HomeMy WebLinkAboutRe: permit refund March 14,2012
Memo to: Finance dept. �
From: Lyle�man Building Offiaal
�
Re: Building permit refund
On 9/24/2010 the city issued permit#2010-00881 to The Home Depot A.S.H.for window replacement at
1290 Loma linda Ave.The Job was canceled and they are requesting a refund of the permit fees.
Please refund $206.50 to Elder-Jones Building permit service. Note that the State surcharge and the mail
in fee are not refundable.
Lyle Oman Building Official
� Elder-Jones
Building Permit Service, Inc.
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February 2, 2011 ��'pF
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�R�NO
City of Orono
P.O Box 66
Crystal Bay, MN 55323
To: Building Department
I am requesting a refund for cancelled building permit 2010-00881, issued 9/24/10. The
permit was for window replacements at the residence of:
Tonya Hoffinan&Mark Ingalls
1290 Loma Linda Avenue
Mound, MN 55364
Enclosed is the original permit. Please make the check payable to Elder-Jones Building
Permit Service, Inc. If you have any questions or need more information,please call me
at 952-345-6047.
Thank u,
C/r � ��
�
Jodi Sletten
Permit Service
Elder-Jones Building Permit Service, Inc.
1120 East 80th Street• Bloomington, Minnesota 55420-1498
952-854-2854• FAX: 952-854-4909
CITY OF ORONO PERMIT NO.: 2010-00881
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssvED: 09/24/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : ]290 LOMA LINDA AVE
PIN : 07-1]7-23-41-0089
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 008
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYP� : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ ]0,717.00
NOTG: REPLACE(9)WMDOVVS INTO E7�ISTING OPENINGS.
APPLICANT pERMIT FEE SCHEDULE 206.50
THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 5.36
2690 CUMBERLAND PKWY, STE 300
30339- MAIL-IN FEE 2.00
(763)542-8826 TOTAL 213.86
Minnesota State License#:20268257
OWN�R
INGALLS&TONYA HOFFMAN,MARIC
1290 LOMA LINDA AVE
MOUND,MN 55364-
A RE � +
The work for which this permit is issued shall be perfonned according to
the approved plans aud specifications,applicable City approvals,and the
State Building Code. This permit is for only the worh described and does
not grant permission for additional or related work which requires separate
pennits. All provisions oflau�s and ordinances goveming this type ofwork
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 l 80 days ofthe date of issuance,or if caistruction is
suspended for a period of 180 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.
/ / / /
Applicant Permitee Signature Date Issue y ature Date
� r CITY OF ORONO PERMIT NO.: 2oiaoossi
• 2750 KELLEY PARKWAY
' ORONO, MN 55356- DATE ISSUED: 09/24/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1290 LOMA LINDA AVE
PIN : 07-117-23-41-0089
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 008
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 10,717.00
NOTE: REPLACE(9)WINDOWS INTO EXISTING OPENINGS.
APPLICANT pERMIT FEE SCHEDULE 206.50
THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 5.36
2690 CUMBERLAND PKWY,STE 300
30339- MAIL-IN FEE 2.00
(763)542-8826 TOTAL 213.86
Minnesota State License#: 20268257
OWNER
INGALLS&TONYA HOFFMAN,MARK
1290 LOMA LINDA AVE
MOUND,MN 55364-
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 the
State Building Code. This permit is for only the work described and dces
not grant permission for additional or related work which requires sepazate
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 180 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.
`'%h�l.Q.t� L�11, l l l l
Applicant Permitee Signature Date Issued By g ature
SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED AB .
S��/22/2�1�/WED 08: 06 ANI P. 002
_ � �n
" CN�y o�F Orono � ��
Build�ng Permit Ap�lic�tion for Infiernal lll/o��l�
� � (windows, doors, siding, re-roof, etc.) �
• Mal1ingAddress: P�rmit number. ���' QdB�f�
0.�,0,�.� PO Bax BB .'
