ORONO I I I I I I I I I II II I I I II I I I I I I II I
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2750 KELLEY PARKWAY DATE ISSUED: 03/29/2018
• ORONO,MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 705 OLD LONG LAKE RD
PIN : 36-118-23-32-0006
LEGAL DESC : REG. LAND SURVEY NO.0988
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 30,951.00
NOTE: REPLACE(9)WINDOWS
APPLICANT PERMIT FEE SCHEDULE 501.41
STATE SURCHARGE(VALUATION) 15.48
SCHERER BROS LUMBER MAIL-IN FEE 2.00
10751 EXCELSIOR BLVD
HOPKINS,MN 55343 TOTAL 518.89
(952)277-1600 Payment(s)
Minnesota State License#: BUIL-BC239369 CREDIT CARD 3281 518.89
OWNER
GOPINATH,AMAND&MARIAN
705 OLD LONG LAKE RD
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 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 are
requested in conformance with the State uilding Code.This permit may be
revoked at any time for due cause.
(/)
Applicant Permitee ignaure Date Issued B gnature Date
Vla r. 29. 2018 3:44PM No. 4487 P. 1
City of Orono
Building Permit Application for Maintenance/Replacement I Remodel I esid0rl,Uial'IONLY.
(i.e. windows, doors, siding, re-roof, etc.--NO STRUCTURAL EXPANSION)
Mailing Address:
W
Pertnrt number
PO Box 66
Crystal Bay,MN 55323-0066 Date,received..
Street Address: Recelvert by
' 2750 Kelley Parkway Planreie'W fsOronoMN 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 INFORMATI �^y/ / /
Job Slte Address: 03 V!G- (6.-)„?
�a / rel!
Will this be a Parade of Homes,Remodelar*Show ase ome or other Display Home? ❑Yes ❑ No
If yes,a special event permit is required with Police Department and City Council approval BO days poor 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 I APPLICANT INFORMATIO •
Name: Cij' (--e.k--- ,rz)S _ Ql
State License# r7j •' (P aler
Expiration Date: '5( 4 ( D
Lead Certification Number: O` ! c — 2 _ Expiration Date: C \ 7 2(1
(for work on homes that wore constructed prior to 1978
cJ C!
Phone: (cell) (office)
Mailing Address: r C-�. <5 C.—Ir w i City:' /�S ZIP:
Contact Person: '0,���` ' • •pplicant is: •.n rac •f / Homeowner (circle One)
Al
Email and/or Fax: 0 . , al&4A r rr-, c� ) 6
PROPERTY OWNER INFORMATION: rrnn (nr �� �,-�^�,-�•�
Name: A0rl lanofil 6I?,1l pct
`
Phone(day)! + r
Address: — r r 0� �� City: tt' ) 1n) f Z l "ZIP :
Email and/or Fax:
PROJECT INFORMATION: Overall project description: ._-
Type of Protect: Any earth movement may also require
❑Door(s) [i]Remodel ❑Fire Damage
MCWD review&permits:
Minnehaha Creek Watershed District(MCWD)Re-roof,asphalt ❑Repair ❑Storm Damage
15320 Minnetonka Blvd
❑Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka.MN 55345
❑Re-roof,other(specify) siding Other:(specify) Phone: 952-471-0590.
Fax: 952-471-0682
Window(s) www.minnehahacreek.orq
Estimated Constructio Valu on of Project(excluding land) $ 309S-1
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 inform tion is annually update our records and records of other governmental agencies required by law. If
you refuse to supply(►►��ein f rmati the application may not be issued.
Applicant's Signature: LJ
Date: 3
9 l� ,a- ,) y."
1
Owner's Signature: Date:
Last Updated:January 2016