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Home My WebLink About2011-00367 - windows CITY OF ORONO PERMIT NO.: 2011-00367 2750 KELLEY PARKWAY . � �' ORONO, MN 55356- DATE ISSUED: OS/19/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2824 CASCO POINT RD PIN : 20-117-23-32-0006 LEGAL DESC : CASCO HEIGHTS : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED � VALUAT[ON : $ 9,300.00 NOTE: REPLACE 15 WINDOWS APPLICANT PERMIT FEE SCHEDULE 191.75 EXECUTIVE EXTERIORS& REMODELING STATE SURCHARGE(VALUATION) 4.65 4205 LANCASTER LANE TOTAL 196.40 PLYMOUTH, MN 55447- (763)432-4677 Minnesota State License#: 20592356 OWNER SLOAT, BRIAN& CHRISTINE 2824 CASCO PT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfonned according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pennit 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 whe[her or not specitied 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 atter work has commenced. The applicant is responsiblc 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. /�'(�]11.LZ,� �l��D.�� .� � I I � ��' �l / / �pplicant Permitee Signature Date Issued By Sig� e D te SEPARATE PERMITS REQUIRED FOR WORK OTHER TH DESCRIBED ABOV City of Orono Building Permit Application for Internal Work . (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �j,�,�. PO Box 66 � �� 0 Crystal Bay, MN 55323-0066 Date received: I ��,`' ' Received by: `,� � � �, Street Address: '�,�, ;�. �� ti 2750 Kelley Parkway Plan review fee: L9kE3804'� Orono, MN 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 INFORMATION: Job Site Address: ,Z[��'"� �C,'��v F�� i�1� F�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special event permit is required with Police Department and City Council approval 60 days prior 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/APPLICANT INFORMATION: t Name: E�C�� ,�ive ��1�.,�'��(� � �i?�MocJ�P_�� State License# �(�,5q23�6 Expiration Date: 3,3i_ �Z Lead Certification Number: �JA T_2�Z�,.�,� Expiration Date: � ._� -�'j_ �S (for work on homes that were constructed prior to 1978 Phone: 7(�3-`�_��-- ��7 7 (office) b/2 -s�/lj''- d��'j 6 (cell) Mailing Address: 3 �f Q �J City: / �Uv ' ZIP: 5 � Contact Person: � ��<e Svv.��f.S Applicant is: on / Homeowner (Circle One) Email and/or Fax: �Lk� � eX��.�yf i�le._P Xf2f�dr5. G��'''2 PROPERTY OWNER INFORMATION: Name: L��i(i/1 s��«� Phone (day): "76� - �_S 6 Address: �' CaSLQ � City: (�� ZIP: T�_�� Email and/or Fax �5/c�c�f��i �dbb-ns� �le.,�'�A+1. J.5 PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: �(��Iuc�. �S 1�� 5 Estimated Construction Valuation of Project(excluding land) $ yi 3�;� 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 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: �,-Q��- Date: � -' �y ��t Last Updated: 03-01-2011