HomeMy WebLinkAbout2005-P08526 - windows PERMIT
CITY OF ORONO Permit Number:
2750 Kelley Parkway- PO Box 66 P08526
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 4/4/2005
SITE ADDRESS: 1180 Tonkawa Rd
LONG LAKE,MN 55356
PID: 08-117-23-13-0006
DESCRIPTION:
Proposed Use: Residential
Permit Class: Building Census Code O/S-Building
Permit Type: Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 139.25 Valuation: $ 6,200.00
State Surcharge Fee: $ 3.60
TOTAL FEE: $ 142.85
APPLICANT: Harmony Homes Inc. OWNER: R E ENGEBRETSON ET AL
3158 Viking Blvd. 1180 TONKAWA RD
Wyoming,MN 55092 LONG LAKE MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
APPLICANT PE IT
ITEE SIGNATURE SSUED BY SIGNATURE
Conies: 1-File(Sienitures Required), 1-ADnlicant, 1-Monthlv Reports. 1-Assessine, 1-Finance Page 1
01/15/2005 09:21 7634344933 HARMONY HOMES INC PAGE 02 I
T-ATT F•00=/000
Jan-W2005 00:33u F roe-CITY OF Oi0110
Total Fee: S �a P0� '
Entered By.
CITY OF ORONO -BUILDING PEWWr APPLICATION
AJI inforMSUOU must be submitted in fuplea rrriew wM be varted.
�\\ (please print all I nArmatiOn)
THEe�pPLlC.ii,YT IS: (elrcle one) OWNER OR ONTRACTO
JOB sM ADDRESS: ,j4�T'onl,u -ZII': 55
Will this be a P&rVM of Bowes,Remodelers Showcase Home or other Display Home."
Yes LZ No yyes, a special event pemit is required with Police Department and 61y
Council approval 60 days prior to the event. Non permitted events will not
be allowed.
�,�� :
N,a,�til'E OF Oy�� ��R: t �h�c 2��-1?gin PHONE: (home)
MAILLYG ADDRESS: I ISb Toti6vok, koad CITY: Q r°1*0 ZIP: 535GI—
CONTRACTOR: Ilwrw�s ,�c- (PHONE: �_63-y13•ilo�
CONTACT PERSON: >�' A alA&Wk � MOBILEIPAGER:
MAILING ADDRESS: VI' CITY: hn ZIP: �_
STATE LICENSE: #—A—r--AD S O
ARCHTrEC'T/ENi GLNFEPU k$OYE:
1NIAILING ADDRESS: CITY • _._-�
NAME: REGISTRATION#
TYPE OF WORK: New Accessory Struature
Addition Move
Remodel/Alteration V Land Alteration
PROPOSED WORK(describe in da-da):
atm n, �l cct•Sl - N A:0-
STORIES:, SQ. FEET OF EACH FLOOR:�•
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET., .,
ESTIMATED CONSTRUCTION VALIDATION (excluding land): S •O ti
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the
work will be in confoxma nce with the ordinances and codes of the City and with the State Building Code;%l at I
understand this is not s permit and work is not to staff without a permit;and that the work will be in accordaaee nth
the approved p1m.
APPLICANT'S SIPN ADATE: 3-Ir-or
03/15/2005 09:21 7634344933 HARMONY HOMES INC PAGE 03
n
Jura-2006 00:3389FrtarCITY OF OROS taQ2240�At8 P-r7T P.003/003 F-066
9ea.11 M R143190 Of W=C"OF DATA
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daft• The dote of JudivWyal on whom the date le Stowed or a be W"d&M be u tot mu in thb faedoo.
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pAT PRIVACY ADYYSO,j
In accordatlee with MS.13.04,8ubd.2,"Rights of subjects of data",we would like to inform you that your request
for a permit or license from the City of Orono or say of its deparlments tray require you to furtlish certain private or
confidential information.
You are named that:
I. The information you burnish will be used to determine your qualifkation for the permit or 6ceaee requested.
2. You OW refuse to supply data,but refusal any require that the city daily the permit or license.
I The informatieA any be shared with other local,state or federal agencies to the extent necessary to process
the permit or license.
