HomeMy WebLinkAbout2011-01196 - windows ' � �* CITY OF ORONO PERMIT NO.: 2011-01196
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE IssuEn: 10/OS/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 4680 NORTH ARM DR W
PIN : 06-117-23-23-0006
LEGAL DESC : UNPLATTED 06 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 3,145.00
NOTE: REPLACE(1)WINDOW IN EXISTING OPENING
APPLICANT pERMIT FEE SCHEDULE 103.25
INSTALLATION MASTERS INC STATE SURCHARGE(VALUATION) 1.57
359 WYLDWOOD LANE
55432- MAIL-IN FEE 2.00
(763)780-1212 TOTAL 106.82
PAID WITH CC# 0314
OWNER
WESTFALL,MYRON&PATRICIA
4680 NORTH ARM DR W
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this pertnit 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 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 aze
requested in conformance with the State Building Code.This permit may be
revo ed at�ny time for e cause.
Applicant Permit ignature /Dl Date /` /vl � � `
Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
10/04/2011 20:48 7637805011 INSTALLATION MASTERS PAGE 01/02
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Totsl Fee: �_ �, lDate Recei�ed: /0 5 l( �.
Enbeted By: Permit#• 0//- /! �
CI',C� OF Q.ltONO-BUiLDING PERNIIT.t�PPLIC,�xIaN
AJI informat�on mast be sobinitted in fuA before pl9n review wiD be started.
. (pteasa prrnt all infonttatinn)
T''HE A,PkLiCANT IS: (cin�e one� OV4NER O N'�'RACTOR
aos srrE Ann�ss: �l��O /� Qr� �1Y. zn►: 6
Will thia b a P �rade oi I�omes,Remodelers S1�arvcase Home or other Uisptay Home?
❑YeS �TO lf yes.a sp�e+ciaf sv�rt permit is rsyuirsd with�'nlice IJepar�rt m�d G�ty Cr�u�il ap,prm+a!
60 dayc prior ra ehe e�r. ShuRtle b�.e�ervic�w�71 be reqr+irud rmlc�4 cppllcav�t dano�.ctrrucc
' suJfrcrcrr�an�eir�perrki�is avQillebl� Nwr nermillad avenfs will rat be allawed.
' NA1V�E OF OWNER: �G�fi�u gH011TE: (hame) 7�
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MAII,ING�#DDRE.SS: C��P CiTY- Z�P= .^�
CONTRACTOR: ' �IONE: �CD��O-�I 2I�
CONTACT PER50N: AGER Lo I�-�$�37�
MAILlNG A►DD�tFSS: : �I�: i���
STATE LiCEN5E: # EXPIIt��TON DA?E: .2 I/3 _
A,I�tCffiTEGTlENt;INEER: PSOI�i�:
MAILT�TG ADDitES►S: CITY: ZiP: �
���; REGiSTRATI.ON: #
TXPE QF WORK: New Ho�ae Add'ztion Accesso,ry Strvcture
Move Home Remod�ellA�lteration(ie: Siding,Windows) �
Anx earth movea�ent ma�y require MCiiD revie� and p�rmita!
PROPOgED WO�iK(d�escribe�in dBtQin: ��t � p' 1 u�i 1
� �XI S � B� ��� 21 S
STORIE�S: SQ.FEE'�'O�EACH FLOOX2:
NO.OF BEDROOIV�S: GARAGE 3TA1.LS: ATTACAED DETACHED,�
ESTIM,A►TTD CON�TRUCTION VALUATxON(excluding land): $ ��`'�U' �
I 6ereby spply for a buiiding petmit and I acknowkedge that thc infarnaation above is aompletc and accarate;
that thc work wtill lae iu confa�aance vu4tl�i�onlinances�d wdes of the City and with�e State Buitidir4g
Codc;rhat I uaderstsa�d this ia no�a permit a�d ia not�o s�art ' out a pe�mit;and that the wodc un11 be
in ac�cordance vritl:the a�av�d.plan. -
APpJ��C�N'I"S S�GI�iATC! : A'X'�: � � j"
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ATE TIME
CITY OF ORONO CALLED IN D I l
INSPECTION OT CE SCHEDULED /v --����1LL--
PERMIT NOrJ � — / COMPLETED
ADDRESS
OWNER ELEPHON NO. ��7-3�
CONTRACTOR '
>: DESCRIPTION � �t/� IN " l
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA NG/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORK SATISFACTORY:PROCEED ���P,�ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CQRRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN
INSPECTOR WlLL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (J52� 249-4600
OwnerlContractor on site:
Inspector. / _
White Copyllnspector's File Canary Copy/Site Notice