The URL can be used to link to this page

Home My WebLink About2010-01043 - windows ) i � CITY OF ORONO PERM[T NO.: 2010-01043 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE [ssuEv: 10/22/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3403 EASTLAKE ST PIN : OS-117-23-14-0060 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 001 BLOCK 008 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTNITY : O/S BUILDING -UNDEFINED VALUATION : $ 2,900.00 NOTG: RGPLACE/RESITE WINDOWS IN SOUTIi BEDROOM AND LIVING ROOM REMOVE AND REPLACI?SHEGTROCK AND INSULA"1�[ON [N GXTERIOR BATHROOM, LIVING ROOM AND SOUTH BF,DROOM APPLICANT PERMIT FEE SCHEDULE 88.50 WHITMORE, KAYLEN STATE SURCHARGE(VALUATION) 5.00 3403 EASTLAKE ST LONG LAKE, MN 55356- TOTAL 93.50 OWNER WHITMORE, KAYLEN 3403 EASTLAKE ST LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I'he H�ork ibr��hich this permit is issued shall be pertormed according to the approvcd plans and specilications,applicable City�approvals,and thc State Building Code. This pern�it is for onl_y the�cork described and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing lhis type of work shall be compicd with N�hether or not specitied hercin.This permit will cxpire and becomc 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. "I�he applicant is responsible for assuring all required inspections are requested in confonnance with the State Building Code.This permit may be rc o� at an�for ic s� �i��/��Lz �� Appl'�ant Permitce Signature Date Iss e By Signature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE. 7 1 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �/o`Ol� �,0,�. PO Box 66 O �R, O Crystal Bay, MN 55323-0066 Date received: -/Q � / �``:�� - Received b a �� -.?� �, Street Address: Y� �',�,��g" rv°� 2750 Kelley Parkway Plan review fee: 9kESH�g' Orono, MN 55356 — Total Fee: �3 .� 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 prinf) GENERAL INFORMATION: // Job Site Address: �7 �-� �• �� `s� 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: Name: �i9fLEN yyiti,T-�'YlO�� State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATIq N: ►vame: L�y /�/%/}'7dnG Phone (day): 6 S /� ?.S./- �' Address: � U.3 � L.,f�'.�E .%- City: U�'�d ZIP: �s-� S� Email and/or Fax �{i9yG�iV J/1/� �'�T�/�.9jL • GG� PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) [�Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd i � Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �jpG�GE �f�/T"E W/�YQo1vS ��►/ Sv y�' g�� Estimated Construction Valuation of Project(excluding land) $ � a �Jo� APPLICANT ACKNOWLEDGEMENT: Sff�"�c��,�d,"��(f�S��'t� • Agrees to provide all information required or requested by the Building Department; La l�/ y 0�, ��' ,J�/�,d.0o/� • 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. ApplicanYs Signature: Date: ��/�Z�� Last Updated: OS-04-2009