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Home My WebLink About2012-00870 - windows `' CITY OF ORONO * z 0 1 z - 0 0 8 7 0 * 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2012 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2460 DUNWOODY AVE PIN : 20-117-23-21-0002 LEGAL DESC : REG. LAND SURVEY NO. 0660 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS VALUATION : $ 500.00 NO"I�G: INSTALLING EGRGSS WINDOW APPLICANT PERMIT FEE SCHEDULE 25.00 SCOTT GAYLORD 2001 LAKESIDE LANE STATE SURCHARGE(VALUATION) 0.25 MOUND, MN 55364- TOTAL 25.25 (612)819-4957 OWNER WALTON, BRENT 2460 DUNWOODY AVE 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 die State Building Code. This permit is for only the work described and does not grant permission tor additional or rela[ed work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit wiil expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. "l�he 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 du e. _ �� f � l 2. � � ic erm ' nature Date Issued y Sig ture SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . �~ City of Orono - Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,0,�\. PO Box 66 O .,� o\ Crystat Bay, MN 55323-0066 Date received: 1 ,� ��'r� ` ,,'i StreetAddress: Received by: '�`-" � ti '�',�, , f ' �ti 2750 Ke►ley Parkway Plan review fee: ��k�H�w� Orono, MN 55356 ��---' Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be compteted in full and all required information must be submitted. Incomplete applications will be returned. (Please printJ GENERAL INFORMATION: Job Site Address: 2 4 6 0 Dunwood Avenue Orono NR�T 5 5 3 91 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 su�cient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Scott Gaylord State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were consfructed prior to 1978 Phone: (office) 612-819-4 9 5 7 (cell) Mailing Address: 2 0 O 1 Lake s i de 1 ane City: Mound ZIP: 5 5 3 6 4 Contact Person: Scott Gaylord Applicant is: Contractor / Homeowner (CircleOne) Email and/or Fax: lakestyle@yahoo.com PROPERTY OWNER INFORMATION: Name: Amy Steele Gaylord Phone (day): 612-819-4957 Address: 2001 Lakeside Lane City: Mound ZIP: 55364 Email and/or Fax lakestyle@yahoo. com PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑Re-roof, asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑Re-roof,other(specify) ❑Siding ❑Other: (specify) Fax: 952-471-0682 �Window(s) www.minnehahacreek.orq Overall Project Description: Install egress window where current basement window is. Estimated Construction Valuation of Project(excluding land) $ 5 0 0 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 altemative 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: � �`�'� �.��' Date: `� ( � Z---� �� Last Updated: 08-09-2011 � BOLTON 8� M�NK , INC_ Client Page Of � Consulting Engineers&Surveyors Project No. Date By Project MANKATO • FAIRMONT • SLEEPY EYE • BURNSVILLE • WILLMAR CHASKA • RAMSEY • MAPLEWOOD • BRAINERD• AMES, IA Task 2ct(p o '�a�► w�c*c�c� ��Q O f u,1f.� , M UJ �3�1. f ,. .__ _ 1 ��5�� 1 �� l i � �, � �g ��.� � � r {''o�a�csC � I la,fioL�W t ' �` ` _ � � ,_ _ � _ •-- � Z� �• i ^ 2�C� (t��b{�e� ) .�r�gs��e �� y � C�.�P�L g�c� � 2 �� ; � 2y4e w - ' I � . i ___ - �-- I � _'__ � _ �� i - ' ; ' ' ___ I ' i __----- _ - _ - ' --- , I ,- -- - _. :_ I -, , i ' I � ' � � --_,_ _ . - - _ _ --- � � � -- , , , , 1 . ------� - -- ---- � I � i I il _ ' �-_ �