HomeMy WebLinkAbout2010-00791 - windows CITY OF ORONO PERMIT NO.: 2oiaoo�9i
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 09/13/2010
� w 952 249-4600 FAX: 952 249-4616
ADDRESS : 1485 LONG LAKE BLVD
PIN : 35-118-23-22-0001
LEGAL DESC : UNPLATTED 35 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 37,063.00
NOTE: REPLACE(21)WINDOWS AND(1)PATIO DOOR IN EXISTING OPENINGS.
APPLICANT pERMIT FEE SCHEDULE 552.75
SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 18.53
10751 EXCELSIOR BLVD
HOPKINS,MN 55343 MAIL-IN FEE 2.00
(952)277-1600 TOTAL 573.28
Minnesota State License#:20239369
OWNER
GREENLEY,KURTIS
1485 LONG LAKE BLVD
LONG LAKE,MN 55356-
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 does
not grant permission for additional or related work which requires separate
pertnits. All provisions of laws and ordinances goveming 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 aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Sep-02-2010 07:50am From-CITY OF ORONO +9522494616 T-464 P.002/001 P-628
� � City of Orono
Building Permit qpp�;cation for Inter�al Wo�
(windows doo k
i f9i SId111 s t�f.'.roof� AtC,�
N1d�rtp Add/9sa:
O�'��' PO Box 66 PemuT numbar, a{b/D—dd � /
O �ryst�l @ay, MN 55323-0066 D a t e r e o e i v e c i; �/ /d
� '� Street Adclrss&� ' Re�ived by:
� �c,� 2750 ICelley par�y ,
Orono,MN 55336 P�n�Wewfe
Meln: 652-249-4600 Fax: 952-2eF9�616 w�.a.orone mn��_ TGtal Fea; �'�3� 0�0 .
rn��aPP��a��must be complered in full,and all raquired'mfonr�tio�must ba submitted_
incomplsts applicatlons will be returned. (P/easa�pr�n�
GF.I�IERAL INFORMATION:
Job Site Address: ��5'�/�,��-�4��� � .
Will thls be a Parade of Homes, Remodelers Showcase Nome or other Dlspfay Ho�� Yes
dYes,e sDea��l er+enl Pam�b requuisd witA Porioe Repa�unent and CXy CounrJl apPiovel BO de No
^�Vu�d uMeae aPP��demo�►s�retea srrfl9den�on•sice Pendng is arahable. N ��a�o Ehe evanf. Shuula D�s ssrvroe wNi pe
CONTRACTOR/APPI,ICANT INFORIWqTION: �e����wiu not be a�d
Nall'IB: �C.��R.V'+.tr �'r''4 S
St�f9�1cCORS2# �p
Phone: � ExP�ra�Date: 3
MalPnp Addresa: �a`�''� 7- o o �
Corrtact Pe►son: � , �' . _ k� S ZIP:5'� c��
E.rnall and�or Fa� " v�c " _ �►Ppllcant is: / Nomeowner
' /6 �'a rG�u.o�.,
PRop�►owN�iNr���oN;
Name: K�vt 4 ev e,,r I C�r�„���
Phcne(daY�� 95 - W 7�� �, -
Addr2s& �(� 'ff'S �o�+c, (.�,(�+. l ts Q ��
Ema�1 and/or Fax -�' �..CiN: L,o zg____�p;�g.3Sb
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PRC�J�C71NFpRMAT�pN: '
Trpa of Pro�ect:
My aarth movo�ment may requlre
�Door(6) 7a�-:o ❑Remodel ❑Waier Damsge �CWD►eviaw 1�pent�it9
�1 Windaw(s) ❑Repair M'mr�ehaha Croek WaPanehed�Istrict(MCWD)
❑Sto►m D�nage 1H2O2 Min�wtonka @Ivd
�S�� �R�a�d� ❑Other.(speolfy) �Phaven,MN 55391
Pnone: 9E�a�71-0gso
❑�0pf ❑Fre psmage Fax: 952•a71-0662
Overall Pro t 088Cfi ' • � "—' �M!minneh�hec�{�p�
� h �,� Wti�ec� a � q e oe r �
Estimated Cans�ucdon Valuatlon of Pro)ec (escluding lan s -',"��-��=^` ����S
- •- oG3 .o�.�
APpLICANT ACKNQUyLEpGEMENT; .; �
• A9�ee6 to pravide 911 iMaRnation r�squlred or requested yb the gulldinp DepaRment; -
• Certl�ies that tt�e Informs�ion guDP����s irue and correct lo �he bast of h�s/her Know�e
ar6 aolely�asponsl6le for submiping e cornplete appiication being aware that upon faii�to d�o s�o�,Dvi��ff�g���Itemaeve
but to reJgct it unGl R 18 aomp►ete;
. �.
• Some er all of the infortnatlon that yau are asked to provide on this applic.a�On is dassified by State law as either pnvate or
eor�fidendal. Private de� i� Informeuon whlen generally cannot be gfvan to the pueRc put can be f�iven to the subjaa of t�
data. Confidentla) datq is iflfarmadon which pene�ally cannot be givon to either tl�e publfC o�the su6ject of the ddta. our
purpose and irrtended use of this irt(ormataen ia to annuaUy uDdate o�r r000rds and re�8 p/othcsr governmental epenoies
�a uired b r�w, If ou reluse tn 3uPp�the•mfoRnetlon th_� Q 9GDPrption ma r�not be 1�euec!
Applicant's Slgnature: r
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�c uadatea: oe.e�-sons