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Home My WebLink About2012-00187 - windows CITY OF ORONO * 2 0 1 2 - P1 0 1 B 7 * ' 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2012 ' ORONO,MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 1453 PARK DR PIN : 07-117-23-42-0022 LEGAL DESC : SAGA HILL REVISED : LOT 009 BLOCK O15 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 21,000.00 NOTE: 9 REPLACEMENT WINDOWS IN EXISTING OPENINGS REPLACE SIDING APPLICANT pERMIT FEE SCHEDULE 354.00 WELLSWOOD GROUP STATE SURCHARGE(VALUATION) 10.50 1444 BALDUR PARK DR TOTAL 364.50 WAYZATA,MN 55391- OWNER WELLSWOOD GROUP 1444 BALDUR PARK DR WAYZATA,MN 55391- 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 are requested i nformance with the State Building Code.This permit may be revoked any ime for d cause. �, .� / /z- //� i i AppLcant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO ._;��q�'',�� ' . ,,,` ` � � ! �. .. �..' s � � . C i�y of O ro n o � � �` �� °�� ; . � Building Permit Application for Maintenance / Renovation �g �.: � (windows, doors, siding, re-roof, etc.) Mailing Address: ` ` -gv 0,� PO Box 66 Permit number. : � �. 0 Crystal Bay, MN 55323-0066 Date received: � ..n �,. a a � s, � Street Address: Received by: � �� ti 2750 Kelle Parkwa � � o y Y Plan review fee: t9'kESH�� Orono, MN 55356 � Total Fee: t 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. rv� Incomplete applications will be returned. (Please print) � � GENERAL INFORMATION: �� F Job Site Address: l�-�..� �- v�✓'� � � !.-,U � � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No � ; If yes,a special event permit rs required with Police Department and City Councif approval 60 days prior to the event. Shuttle bus serv e will be �, ''' required unless applicant demonstrates sufficienf on-site parking is available. Non-permitted events wifl not be allowed. � �..a �� CONTRACTOR/APPLICANT INFORM TION: Name: � G V�i�lCi � 0�'1N�' � �-; State License# Expiration Date: � Lead Certification Number. Expiration Date: �� (for work on homes that were construcfed prior fo ?978 i;; Phone: (office) ��a S�--S��O(cell) � Mailing Address: � S3 ��-k y�,� City: ,.� ZIP: S��(D � �� ,,�, Contact Person: �� h� Applicant is: Contractor Homeowne �' � (Circle One) � �. Email and/or Fax: �-� �� ;� � �a� �_,; PROPERTY OWNER FORMATION: �� Name: �� k -�,Q^-(/ �'i �i/ � Phone (day): Ol ,� — ,S�— S 7U � � £�. Address: (C-C,f'� �C_ ,��_ City: �%�i"1�1�.� ZIP: S�� y �� Email and/or Fax � (�c�✓��/ �Q ,G�C .S��J� �` f � PROJECT INFORMATION: &� Type of Project: Any earth movement may require ` ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: � Minnehaha Creek Watershed District(MCWD) {� ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � ;;;.` ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �� Phone: 952-471-0590 ❑ Re-roof, other(specify) � Siding ❑ Other: (specify) Fax: 952-471-0682 Window(s) www.minnehahacreek.orq �,�� Overall Project Description: G.J/rlcl� S � �'/ /i Estimated Construction Valuation of Project(excluding land) a ,�'j - �� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all informafion 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 3: 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 pubiic 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 s I the information,the a lication ma not be issued. �ApplicanYs Signature: �L -� Date: _j /Z�/� "� ;,� Last Updated: 08-09-2011 ;,� ,,> _. __. .e_ .,., ..,_ _... _, , _ _, __ . �