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Home My WebLink About2014-00411 - windows CITY OF ORONO * z � 1 4 — 0 PJ 4 1 1 * ` � 2750 KELLEY PARKWAY DATE ISSUED: OS/27/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2980 CASCO PO1NT RD PIN : 20-117-23-31-0061 LEGAL DESC : REG. LAND SURVEY NO. 1423 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 45,000.00 N01'E: WINDOW REPI,ACEMF,NT APPLICANT PERMIT FEE SCHEDULE 628.00 STATE SURCHARGE(VALUATION) 22.50 MILLER,JONATHAN &AMY TOTAL 650.50 2980 CASCO POINT RD. Payment(s) WAYZATA, MN 55391- CREDIT CARD 2230 650.50 OWNER MILLER,JONATHAN&AMY 2980 CASCO POINT 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 specitications,applicable City approvals,and the State E3uilding Code. �I�his permit is for only the work described and does not grant pennission 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 1br a period of 180 days at any time after work has commenced. rhe 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. � � Ja / �5 �/ � Applicant Permitee Sign e Date Iss d By Signature Date � Building Pe��t qpp��cation for MainteOnan ce/ Re lace (No structural expansion. Only windows, doors,s;d;ngm ent/Renovation �ON M��D Addrasa: � ��I � Perrnft numbsr: aQ�!�,r� �� 9ay,MN 55323-ppgg Date rocelved; 7 s� ; ShsetAdWess: R�� / �� t G 2730 KsBey Parkwa �: �'�FS H OR�' Oraw,MN 55358 y P��s�tss: � Maln: 952-249-�gpp Fax: 952-249-4818 v�d.aono mn��= TOw Fee: /� L� Th�ePP��a�ion form must be completed in full and ali �� r.:JCJ Incomplets appUcaBons will be retumuired�fortnadon must be s�bmitted. GENERqL INFORMAT10N; �. e�(�ease nnt) ��$��A�..�,: � � c�.5 <<, �- , �J � � �J 1MII this be a Parade of Homes,Remodelers ghowcas�Ho�a o�er D� I Home? J�� n�.a�r m�Pamit k requrnd w�Polior $P aY Yes ^s4u�d w�fsra appf(cant d�rncnah�ha aP�+na+t�rM C!ty Counci/approvd BO ds!'a A�fo!hs sront Shutfb bus +�IRCbr#on-alts PB�i'�9 b avalleble. Non-p�m�ittsd sronh wf0 not b�Nkwsd. wiil bs CONTRACTnR I APPLICANT INFORMATIpN: Name: State License# Lead Certiflcatip�Number: ExPi►ation Dete: �r�on homas thn wM c�n��p�r to l97d �PRation Date: Phona: (cell) MeiUnp Address: I�ce) Contad Person: �� Z1P: Emall endlor Fax: Applk;ant is: Contractor / Homeowr�er �c��oN o�.� PROPERTY pWNER INFORMATI : Name� • v. r Phone{day): �..! ]3 G sr-� � Addf9SS: ( T ,n / ----� Email and/or pax; C` � /l•/ City: �� '— �, va: ��i`.3�� PRWECT INFORMATION: OveraA 'ect desa' ' TYPQ ot Ptoj�eh ��0°<<a) ❑Remodsl Any earth movem��m�y tlw nqWre ❑Raraol,saphalt ❑Fhe Damape MCWD nvlew 3 p�rmkr. ❑Repatr ❑Slorm�amege Minrrohaha Croek Watenhed�istrid(MCVyp) ❑Rsroof,eadar ❑Reatoratlon ❑Waler DameQe 18202 Minneta*a Blvd ❑R°�f0°�,°�°�� ❑Sidinp �seP�en,MN 58391 ❑�r(sP�i(yI Phone: 952-47t-05gp dovv(s) : 852-471-0682 Estlmated Conatruetio�Valuatlon of Project(exciuding land) : �� APPLICAN7 ACKNOWLEpGEME�: • Aprees to pro„ide��ion roqulred or requeated by}l�g�pd��Deparfinenk • Certifies Iha�the iMormeyon supp�a�s��to the best of hislher knawledye. T�applicaM recogrriiss the�thq,are sdsy msponatbb far aubmitlirp a oomplets apptlntion beinp awaro lhat upon/aflure to do so,ihe alaff has no albmathro