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Home My WebLink About2010-00754 - windows � � � CITY OF ORONO PERMIT NO.: 2oiaoo�sa 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/26/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1525 LONG LAKE BLVD PIN : 35-118-23-22-0002 LEGAL DESC : ALBEES LONG LAKE ADDN : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,580.00 NOTE: WINDOW REPLACEMENTS IN EXISTING OPENINGS APPLICANT pERMIT FEE SCHEDULE 132.75 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 5.00 2690 CUMBERLAND PKWY,STE 300 30339- MAIL-IN FEE 2.00 (763)542-8826 TOTAL 139.75 Minnesota State License#:20268257 OWNER WENDT,MARIE 1525 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 permits. 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. " �`C � / / / / Applicant Permitee Signature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . From:ELDER JONES INC 952 854 ,4909 08I23/2010 06:31 #138 P.002I003 City of Orono ' Buitding Permit Application fivr internal Work W111dows, dool's, siding, re-roof, etc.) Mel01+9 Aoafress: Permit number: �l� ' �� ,O PO Box 66 Q Crystal 6Sy. MN 553Z3-OOgO Date rectivod: . v �h' �� Svaotaedness: Received by: � � Z750 Keiley F'al'kWay Plan feVlew fee: Orono,MN 66368 � Total Fee: AI � Maln: 952-249-4800 Fax: s52-z49-4�10 .G. .0 f s applicabion fbrm must be comDleted in full end ail requlred infortnotlon must be submitted. . • InComplete applice�lona witl be rcturned. (Pl�ase print) GENERAL INFOFiMATION- �, / Job Slte Address: S�'S L D'n ��' 'G�► ' �/ �� , Wiil this be� Parade of Homes, Remodelers S owcase Home or other Displsy Home? Yes No /l ye=,o��unl�aPP1��Ce�monstletes�ia�rrc on.slts�rh�ng�e/vod�Fo. Nw+-po��wnts►�vUl n�b�As��ce wl11 be CONTRACTOR/APPLICANT 1NFORMATION: Name: _ 'I'Hb At�Hoxne Services, Inc. `!°d. �.fl p�r�l'f�� state ucense# � 2690 G�unberland Pkwy, Ste 300 4�� s �G�celll Phbne: ��berland pf£�c Park "' IP: Mailing Address: Contsct Por�cn: Atlanta, GA 30339-3913 icmeovmer �c��a.ona� Email and/or Fax: Lic#20268257 Ph. 763/542-8826 PROPERTY OW1��R PORMATIO�� n d �, Name: Phona(daY): z 4 - �o Gi : ��'D!1 O ZIP: �'�� S� Addr�ss: /S? � Email and/cr Fax PROJ T INFORMATION: Typc af ProJoet: My earSFl mvvemsnt mar!'+aqulre MCWD rovlow 8 permlte ❑DOof(6) ❑Remodc) ❑Waber Damage Mlnnehaha Creek Watershed DistrlCt(MCWD) (�WirldOw(s) �ftepeir ❑3torm Damago 18205 M�nnwtonks Bivd �� oeepnaven,MN 55391 �]Siding ❑Rertorstion ❑OVI�P:(specii�r) Phono: 852-�471-0690 Fsx: 952�71.0682 ❑Rs-roof ❑Flrv Damage • � �k•a Ovefall Prvlect DascHptfon� �W��1 0{,+ n�f� Q !J�/�7 ! 7�/ 1 � � O ��,n � �stimetecl Construatlon Valuation of Projact(cx�luding land) � $ 8 v APP�ICANT AGKNOWL G�MENT: • Agrees t0 proviCe all irtlbrmation rcquired or rcquc�tod by the Building Dopariment; ■ Ccrtific3 th9t the informil4fon supplied Is tru++snd ooReCt tA the bP.St o1 t118/h6�knOWIAtl9e. Ttte eppliCe►lt reoogn¢e9 th9t they are sol6ly responsible fOr suDmlmng 8 Complete appllcation being awere th�t upon iallure to do ao, tho stsff hsa no altomative Dut to reJ9ct it until it i9 oomplat�; . 3ome or oll of the i�fonnatlon that you are ��ked to provlde on this eppllcaUon Is c18561flA0 by 3tste law as either pnvete or confidaential. Prlvabe dste IB Irnormatfon whlch generally cannot be given to the publio but csn b� given to the subjeet of thQ Cata. Coritidentlal data is Inlormetion whlch generally oannot be given eo ekher the publfc or the sublect m n1e dete. �U� purpoe•and intended use of tni� ir,tormatlo� ts to annually uodate our records and reoords oF other govemmenta! agencle� re uired b law. 1t se I the Intormation,the a lic�on ma no b•isausd. ApplicanYs Signature: X /� �a�= g l� '3 l� � / ��t uvde�ea: os.oa-soo9 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �� I►� PO Box 66 �`V Crystal Bay, MN 55323-0066 Date received: °��t;.:��. ° Street Address: Received by: ,� � �J��.T:� s. `� ,; z%�"p � 2750 Kelley Parkway Plan review fee: �'LykESH�g,�'vG Orono, MN 55356 Total Fee: 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 print) GENERAL INFORMATION: �/� .> Job Site Address: ��a'� � �� - e� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No /f yes,a specia/event permit is required with Po/ice Department and City Counci/approva/60 days prior to the event. Shutt/e bus service wi//6e required un/ess applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: _ � THD At- Home Services, Inc. Jod, co F`T P,tr�� State �icense# 2690 Cumberland Pkwy, Ste 300 �S� 3'/S • 4 o V 7 Phone: (cell) Mailing Address: Cumberland Office Park ZIP: Contact Person: Atlanta, GA 30339-3913 iomeowner (Ci�cle One) Email and/or Fax: Lic#20268257 Ph. 763/ 542-8826 PROPERTY OWNER�I FORMATION:_p n� � Name: /'!q I`[d (�1 Phone(day): 9 5 a y?4 • 4 G O G p L Address: /S�'S [0/16 �lr b�L�� Ciry: �!`DnO ZIP: 'sS3 's Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �(IVindow(s) �tepair ❑Storm Damage 18202 Minnetonka Blvd (� � ` 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• W i�l n W �� Q u�!� �/) ,/�'/ t ! � � bQl��n�'S Estimated Construction Valuation of Project(excluding land) $ 5 $ $ V APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • 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: � l � `3[ � � � Last Updated: 05-04-2009