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HomeMy WebLinkAbout2018 - 00401 - windows I T' CITY OF ORONO 1111 11 111 1111 1111 111 1111 11 2750 KELLEY PARKWAY DATE ISSUED: 04/04/2018 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2075 WEBBER HILLS RD PIN : 03-117-23-34-0025 LEGAL DESC : WEBBER HILLS : LOT 008 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES VALUATION : $ 39,570.00 NOTE: REPLACE(19)WINDOWS WITHIN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 603.02 STATE SURCHARGE(VALUATION) 19.79 RENEWAL BY ANDERSON TOTAL 622.81 1920 COUNTY RD C.WEST Payment(s) ROSEVILLE,MN 55113 CREDIT CARD 8788 622.81 (612)502-4777 Minnesota State License#:BUIL-BC130983 OWNER MCKEAND,MICHAEL&JENNIFER 2075 WEBBER HILLS 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 Building Code.This permit may be revoked at any time for due cause. D / 6-74A,,,g;d) 6 T��7"�0 �� v ,/s2 PP A licant Permitee Signature - Date Issued By gnature Date # r-. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) . • Mailing Address_ Permit number: 0" ©l d-. E38 pate received: '�y"a 0.1 Pa Box Crystal Bay.MN 55323.0066 - Q Received ay: %c..I ":,V.,, Street Address: t6,,A. �'• 2750 Kelley Parkway Plan review�fee: ��' kr:tit iso Orono,MN 55356a , C Total Fee: Main: 952-249-4600 .. Fax: 852-240 4616 . .. This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: S Wt, *. \ Job Site Address: r No Will this be a Parade of Homes, Required emoddeith l fer ce Showcase eoe case Oily Home me o other Disdays prior m h event. Shuttle veA bus se• o be If yes,a spec/of event iapplicant unless demonstrates sufficient on-,gJte p6rking is aveAablQ. Non-permitted events will not be allowed- CONTRACTOR/APPLICANT INFORMATION: Name; rset - - Expiration Date: 3 3! State License# �C.\30113-6Expiration Date: Lead Certification Number: _ __S,._1-,29-r 3 (for work on homes that were constructed prior to 1978 (cell) (oS 1- oZ • -4.0 (office) Phone: A City: � .s; C. ZiP: � Il'3 Mailing Address: IS . b .. 1 .• `• s• we Contact Person: _ Applicant is: ..on ra tVII / Homeowner (crmle one) Email and/or Fax: PROPERTY OWNER INF RMA;ION:� - �� Name: Phone (day): l - City: ZIP: Address; _ Email and/or Fax PROJECT INFORMATION: Any earth movement may require Type of Project: MCWD review&permits: [7 Door(s) 0 RemodelFire Damage Minnehaha Creek Watershed District(MCWD) Storm Damage 18202 Minnetonka Blvd Re-roof,asphalt Repair Deephaven,MN 55391 0 Re-roof,cedar 0 Restoration 0 Water Damage Phone: 952-471-0596 Fax: 952.471-0682 [ Re roof,otfier(specity) 0Siding (specify)Other: one ha ee c.S [I Window(s) CA Tin ., L-4--)S r(� ! S r Overall Project Description: ' Estimated Construction Valuation Project exciudin. land) $ • 5 nD — - APPLICANT ACKNOWLEDGEMENT: Agrees to provide all Information required or requested bythe Building Department;• edge. The applicant recognizes that they Certifies hat the information supplied is true and correctto being awarelslher that uponvfaiure to do so,the staff has no alternative are solely responsible for submitting a complete app but to reject it until it is complete; • Some or all of the einformation dat ais information thatare which generally asked to provide annot be given'totion is classified the public but can be State en to thesubjectof the data- . Private data is public or pure ed intConfidential data ise of failtionghe subject of the data. Our m " re,uired b law. if ou refuse.td-,.u.•,i _the information thee.•lir=tion ma not be Issued.. Applicant's Signature: Date: 3,46