4• U your requested permit or license requires Conned aedon to approve,some information may become
public.
S. You have certain rights under XS.13.04(available upon request)to review private data an yourself.
6. Your hell name D required to process this applieatioe or permit.
B dA UrO- Alen-
First Middle Last
3 (s 1u' �•
Addrent
S-fm- . 760m- /IOU
Cid State Zip Phone
I understand my rislits as stated above.
Signature
i
03/15/2005 09:21 7634344933 HARMONY HOMES INC PAGE 04
01/24/2095 09:33 7635933997 MCMANLra PAGE �2
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Plan Review Submittal Ch"kNet Cbeck Below for Enem Code COMPliance
Cqde information Handout(Noa-Residential)
Chapter 7670-Category 1
�—Cc rnpleted Application Chapter 7670-Category 2
T7c Legal Surveys (remodeling only)
TWo Complete SM of Pima-Residential Chapter 7672
T o Complete Sets of Signed Plus-Commercial
e Energy Calculation Chapter 7674
Permit an Pian Review Fee are based on 2004 LMC/AMM Recommendation,
�rOV•�O r n'wL irl,::. •..al,ha.:.y�,�'��xl•n, +,iSi'x:'.: a•rl::a
Estim Value of WorkS C"��y ,.-,rH. :,�- sr.•.,„ •�.l: A,,:.:;w.,, y
1. n..,r ,ry•ti Ir•i L... :.•..i
, ��� 9,:I�nv-:..n ll'�x: •`•ii I�n:�:.j„
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2 Floor
; .VW 1� 'ra•�^,I;v l "�lis.r,r�1,,:mow"
.Ft.per F]Above 204
r.,,, .x. I ,,.. �;s` ra.•x..a .�..:�-: ;'
r'�\ri,lr��Ir�,{""ay',^,'.;,v�W' �ba•c•i:i jl�:�'!i'+I�wM�I'I rl�ir�n.�',rii l"Z�.!•�.wad'.�„i��ii:l,�i.�a,:
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:,i. I.rr..•r•L,,.�4r,•I,1..!i:.^;;'.Iw.•r�a•l: ""^`s�'I'Y'i�..,r...,yl '
Total Scluart Feet
Dara Attached
�M,..:'nm•,u:r:•�i•'"�„�.I,r0.1u•i'+•r•,VW ' air:^�i•1 nr rr •�•
e Detached
;a;�a.;;w�.�rl�„'.��.?1 1.�,;,!�:';;,�c;:�a�;,;:;;M���;�,.�;,:�•�,-,�,w�„:�:::� • '•
a.Tr'„...' '.:,P�;"��.;r«,�nf•4.,.d -"In, I:Lf .I '0"•}'d••r�r.
Length Width Stories Occupancy Type Construction Type
The andetsigned hereby represents upon all of the penalties of the law,for the purpose of ibeluding the City of Golden Valley to take
the action herein requested,that all shftinenb are true,and that all wort:herein will be done in accordance with the ordinances of she
City of Goldcn Valley and the State of Minnesota-
Appitcanys sigAnture Date
Thiq permit sholl be null and void if authorized work is not started within 180 days o�if work is suspended or 9bandoned for
190 days or more after work is started.
❑ Grading permit not required. ❑ Grading permit approved.
signature /Dalt signaruri! - l Date -
permit Approved By: Date Approved.;
I
03/15/2005 09:21 7634344933 HARMONY HOMES INC PAGE 01
i
FAX COVER SHEET
DATE: March 15th, 2005
TO: Denise (City of Orono Inspections Department)
1 of 4 with cover page.
Following is our application for a permit to install replacement windows.
Please "key in." and call with the dollar amount of the permit. We will then
stop in with a check to purchase the permit.
Sincerely,
Brian Allen
763413-1100
FROM: Brian Allen
HARMONY HOMES INC.
3158 VIKING BLVD. N.E.
WYOMING, MN 55092
763-413-1100
763434-4933 (FAX)