Crystal Bey,MN b6323-0066 ��t�a received: �/D
L Received by:
a� " �. Street Address:
�., 2750 I<elley Parkway Plan review fee:
�����o�,k� Orono, MN 55356
Total Fee: ��3� g�
Maln; 952-Z49-4600 Fax: 952-249-4816 www.ci.orono.mn.us
This applicatlon ft�rm must be completed in full and all requirad Information must be submittod.
, InGomplete applications will ba rekurned. (Pleasa prinfJ
GENERAL IN�ORMATiON• / L�n � ; �
Job Slte Address: �o� q� Lo 1�Q �t 1/�L � �,4-e.
Will this be a Parade of Flames, Remodelers Showcase Home or other Dlsplay Home? ❑ Yes �o . �
"-'—'-1f'yes;-�''��fEiCl�l'A'V@'I1FpErIfi1F75`f�JUYI9t7-WIfA'PnOCe=Dep6hr+78n(-and-Elry=CouncJ!-apprcaval-@0=deys-prlor-to=�he=evenG-�hattlo=bu�_oor-viao_w1/L•b�_�_- _.__-:._
ioquUed un/sss epplios�nt domonsPrates sufficient on-�tita p�/king Is avallable. Non-permi[fed events w!Il nof bB ell0wed.
CONTRAC70R/APPL.ICANT IN�ORMATIDN: �
Name: THD At-I�o���e Services, Inc. .
State License# 2690 Cumbezland Pkwy, Ste 300
Phone: (cell)
Mailing Address: Ctunberla.nd Office Pa�•k zIP:
Contact Person: A.tlanta, GA 30339-3913 lomeowner (Circle One)
Emall and/or�ax; Lic�fi20268257 Pl�. 763/ 542-8826 1.0 d� �O L/d�r 1 D n�3
PROPER7Y OWNER INF MATION• � q s�13�13•�o �l7
Name: 6/) a ��J`�d �
Phone (day): �l S� 35 • �'n Y v �
Address: . O / C�l L Cit : ��n� zip: 'ss 3 G S'
Email and/or Fax
PROJEC711�FORMATION:
Type of ProJect: Any earth movement may require
MCWb review 8�permlts
❑�oor(s) ❑ Remvdel ❑Watcr D9mage
Mlnnehaha Cresk Watershed Dlst�l�(MCWD)
jndow(s) �Repa�r ❑Storm Damape 18202 Mlnnetonka Blvd
� peephavan, MN 55391
❑Slding ❑ Restoration [7 Other:(specify) Phone: 952-471-0590
Fax: 952-47,-oes2
❑R8-(001 ❑ FIf6 QaftlaAe wvwv.minnchohacr�ok.oCc1 �
Overall Project Description: W/ o C(U rnAl1 l � /, i � � n i �
�stimated Construction Valuation of Project (excluding land) � �D� �' J 7 � � _ � � .
APPLICANT ACKNOWL�DGEM�NT: � � �
• Agrees to provide all�fnformation requlred or requested by the Building Department; � , �.
— . a ��c� a c rma�on•supp� — --�-
are solaly rR�pon�ible for submllting a complete aD011ca�lon being aware that upofl fallUre to d4 so,,the staff.has no elternaifve
but.to reject it untll It IS Complete: � . � � .
• Some or all of the information that you are asked to provide on this appllcatlon is classified by State law as elther private or ,
I confidcnti�l, Prlvato dsts is informaQion which gQnerally cannot be givQn to the publ;a but ean be.glven to the subject of�the
d2t2. Confidantial data Is Information wh�ch �enerally cannot be �iven to elther the public or the subject of the data. Our
pur�ose and Intended use of'tlifs Information is to annually update our records and records of other governmental agencles
re uired b law. If ou refuse to suppl the intormatlon,the application ma not be Issued. .
AppficanYs Signature:
Date: l �� ! �r U
Lest Updated: OS-04-2008