HomeMy WebLinkAbout2011-00569 - windows CITY OF ORONO PERMIT NO.: 2011-00569
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 07/OU2011
952 249-4600 FAX: 952 249-4616
REPRINTED ON 7/1/2011
ADDRESS : 825 BROWN RD S
PIN : 10-117-23-21-0008
LEGAL DESC : CARRIAGE HILL
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 2,264.00
NOTE: REPLACE(2)WINDOW SASHES AND LINERS
APPLICANT pERMIT FEE SCHEDULE 88.50
SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 1.13
10751 EXCELSIOR BLVD
HOPKINS, MN 55343 MAIL-IN FEE 2.00
�9s2�z��-�60o TOTaL 9i.63
Minnesota State License#: 20239369 PA[D WITH CC# 3989
OWNER
PARADISE, MARTIN& BRIDGETT
825 BROWN RD S
LONG LAKE, MN 55356-
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 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 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
rev ed at any time for due ause.
Applicant Permitee � nature D�! / , � �" / /
Issu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
. �un, �0, 2011 3: 08PM No. 7529 P, 1
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City ofi Orono
Building Permiti Application for Internal Work
(wlndows� doors� siding, rc-roaf, ctc.)
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Thls appllcatlon lorm muet be completed In tUll 3nd all required inform�tion mus�be�uDmitted,
Ineomplo�e appllc�clo�s wIU be rewrn ea. (Pleaee p�lnq
GENERAL INF�RMATION;
Job 3ite Address: �]a� (��Wn �`�
WIII thls be a Parade of Homes,Remodeiers Showcase Home or�other Diepley Home'? Ye; No
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CONTRACTOR/A,PPLICANT INFO AT10N;
Name: Jc.��vw'� �`:
5tate License t� �0 4:�_.... _ EJcplrstlon D3t8:
Pl�u�ia: S�—� '7 7— G v c'� o�ry3 ..�cel�)
MaiGng Address� c>> E' � • � � Cit • , ;�i s �ZIP: :S�S�
Contoet Por�on: ���-�� I«.,d;v��c I,�; Applicant is: (Contra o, ! Homeowner �ci�eieonei
Email andlor Fax:
PRaPERTY�1NNER INP�ltMAYION: �
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Nhanc(day): �
Addross: jl �:_ City: �,rc�.o ZlP: L5?�,�� ]W
Email and/or Fax �
PROJECT INFORMATION;
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OvBYell ProJeCt Description: Qp qL� �, ���,�,�� e� 7a,�,�j /�har�, ` „
estimated Constructlon Valuatlon ot Pro)act(sxcludlog lantl) ��'� �b �
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APPI,ICANT ACKNOWLEDGEMENT:
• Aqroor to provlde sll inFormation required or requcMcd bv 1hc Building bepartmant
• Cartrnas thsi the informaiion supplied�,uue and oorr�cct to ihe beat oi hialher knowledpe. The applicant recoenizea that ihey
are solely rYyinnsll�lr.f���.ul�rniUin��comp�vle application being awaro th�l upon t111uri to Co so, qte etaff has no slternative
6ut io rejact�t until it�.oomplctc;
• Some ar all of the information that you are asl�d tu yruvi�fC u�i ui�s ep�,licaliun i���assiA�rl hy Srar�law�s elth9r phvate cv
r.nnflAanflal P►Nate Ca[a is informesian whicn 9enotaqy cannof be given lo the public bu1 ran be qiven 10 thc�ubjcot ef thc
de1a. Confideniial data is infom�dtion Whii:h �encr•dlly�nnul he yivpn tn eAhsr thp puhtlr.nr thP Qiih�rxr.t ni thp tla�2. Our
�iir�n.¢�anrl Intended u5e Of this intorma[ion is 1a�nnually updste aur re�rde 3nd recorclC Of othc�QOYcrnmcntql opcncico
rC uiPCd b low. I u refu9e!o su I !he infortnation tha a licafic,i�nr., nid hr 4kwr"I
Applicanl's Signeture� �� /,���".- Date; �/�1���
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Lasl Updated: 05-0•}-2009