HomeMy WebLinkAbout2017-00451 - windows , CITY OF ORONO * 2 0 1 7 - 0 0 4 5 1 *
� 2750 KELLEY PARKWAY DATE ISSUED: OS/03/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1205 ELMWOOD AVE
PIN : 07-117-23-41-0016
LEGAL DESC : SAGA HILL REVISED
: LOT 001 BLOCK 005
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTNITY : O/S BUILDING-UNDEFINED
VALUATION : $ 25,764.00
NOTE: REPLACE:7 WINDOWS&4 PATIO DOORS IN EXISTING OPEN[NGS
APPLICANT PERM[T FEE SCHEDULE 444.96
STATE SURCHARGE(VALUATION) 12.88
RENEWAL BY ANDERSON MAIL-IN FEE 2.00
1920 COUNTY RD C. WEST
ROSEVILLE, MN 55113 TOTAL 459.84
(612)502-4777 Payment(s)
Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 459.84
OWNER
CRAIG,JEFF
1205 ELMWOOD AVE
MOLIND, MN 55364-
AGREEMEIYT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry approvals,and the
State Building Code. This permit 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 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 for a period of l80 days at any time after work has commenced.
The 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. 1�
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Applicant Permitee Signature Date Issued By Si nature Date
i
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• " ! City of arano
Building Permit A plication #ar Maintenanc� I Renavation
: (win� ws, daors, siding, re-roo#, etc.)
M�fll Address: Permit number: �C' � � - C�� ��,��
,��� ; �_Ip Box 66
O � I 4rystal Bay,MN 55323-flD68 Dste received: c � �
I Recsived by:
� a Str'e�t Address:
� o� ; �{`/�0 Kelley l�arkway Plan review fee: r�-
' dmno,MN 5535fi
�'�x� I Total Fee: LE�' ,�_�/
Main: 952-249-4800 FBx- 52-249�616 vv�w ci rono.mn.u& '
This application i�orm must b�compfeted in full and al1 required informatlon must be submltted.
lncomp�s�e applications wIN be retium�d. (Please pr�nt)
G�NERAL 1NFORMA7lON: �� �
Job Site/�lddress: ' '
WIl!this be a Par�de of Homes, Remad iers Showcase Hom�or otheC D�spfsy Home? Yes No,
1f yes,a special eV9nt permi#rs�pvlrod wifh Ro Jce Departm�nt and Ci(y Councif approVa/6Q days pr/or to the�Vent, Shtittl6 bus seNiCe wl!!bs
required unless applicanY demonstr�tes sufilcient on,sfte parhing/s available. IJon-permitted evenfs tin+Nl n4t 6E aUowed.
CONTRACTOR 1 APPLICANT IN�ORMAITION:
Name: �+c1��o.\ �'��'�
State License# �C,13Dq$"� li Expiration C7ate_ '?5 ('3
Lead Certificatlon tVumber' j� .-�,���S� - Expiration�ate: y
(fvr worir on homes that were constru d prior fa 99�'8 ������
phane: (�S�-^ a'� -'��C)�'� �c ri (office}
Mailing Address: 1�� , j� �� „ W�S-� C��Y= v�11� Z1P: SS l �3
Cont�ct Persort: Applicant is: ontra r ! Homeowner �c��is ano)
Emalf snd/or Fax'
�
PROPERTY OWNER iN�ORMATION: ' I
Name: � ��0�: .
Phone(day): '�."' � �'4l�
Address: "-� City: ZfP:
Email and/or F�x
PRO.f�CT INFORI1AATiQN:
Type of ProJect: Any earth moverrsent may require
MCWD review�petmits:
❑Door(s) I� Remadel ❑Fire Damage Minn9haha Creek Wstershed i7istrict(MCWD)
❑ft�roof,asphalt ❑Repa[r ❑Storm Damag� 18202 Mlnnetonka Bivd
� D�ephaven, MN �5381
[�Re-roof,cedar ❑Restoration' []Water Damage �,����: g��.47�_p�gp
Q R�roof,other{9pgciiy} ❑Sid':ng ' 0 Other. (specify) Fax: 852-471-0682
www.mint��hahacreek.or�
�]Window(sj . "" —
pveralf ProJect Descrip#ion: "�u:. S � �f P �a d`��S '� `5 �
Estimated Construction Va[uation of R oject(ex�lud[ng I�nd) $ `
APPLICANT AGKNOW�EDGEIIIlEN :
. Agl'ees to prOvfde af1 infotmation req'ired or reqUested by the Bttilding DegBrtmant;
• Certffiss that the infomtatlort supplie Is true and co�on b�In awa�9�that ukoll f�lure t d0 So,tlhe St&ff has n�a�It6i'nafve
are soEe{y responsible for submitting,a compfete 2pp 9 P
but to reject lt unti!ft is camplete;
. S9me or ali of the Infarmation that l�'ou are asked tp provide on thls appliCetlon is olassified by Staie !aw as either prtvate or
confidenttal. Priv2te data is infarmation whioh generglly cannot be given to the public but can be given to the subject of the
data. Conftdential tiata is inforrt�� n whiCh gener�Ily cannot be gfven to elther the publlc or the Subject of the dai�. Our
purpose and Infended use of this in ormatior� is to annu�lty update our records and records of ather govem►nental aganCies
n? uire�d b law. If ou refuse to su I fhe informstion,fhe a fication ma not l�e issued.
Apolicant's Sianature: �� Date: ��� 1 