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CITY OF ORONO PERMIT NO.: 2oiaoos2�
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/13/2010
952 249-4600 FAX: 952 249-4616
ADDRESS ; 4240 NORTH SHORE DR
PIN : 07-117-23-43-0014
LEGAL DESC : SAGA HILL REVISED
: LOT 000 BLOCK 014
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 746.00
NOTE: REPLACE(1)WINDOW INTO EXISTING OPENII�IG
APPLICANT pERMIT FEE SCHEDULE 34.75
PRO BUILT AMERICA STATE SURCHARGE(VALUATION) 5.00
2211 11TH AVE.E.
MN 55109- MAIL-IN FEE 2.00 -
(651)770-5570 TOTAL 41.75
Minnesota State License#:BC 2035684 PAID WITH CC# 0074
OWNER
SCHWARZKOPF,PETER&JENNIFER
4240 NORTH SHORE DR
MOUND,MN 55364
AGREEMENT AND SWORN STATEMENT
1'he 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. 1'his 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.1'his permit may be
revoked at any time for d cause.
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App icant Permitee ignature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
SE�'-13-c�10 96:11 FROM:ESTHERS PERMITS 6513300894 T0:9522494616 P.1�2
City of Orono
Building Per�n�t Apptication for Internal Work
(windows, doo�s, sidin � re-roof, ete.►
Mai!!ng Addrsse: PerrNt rwmber: o��/f�'bd �l7
(��Os rQ Crym�l6o�y.MN 35923-0088 G�e c+ecehrod: q�/c�J'�I�
Stresl Add�ss: ����'
��. � 2750 WBsy P�A�aray Rlan rev�wtee:
'�t+ Orono.MN 55358 ,,
ra��Fee: �Lj,�7 `j
Metn: 85Z-Z�9-4600 Far. 832 249�a81e warw.�ci.oror�.mn.w�s
Tnls appllc�tton roRn must De eorr�plete0!n 1ui!ana an requl�lntbrmation must be submitted,
Incompfem�ppl[c�Uona w01 b�returrned. (P/ease pn'rrtJ
GENERAL 111f�ORl�IATION:
Jo6 SHe Addres�: 424Q North Shore Drive
Will ihis kre a Par�de of Homes, RemoDelers 3howcas�Home or other Oispl�yr Mome7 Yos (da
Iry�a,o sp�eJal w�ntprro��f f�r�quksd wl�h Polle�Cl�pahn�n!uM Cey Cowia7�pro�ad 68 da}+a�Jo.te fha.Ned Shu(d�6�a s�t� !r
�v�u/rod w►lesa a1a�plJc+r�demonatrsEss a�dlPdent a►►,olte Ferkt+i0��velleDfs fYo�pampA�e�ta wlArntea sRawbe.
CONTRACTOR/QPPIJCANT INFOR�TION:
Name: PYo9uilt Amer c�
8tate ticen9e# Expi�a�on Date:
Phone: - - (o�ica) (cep�
Maltirt0 A�dress: �'2Z'Z'�i've ."_ Clt : �- -, s� ZI'I""_'p�'i�
CoMact Pe�son: App icarrt is: Cen ct�� / Womeawner tr��e�l
Ema�anNorFa�e eat erd�w ndowwor dma.com-65i-77�-0495
PROPERTY OWNER INFORBAATION:
Name: P��er 8chwa�ctzkop£
Phon�(day).
