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Home My WebLink About2010-00986 - windows � CITY OF ORONO PERMIT NO.: 2010-00986 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/12/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 60 SM[TH AVE PIN : 02-117-23-21-0003 LEGAL DESC : ORONO ORCHARDS : LOT 041 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 5,000.00 NO"I'E: REPLACE 7 WINDOWS& 1 ENTRY DOOR APPLICANT PERM[T FEE SCHEDULE 118.00 RYAN HOMES, INC. STATE SURCHARGE(VALUATION) 5.00 201 CARVER CREEK PLACE CARVER, MN 55315- TOTAL 123.00 (952)368-4415 Minnesota State License#: 20351340 OWNER BONNETT, THEODORE 60 SMITH AVE WAYZATA, MN 55391- ACREEMENT AND SWORN STATEMENT fhc work for which this pennit is issued shall be performed according to the approvcd 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 consVuction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of]80 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. j� /��/ %� / /C/ / / Applicant Permitee Signature Date Issued By S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOV � ' City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: � g,0,�. PO Box 66 � Q � O Crystal Bay, MN 55323-0066 Date received: � a �3�G�;� �, Street Address: Received by: i�, �'�, fz `6`� �ti 2750 Kelley Parkway Plan review fee: �� L9kE5i;�4'� Orono, MN 55356 — Total Fee: 4 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: �~� r� Job Site Address: /'� � ��.,;� ;� o� �=� i I �c' .� " �' Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes ❑ No � 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 6e �� required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: - Name: ,�v�l-ti �o:�,cs /nc�. ; State License# Z 3S/3�iG Expiration Date: 3-3i-/Z Phone: 9SZ -�6�-5�y�.5' (office) Ei,2 -ySa- ��fG (cell) Mailing Address: Z� r C��L�� C'��,� �L�� City: C°�,�G�,e ZIP: s�3.:S� Contact Person: �,�, ,L�y.�� Applicant is: on rac / Homeowner (Circle One) Email and/or Fax: ,Q1i,�,�..-,��hE'S �`' £tii.3�,L .C.� � �}/G , c'o� ISZ--3�i- y y�s'" PROPERTY OWNER INFORMATION: � Name: �,. ��,�.. �� ¢ .�v � �G�.+, Sc�,� Phone (day): �� - �i�._ y��e• Address: �",G• 5�i �r/� ff/it Clty: �/�Gy�i ZI P: Email and/or Fax s�s; � f�L,e,,�,� ,3 C�' iy,c,h'S�. , �"��, PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �Window(s) J�'Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration �Other: (specify) Phone: 952-471-0590 /-�p Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage c. ��' �/G��n�v.<.' www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ ,�G��.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; 4 • 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. Applicant's Signature: �� Date: �U ��z �/U Last Updated: 05-04-2009 ;t �