HomeMy WebLinkAbout2005-P08631 - windows PERMIT
CITY OF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: P08631
Crystal Bay, Minnesota 55323 Permit Type: Minor Alterations
(952) 249-4600 Date Issued: 4/27/2005
SITE ADDRESS: 315 Old Cyrstal Bay Rd
Long Lake,MN 55356
PID: 33-118-23-31-0004
DESCRIPTION:
Proposed Use: Residential
Census Code O/S-Building
Permit Class: Building
Permit Type: Minor Alterations Permit Sub-type(s): Windows
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 83.25 Valuation: $ 2,716.00
State Surcharge Fee: $ 1.90
TOTAL FEE: $ 85.15
APPLICANT: Minnesota Rusco,Inc. OWNER: Mr. &Mrs.Alan Engleman
5558 Smetna Drive 315 Old Crystal Bay Rd N
Minnetonka,MN 55343 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
00 U-1-d
APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE
Copies: 1-File(Sienitures Required), 1-Applicant, 1-Monthlv Reports, I-Assessine. 1-Finance Page 1
04!20/2005 15:15 952-935-9544 4,tJ.,0<MINNESgTA RUSCO PAGE 02/03
Total Fee: $ S
. D t�ceived:
Entered By' Pe :
CITY OF ORONO - BUILDING PERMtr APPLICATION
All information must be submitted in full before pan review will be started.
lease print all irk formatl0)
TRE APPLICANT IS: (circle one) OWNER OR C NTRACTO
JOB SITE
ADDRESS: J?/Jr- ' ZIP:• C7r���0
q53
NAME OF OWNER-. r PHONE. (home
(work)
MAILING ADDRESS: C 21P:�
`75�• 9c$5
CONTRACTOR: PE[ONE:- _
1PAGER: lalZ- Zoo' boas
CONTACT PERSON:
M-- 5�5 �1.3
MAILING ADDRESS: 55sS8 c� I� Ci7'Y:_ iUl� d P
STATE LICENSE: # din
A,RCHI=CT/ENGINEER: PRONE: _ ZII':
:
MAILING ADDRESS: TY: _
NAME: UGISTRAMON#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/AlterationLand Alteration
PROPOSED WORK(describe in detall):
axisD
STORIES: SQ.FEET OF EACH IOOR:
F BEDltO(�1vIS: GARAGE STAL�S: ATT. DET.
NO O , o
ESTIMATED CONSTRUCTION VALUATION(ex�luding land):
I herebya 1 for a building permit and I acknowledge that the information above is complete and
PP Y
accurate;that the work will be in conformance with th ordinances and codes of the City and with
the State Building Code; that I understand this is not permit and work is not to start without a
permit; and that the work will be in accordance with approved plan•
APPLICANT'S SIGNATURE:
DATE:
NOTE! Parude_l �42� events require separate ermit approval by Police Deparbne�st and
City Council 60 days prior to the event. Non p ed events will not be allowed.
5
04/20/2005 15:15 952-935-9544 MINNESTA RUSCO PAGE 01103
FAX TRANSMI'I°Z'AL HEFT
IVNESOTA R't7SC0,AJC.
5558 SNMTANA DR
NUNNETO MIl�TNESO A 55343
PHONE 952 935-96&9 F�JC 95 935-9544
IDATTII o a
TO:
FROM:
TOTAL PAGES(Imh d ngFax Cov-s►e0t).
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CITY OF ORON6 PERMIT NO.: 2010-00785
2750 KELLEY PAY
ORONO,MN 55356 DATE ISSUED: 09/08/2010
952 249-4600 FAX: 952 49-4616
ADDRESS 315 OLD CRYSTAL BAY RD N
PIN 33-118-23-31-0004
LEGAL DESC UNPLATTED 33 118 23
LOT 000 BLOCK 000
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 6,000.00
NOTE: REPLACE WINDOWS
APPLICANT PERMIT FEE SCHEDULE 132.75
NORTHLAND HOME EXTERIORS STATE SURCHARGE(VALUATION) 5.00
308 SW 15TH ST
#100 MAIL-IN FEE 2.00
FOREST LAKE,MN 55025- TOTAL 139.75
(651)464-0234
Minnesota State License#:20440290
OWNER
ENGLEMAN,MR.&MRS.ALAN
315 OLD CRYSTAL BAY RD N
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 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.
c
60l l l / l
Applicant Permitee Signature Date Issued By ature e
SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO
-70
J,6
g5l
City, of Oron
Building Permit Applicationor Internal Work
(windows, doors, siding, r -roof, etc.)
Ot o O�O mall fPO Box 66 ng Address. Permit number. -201,0- 407,F5
Crystal Bay,MN 5532370066 Date received: Vff/�
a. Street Address: Received by:
2750 Kelley Parkway Plan review fee:
Orono,MN 55356
Main: 952.249-4600 Fax: 952-249-4G16 www.ci:orono. us Total Fee:
This application form must be completed In full and all req fired Information must be submitted.
GENERAL INFORMATION:
Incomplete appli ons will be return (please rint)
Job Site Address; &::lea i
Will this be a Parade of Homes, Remodelers Showcase Home or otheoisplay Home? ❑ YeY
a No
If yes,a epeplA/event permit is required with Ponce bspaftent and Chy Counw app 80 days prior to the evant. ShulHe bus service r►be
r"ubed unless Applicant demonstrates suffldent on-site parwng!s aval/atle Non-permitted events will not be aftbumd.
CONTRACTOR/APPUCA FORMA ON• ,
Name: I1�a�L '
State License# p Expiration Date: 2-0R1-g96jZ
Phone: - office cell
Mailing Address 3Q!R-.. v C ZIP: XS70,si
Contact Person: Applicant is: ntractor Homeowner (circle one)
Email and/or Fax: 1 m 1 of
PROPERTY OWNERAF TION:
Of
Name:
Phone(day): 3,-571 Gir
Address: Ci r ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) �]Rebel ❑Water Damage MCWD review&permits
Minnehaha Creek Watershed District(MCWD)
Wlndow(s) 'Repalr ❑Storm Damage 16202 Minnetonka Blvd
❑Siding [] Deephaven,MN 55391
Restoration
❑Other.(specify) Phone: 952-471-0590
❑ Re-roof ❑ F1re Damage Fax: 952-471-0682
maw.minnehahacreek.oro
Overall P ect Description:
Estimated Construction Valuation of Praject excluding land) $
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Drtment;
Certifies that the Information supplfeq true and correct to the;best ofther knowledge. The applicant recognizes that they
are solely responsible for submitting a complete gpplication being aW"A 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'a p plication is classified by State law as either private or
confidential. Private data is Infionnation 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 give i to either the public or the subject of the data. Our
purpose and Intended use of this information Is to annually update ou records and records of other governmental agencies
required by law. if you refuse to supply the information,the application n ay not be issued.
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Applicant's Signature: Date: ,3L—3010
Last Updated: 05-042009
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