HomeMy WebLinkAbout2010-01196 - windows �F
" CITY OF ORONO PERMIT NO.: 2010-01196
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 12/20/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2100 SIXTH AVE N
PIN : 27-118-23-31-0024
LEGAL DESC : PHILLIPS WOODLAND TERRACE 2ND
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 1,551.00
NOTE: REPLACING(3)WINDOWS WITHIN EXISTING OPENINGS.
APPLICANT pERMIT FEE SCHEDULE 60.75
PRO BUILT AMERICA STATE SURCHARGE(VALUATION) 5.00
2211 11TH AVE.E. MAIL-IN FEE 2.00
MN 55109-
(651)770-5570 TOTAL 67.75
Minnesota State License#: BC 2035684 PAID WITH CC# 0074 %
OWNER
Orono Woodlands
2100 SIXTH AVE N
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed acwrding 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 sepazate
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 in conformance with the State Building Code.This permit may be
revoked at any time for due ca�.
/a� .�' �� C-c. /2� o� v
Appli ant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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DEC-'ca-2016 07:38 FROM:ESTHERS PERMITS 6513300894 T0:9522494616 P.2�2
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Ci#y of Qrono
� �uilding Per�nit Application for Inte�nal Work
window�, doors, aidin � re-�oof, etc.
MaU►�Addrgss Pami�numb�r. o?O/b•!J/
O�r��� � PO 6ox 88 Pam
Cry�tal Bpy,MN b5323-0086 paoe ropplvod; 12 D
� SNset Aa�diesa Reoelved by.
� � 2750 Kelley Patl�w�y Plsn rrvlsw 1�N:
Orono,MN 55356
7ofal Fes: �7, �7.J
Maln: 952-249-4600 Fmc: 95Z-24B4818 www.a. .m us
� Th�eppil�on rriust comple In Fu I 6md� reQuir+ed' n must be .
Incompl�vppllcetlons rr111 be ntum�d. (P�eese pv1nU
C�EAIERAL rNFORMATION.
Job Slto Addross: 2100 covnt Rd 6
� VUtI this be a Parade of Homoa, Rernodelers Showcaae Home or other Dtapisy onre? Yes No
� a!I'q e�cw�nt p�ntil le ropuNvO wpn PONoa OOpertnwM end CMy Ca�neA�pprovtl 60 ay�pA0►10 M6 sVent Quulfle�Oue eorMoe wIN Oe
iequlred uni�ea�pll�nf darria�eh�es mrAkient or►.�M paAunp a aro�laDVa Nbrhperr►�tsd sNents wd�not Os dbwsd
co cToa���uca�rt iaFoww►noN:
FroBuilt America
Lioanee� ne�on O�te;
Pho : - Y (affioe) (ceU)
M ��.,-.-. ..�, C.Ity: ZIP
ng Ad�re�e: L L 11 �,i Ln Ave .'-b''�' 'k�aul—�13�'—
Contsct P4reon: �'et__�• .,,... Applk�nt ii: Contrac�or / Nonneowr�et Ic�.aal
EmeilandlorFax: eet er �arin owrror �,com- 51-�70-0495
RTY�ER INFOI�MATION:
e: Orono woodlande
I�Y)�
�; e�me ae e e ��y. Z�P.
Emeil en�llor Fex
PROJECT INFOR TION:
'h►w P� Any aAh movwn��rt m�r nquln
C7�►(•) p aemode� p yy�p� �wo�vaw a pamnK.
Min�ahahe Creek Watash�d Disaiet(MCWD)
�I�s) ❑� C1 SEon�n Dam�ps . 18202 Minn�tonka Bh�d
Deephaven,MN 66391
❑Sidinp Q Raebrabon ❑Olt+er.(epsafy) Phone� 962�471-05�0
F�c �52�4T1-068Z
❑Rei�t ❑Flrs Demape www.min
OwrsOProJeclOsaCrl�tion: Replacino 3 windowe not chat3airta eize
_Ev�mahd Cvnshucqon V (a uatbn of ProJoct(excfudf�g landl i iSSi
APPIICANT ACKNOWLEDGEMENT:
. l�t'�s to provide ell iniortn�tbn ro4ulrod oI r�uested by ths 9ulldinp DepeMienC
Cerb'�eo that the i�cRnstlon supplied le Erus end oaroct ro the bs�t of hidher�. The applicam reooanizos that they
pn�ol�ly rsspornlbb for�ubm�ng a oompl��epplir.�6on bring�wsn th�t upon t�ulun to do w�!!»sblF►w no slt�mstiw
bUt i4 re�ect R unUl I!h Compkte;
� Sorn�or�11 of Ih�in{vmialicn that�rou ar� a�laed to provl�on thls a�pplMaGon li d�fNfl�d by Stat� law p�u prlvab pr
ooMidendal. Prrv�ta dste Is h�om�aMo�v�A� psnarally csnnCt be qrven to 1he pu�11C but c�n be gfven to the sub]e�t of ihe
aata. ConRdendst data ie InAormetlon whkh gen�rally c�mat be pivsn t� �th� public or fhs wbjeet of!hs deta. Our
purpose and intendod uae of C�la I�ortnaUon Is m ennually updats our�eoond�end recwds of o�er povemr�ntal apenobs
uiied I�w If u su qp • ' �•
Ap�nc'a 3ignea,ro: ��`�"' �" p�; t Z/0 7/�o
la�t Updwd: �Z000 I
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�� �� � � � DATE TIME �/
CITY OF ORONO CALLED IN � ' ��
INSPECTION NOTICE SCHEDULED ___1�l J eYG
PERMIT NO. -� �) I C) �-�i I IC'�(S',OMPLETED
ADDRESS ,-�? l ("�f'' �v,-�-t 1��-� �,� --r� li"E �)
OWNER `-�:1 t�c� �'��. TELEPHONE NO. ��� - ��: 7— �1��
CONTRACTOR
� DESCRIPTION `o;�� t � `��c` �,�;� �i rY'�.��
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
t}MBING RI ❑ SEPT(IC�FINAL ❑ FOUNDATION/REMOVAL
OWNERI NTRACTOR TO MEET YOU:�L YES_NO
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� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. � . � i✓IT� �_���
White Copyllnspector's File Canary Copy/Site Notice