Addr�ess: s me a� a e Cit�r. ZIP:
Email andlo�Fax
PRdJECT IN O ON:
Yype or� , A�,y e�Al,moMe,ner,t�r reoulre
MCaYD review�p�rmits
❑Door(s) ❑Renmdel p wpa�r Damaee
�nnmhoh�Cresk Vll�fer�hed D"�t 1AACUW)
I�I'Window�sj ❑Rspair ❑SOom�Qarrupe 1820.Z Minnstonl�8Nd
Oeephe�ron,MN 55381
❑SidinO []Res�oration ❑Other:(spacify) Phone: S52-a7t-05@JO
Fax; 8:�2�471�0882
❑Re-rooP ❑Flre damepe �,roiee hahaaraek.aro
OvOrall Pro�ectDescript�on: R�placinq 1 win�ows not chanain9 size
rr� ■�� •��r��� �■ r r���� �w��.�w
�mated Cc�ns�lon Vmtuadon ot pro�c�t��c�lu�ing t�nd� s 746 �
APP,L,,,,�ANT ACKNOWLED�EMENT:
. A�r�ses to provid0 aU mfom�tio�requlrsd ar�queshsd by ihs�uildit�08pardnonC
. CardAos�ot�o Infomnotlan euppq�d Is a�o ond oa�raex te th�b��t ol Alalher kRowAsd�. T�s s�luane raeapnLzse�hai ihAy
are aolely recponal�ae ior subml�lnp a oompEe�apptkatlon beln�aw�re that upan 1�Ilure eu oo�o,ms e�atf ha4 no ahema�ve
but Eo roJaet it ur►dl it is oompleb;
• 6orr�or oU of ths inlormaiio�lhat you aro omkmd io p�ovide �this�ppli�n ia dai�ifi�d by S'��s law a4 oiih���iva4�or
oonNdendol. PrivaEa dam i�Inlbmrotlon whkh penerally cannot bs Siven eo d�e publk but a�n be piven eo the sudJact af q�e
d�ts. Corfider��I da�o Is irifor►ru�Nen which genernily canr�o�t he ah+en ta Nfhet ihe puttliC o�Uw sub,�tt of the data. Our
purpa�e �nd ir�ndad u�e of thi�iniormadon�E�nrowatly upd��our�co��nd �ords of other povammer�nl apendes
uirsd h taw. If ou ra�fuss ni ths ir�fortr�tbon ths a titation ma not be I�usd.
Appi�ant's S{pnatute' �� �/ , , Oata� 09I13/].0
L6�'NpdetOd: O:F�-20C0
SE''r'-23-�010 06:11 FR�M:ESTHERS PERMITS 6513300894 T0:9522494616 P.2�2
•
C��f�WV Ir �. • -
www�e�wiaoow.�om
Z211 11'"Ave E,#130, Nord�St Paul,MN 55'i09
Ph: (851)770-5570, Fax: (651j i'�0-0495
To Wham It May Concem:
J am givin�you our es�dit card aumixr to use toward purchase of p�tmits.
Visa�,nunaber is Exp4ration date 08/13
Ple�se put price of pur�hese for this pern�it on card if you�ave any questions you can
reach rx�e at the rn�ml�r below. �
�
Th�k you
Esther Dahl
ProBuiat Ameriaa/Window World
AdministrativC Assist�i
2211 11`�Ave E
Narth St Paul,IV�N SS 109
Office 6S 1-790-931 S
CELL 651-329�019
Fax 651-770-Q495
Emai1 estherd�a windawworldmn.com
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7 C-� OATE TIME
CITY OF ORONO CALLED IN � � (
INSPECTION NOT`IC/E Q 7 SCHEDULED 1�J7� --` � �'1
PERMIT NO. �C\I l��rC�'JC-� COMPLETED
ADDRESS ���1.)L� �; � ��I��t_� �l��' l�� ,
OWNER �-�f' �I f'�"� TELEPHONE N�_�� —�I��� �7���
CONTRACTOR ;��.���r�i��i,S�� �
1 i_�J ���al O �4`E1�1 \ ! }
� DESCRIPTION (L�V�c��Sf J �`�� (,1��I � .�'���L� l,i.�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL'r ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES�NO
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W� ❑WORKSATISFACTORY:PROCEED �ZOJECTCOMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN ❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
Owner/Contractor on site: '
Inspector. � .✓ � � �
White Copyllnspector's File Canary Copy/Site Notice