but b roJect It untll it Is cwnpkta; • 9oms or all of Ih�bNortnaYoimo►maYon whlch��Ovlde on Ihia aPP�ation h claul(bd by 8t�le Iaw as either prfvate or ��e��. P�a�� e��y annot be piven to 1he publk but can be plven to tha Confid�ndal data is kilomw�p��Iq� enera annot be iven b Mthsr Ihe blk or ths su6 �{�do��°�Ws date. intended we of Ihis informeUon is lo aru�ual pu 9 P�+ Jed a+rsfuse b s 1 t h� Pdete our rocords end ncords of oHxr gcvemr��l P�se and icaUon ma not be issued. a9enaes roquked by law. H APP��anPs Si�ahu . `�_ Date: � L owners siynsture: M /� ta.�updqea:oaroerlo�a Dafe: C'r� Z ij ``-��' �l/�J � C _..J . I STRUCTURE INFORMATION: � � Z.T e ot ConstrucHon 1.Structure Dimensions 1.Structure Dimensions continued YP L'` �i � Number of bedrooms= ❑Wood!Frame a.lenglh(H.)= __�T ❑Masonry b.Widlh(fl.)= ` Number oi garage stalls. �Metal Areas in sauere feel Atlached=__ �pole Bldg. Delached=___ ❑IGF c.Basemenl= �On-sile Prefab � �'�'�- d.1'�Slory = �p}f-site Prafab �� e.2"d Slory= ❑Other(Pleasa speciry)� 'r � f. h Slory = g.Total Area= REQUIRED SUBMITTALS: All of the information Nott be submitted in order for our a lication to be rocesse : Enclos A Ilcable p Permil A lication p Pro osed Buiklin Plans � ❑ MN State Ene Code Calculations and Mechanical Code Re uireme��9 a�" � p Surva meetin ell re uirements � p Stortrn+ater Pollulion Preven6on P�an � p HardcoverCalwlation s � p Se lic S stem Site Evaluetion Re ort � p Access Pertnit � p Welland Buftar Im rovement Plan � p En ineered Pians for Relainin Walis 4 feet or above � ❑ Minnehaha Creek Watershed District Perm�l s � ❑ Plan Review Fee � qpplicallon Escrow&Agreement ❑ � ❑ Othec qppLICANTIOWNER ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by lhe Building Deparlment; . Agrees to pay ihs City of Orono for eng�neering consultant revlew costs in excess of 5500; ��anl recognizes that they licat'on being aware that upon tailure to do so,the staff has no altemalive Cerlifies lhal the in(ormation supplied is We and correct to lhe besl of hislher knowledge. e app • are soleiy responsible For su e eilUng a complela app but lo reject it unGl it Is comp leted and signed, . Acknowladges lhe Esuow A9�eement is comP �i�tion is classified by S1ale law as eilher Understands some or ell of lhe InfortnaGon Ihet you are asked to provid Ven`I e,her lhe public w the subject of lhe dala. �� • privale or confidenlial. Private dela is iniormation which generally ca�not be given lo ihe public bu��bovemmenlah agenGees ate our records and records of other g of the data. Confidenlial data is in(ortnation which generally cannot be 9 purposa and inlended use of lhls infortn 8��1�tortnation,thellapP�Calion may not be issued. required by lew. If you refuse lo suPP Y nia CeRiflcate of Occupancy may be issued upon receipt ot a 510.000 , qyrees that fn the event that weather or other conditions prevent the completion of an as-built survey at the time e Gertifieate of Occupancy�s reQuested,a temP �nd all site impro�ementa. escrow to ensure completion of the as�built survey C.�_.�,,.G� Date'. " �� I Applicant's Signature: � � � � �i'/ � Dale: �• Owner's Signa ur .___