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Home My WebLink About2010-01067 - windows ` CITY OF ORONO PERMIT NO.: 2010-01067 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 11/01/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 4690 TONKAVIEW LA PIN 07-117-23-32-0047 LEGAL DESC TONKAVIEW GARDENS LOT 089 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOWS ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 3,430.00 NOTE: WINDOW REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 103.25 PRO BUILT AMERICA STATE SURCHARGE(VALUATION) 5.00 2211 11TH AVE.E. MN 55109- MAIL-IN FEE 2.00 (651)770-5570 TOTAL 110.25 Minnesota State License#: BC 2035684 PAID WITH CC# 0074 OWNER BULL,MR&MRS WILLIAM 4690 TONKAVIEW LA MOUND,MN 55364 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 revoke�me fokdue cause. /// D// /p Applicant Permitee Signature Date /_� '—TssulwSignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ,NOV-1-2010 06:42 FROM:ESTHERS PERMITS 6513300894 TO:9522494616 P.2/2 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc. Malling Addross. _ O.¢, PO Box 66,�O Permit number: Crystal Bay,MN 55323.0066 Date received: Street Address. Received by: — 2750 Kelley Parkway Plan review fee: �k ,a— Orono,MN 55356 -�_..-s ��• Main: 952-240-4600 Fax: 952-249-4616 www.ci.oronmmn.us Total Fee: This application form must be completed in full and all required Information must be submittod. Incomplete applications will be returnod. (Please print) GENERAL INFORMATION: Job Site Address: 4490 Tonkaview Lane Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No Jr yns,a spee/al event permit/s required with POW Department and City Cound/approval 60 days prior to the avant Shuttlo buc sarvlce will be requlrod unloss appilcent demonstrates SlOicient onsite parking is Available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: ProBuilt America State License 20356847 Expiration Date, 03/12 Phone; 651-770-9315 (office) (cell) Mailing Address: 2211 11th Ave a City; N, St. Paul m ZIP: 55109 Contact Person: Locher Dahl Applicant is, Contractor I Homeowner (circle ono) Email and/or Fax: nnrho-rriGnwindnuwnrl rima Cnm PROPERTY OWNER INFORMATION: Name: Shirl@v Bull Phone(day): Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑Door(s) ❑ Remodel ❑Water Damage Minnohaho Crock Watorshed District(MCWD) Q Window(s) ❑ Repair ❑Storm Damage 16202 Minnetonka Blvd Deephaven.MN 55391 ❑Siding ❑Restoration ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 0 Re-roof C3 Fire Damage www.minnehahacreek,ora Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 3430 APPLICANT ACKNOWLEDGEMENT: • Drees 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 subinitling 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 lhd data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies ro uired by low. If you refuse to supply the information,the application may not be issued. Applicant's Signature: 1494 P4�� Date: 10/23/2010 1.051 Updated: 05-04.2009 DATE TIME CITY OF ORONO Gftt� ALLED IN -`-� INSPECTION NOTICE ('� SCHEDULEDv PERMITNO. L �� L/�� COMPLETED j ADDRESS qtr qL OWNER TELEPHONE NO. 7 CONTRACTOR & i ,( DESCRIPTION l� I rid LD ) ❑ 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 h ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP C FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: QC W CL cc W cc Q Z W Z W crd W ❑WORK SATISFACTORY.PROCEED ❑ PROJECTCOMPLETE "C 94,-ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: rr Inspector. L� White CopylInspector's File Canary Copy/Site Notice