The URL can be used to link to this page

Home My WebLink About2012-00811 - windows � -' CITY OF ORONO * z 0 1 z — 0 0 e 1 1 * 2750 KELLEY PARKWAY DATE ISSUED: 08/29/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1495 GREEN TREES RD PIN : 11-117-23-23-0012 LEGAL DESC : GREEN TREES ON TANAGER LAKE : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BU[LDING -UNDEFINED VALUATION : $ 5,684.00 NO"l'E: RF,PLACE WINDOWS LOWGR LEVEL FAMILY ROOM AND BEDROOMS APPLICANT PERMIT FEE SCHEDULE 132J5 BOYER BUILDING CORPORATION STATE SURCHARGE(VALUATION) 2.84 3435 COUNTY ROAD 101 MINNETONKA, MN 55345 MAIL-IN FEE 2.00 (612)475-2097 TOTAL 137.59 Minnesota State License#: 2988 OWNER BRASS,JAMES&JUDITH 1495 GREEN TREES RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this pern�it 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 pern�ission 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 permi[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 peri o� 180 days a[any time after work has commenced. The ap t is re o ible for assuring all required inspections are re sted i con rrr�anc h the State Quilding Code.This permit may be �oked at ny t for� ause. ��l � dl,�J � /Z �1��1 � Appli�ant Permitee ignat Date ssued �Signature Datc � EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Aug • 11 � 2012 6 ; 32RM it ' s a great day at bover bldg , No � 3280 P � 3 � �` � ` CItyO� o�0�0 Building Permit Application for Maintenance / Renovation (windows, doors, siding, re�roof, etc.) Mailing Address: ' " "�"+" � " � � ,; � � 01�'�� —�: p [rri�it�aGmber �t�' rt '�� t ��L,0,�.� P�O BOX BE r � �' � �,��'0r�� °�"� � Crystal Bay MN 55323-0066 '�L1ate.r'rer�ecve`�i'"��i,; � :�' ` ,';� � ; H,�y �� a. Street Add��ss: � ��c ued��b�y,j " �:1'"� �� ',� �' 2750 Kelle Parkwa ��'�"�'i: " �P°`"� , �� '�� "r�G� �+ � v Y Y 1�I��Osre��ewf�� , :�� ` � w ��e :s� �'��sa��`'�' OronO MN 55356 s" �"`,�,��r�,A n � , ��l�� , �4� ��„ � �Main: 952-2.49�600 Fax: 952-249-�616 Www.ci.orono.mn.us r��'� "� '�^"r^ � F� � � + , ..K�6`�M ,, ... ,� r.�� ,.,. This application form must be completed in fulf and all required information must be submitted. Incomplete applications wifl be returned�� (Please prin() .GENERAL INFORMA710N: � Job Site Address: ��--��,S G'��',� `T'rL.P� �,C9�C a� � Will this be a Parade of Homes, Remodelers Showcase Home ar other D�splay Home? Yes � No If yes, a special event permit is required wlth Police Oepartment and City Council approva!6o days prior to the evenf, Shuttle bus se ice will be required unless appllcan!domonst,ates suf6cient on-srte parking is avallanlo. Norrpermitted events wi!l not be allowed. CONTRACTOR/APP�ICANT INFORMA710N: �_ Name� Qo�Qr� 1��'��,�,SVvB'�. ue�Y��,�1"b1� State License# (].�p��,��g' � Expiration Qate: � � �-j O r Leaci Certification Number� �-T-�6z��'j�� Expiration Date� � (fo�work on homes that were constrrrcted pnor to 9978 Phone: _ 5�-�-d�s� (offic�) ��—�3��S$ (cell) - �' ��._ � __. _ Mailing Address• ��,s~ ��-� ��c � City: �� _ Z(P: ,�c{�,� Contact Person; —j�pyy� /,,��`�,,�.y� � Applicant is� ontr c o / Homeowner (CircleOne) Email and/or Fax� ��_ �-�5-`'�� PROPERI"Y OWNER INFORMATtON: Name: ��YY�, � �S�u '��.��1�► ._._.�..__� Phone (day)� ��- �'�,- � ay� --- Address: �.`�� Si-+�er�3 ne� ,,..�.C,C,�r( City: p�y-p w ZIP_�-�c�I Email and/or Fax PROJECT fNFORMATION: 7ype of Project Any earth movement may require ❑ Door(s) ❑ Remodol ❑ Fire Damage MCWD review&permits: Minnehaha CI'eek Watershed District(MCWD) _ ❑Re-roof. asphalt U Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone� 952-471-0590 ❑ Re-roof. othor(specity) � Slding ❑ Other (specify} Fax: 952-471-0682 ❑Window(s) r www.minnehahacreek.orp Overalt Project Description: �e�� l y�(�.Ql,�rS LL�y�Mi 1L �� _ . . r�/,ms �stimated Constrnction Vatuation of Project(ezcluding land► $ �'6�y�� _. .w r ---�..,— APPLICANT ACKNOWL�EDG�MENT: • Agrees to provide all information required or requested by the E3uilding Depaftment; ' ^+ ~ • Certifies that the information supplied is true and correct to thcs 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 roject it until it is complete; • Some or all of the information that you are asked to provide on this application is tlassified by State law as either private or confidential. Private data is information which generally rannot be given to the public but can be given to the subject of the data. Gonfidontial data is iniormation which generally cannot be given to either the public or the subject of the data. Our purpose and intendad use of tl�is information is to annually update our records and re�ords of other govornmontal agencies re uired b law. If Xou refuse to s l the informaEion, the application may not be issued. _ m __ _ _ Appficant�s Signature� ~ _ ` ^ Date- .,c�`�7�� Las1 Updaled• D8-p9-2011 . • ' o�"��o�, �� O OY'OYl O � � � \f I `I ��I r �l G�' \ tqkESHO¢� 2750 Kclley Parkway � P.O. Box 66 Crystal Bay, MN >>323 (9�2) 249-4600 Fax: (9.52) 249-4616 FAX TRANSMISSION COVER SHEET Date: g��7—�p� � T°: � - �30 -er C� . F�:: 95 � - �7s - aoos Re: ��`7�1/( vf" � �cl S ��P� / r,e e c 1� Sender: �a� L C� �� YO U SHO ULD RECEIVE P.A GE(S), INCL UDI.�JG THIS CO I'ER SHEET. IF Y"OU DO OT RECEIi�E ALL THE PAGES, PLEASE C_ALL (95?j ?49-4600. �,.�.,� -�-� --� -t� � � � � . �-�- ,v� � / 3 -� . S � - . �la ,,� C�%C�-� c�rr7-��c �.e c�c� ��-�-� � � � � � u� C',�� c,�--� �.v � —vt�� c�Q o� d� . � � z�-. � t � —