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HomeMy WebLinkAbout2010-00787 - windows CITY OF ORONO PERMIT NO.: Zoiaoo�s� ,. .. _ .� 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 09/20/2010 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-UNDEFINED VALUATION : $ 3,096.00 NOTE: REPLACE(12)WINDOWS INTO EXISTING OPENINGS APPLICANT pERMIT FEE SCHEDULE 103.25 PRO BUILT AMERICA 2211 11TH AVE. E. STATE SURCHARGE(VALUATION) 5.00 MN 55109- MAIL-IN FEE 2.00 (651)770-5570 TOTAL 110.25 Minnesota State License#: BC 2035684 PAID WITH CC# 0074 OWNER MCCLAUDE,GLADYS 2100 SIXTH AVE N LONG LAKE,MN 55356- 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � /-� �_ � � / Applicant Permitee Signature Date Issued By ature t SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE. 10 17:07 From:Window World 6517706495 To:9522494616 Pase:2�3 � � City of �rono Buiiding Permit Application fo� internal Work (windows, doars, sidi� , re�, etc. Ma�ling Addies.� Pertnit number. a!' 6—d�� g ��O�0 Crystal Bay, MN 56323�066 f�iaceived: / O � � SbaetAddisss: Receiv�ad by: 2750 Kelley ParkwaY PJ�n review tee: Orono,MN 55356 Total Fee: ,ll D� ��j' M;�in: 962-248�6W Fax: 952-249-4616 N�a orarto.mn�a This applfcstion form must be comple , iull and all reqi�ired infonnation mu�t be submifSed. McamPlete aPPl�ti�wfU be eatumed. (Pk�ase Piint) QENERAL INFORMATION: Job Site Addr.e.$s; 2100 Count Rd 6 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No �ryes,a sneow erer,r v���Wred��o�rnr,�+t�r,d ary c;o�nar a�ro►�er eo ceys�ro n,e e� snva�s a,s se�v;oe w�r ne �q„irgd Unless�pNe�►r darria�rslas�enr w►,s�"tepa►br�g;s� lyon�pernf��ewerus wa�noe be sl�owea. CONTRACTOR/APPIICANT INFORMATION: Name: ProBuilt America State License# E�iratbn Da4e: Phone: - ' (off+ce) (celD M�ilingAddress: �ii iifh�ve ��y: . �" aF—uI Z�p: „ CoMad Petson: ��" ApplicaM is: Co�raetot / Homeowne�' �a�a.a�e� Emailac�lo�F�c: estherd�wiadowwor .com-651,-770-0495 PROPERTY OWNER INFORMATION: Name: Orono Odovdlaada Phone(day): Add�ess: same as si e ; CitYy: ZIP: Emaii and/or Fax PROJFCT INFORMATION: 'rype of P�vj.ct: Any e�Ah moven�eM may require MCVYO review b pennits ❑Door(s) ❑Remodel ❑Water Damage Nfmnehaha Creelc 1Afa�er�ed DistriQ(MCVVD) f8 vuindaw(af D� ❑Smmn Dam�e 18202 Minrtemnka Blvd Deephaven,MN 55391 ❑Sidirg ❑Restora6on ❑Other.(9pecify) Phone: 952�t1-0590 F�c: 862�71-0682 ❑Re-►oof ❑Fre Dsmage vM�uv m�n�ehahacr�ek o�u Ov�erallProjedDesc�iption: Replacing 12 windowe not changing_ size_ Estfinwbed Construcdon Valuattoo of Project(excladin�land� i 3 0 96 APPUCANT ACKNOWLEOGEMEN7: • Aprees b pcavide aU inUoim�roQuired or eaQue�d b�the 6uildic�8 QspaM�onfi � Certi�es fFa�i the iniomiation supplted is 6ve and correct b the bast of h�/lter Imawla�e. Ttee�ppli�rd r�oogn'v:as th�t lhey ane aelely�ponsible fo�submitling a oomplste applicatlon bsing aware that upon isaure to do so,the staft has no altemalfve but to re)ed it uMil it is corrtpis�s; • Some or all of the mfv�ma�on that you sre asl�eed tp provide on this applicabvn is d�ssifiad try State law as eitlt�pmrats w aonii�dentlal. Prhre�e deta is iMonnation whiah generatly cannat be yiven to the public but oan be ghren to the subjed of the dsta. Cor�ntial data is in�nnatinn wtu� generapy cannot De given te ehAer tAe �blic�r the su�jec�of thg dals. Our purpose and iMsnded use of ihis inlormabon is to annualy update our rec�ds an4 rec�ds of other govetnnzental �qer�g6 lavl►. If u fe(1t9e t�Su the intonnati0o I�e ' .on fna rlot bE is�ted. ��. - r�.�- oe�2?��0 Apa�icanes Signah,re: oa�e: �e uaaae�e: o5-o�v-2oo9 C��(/ n`D�E' TIME V CITY OF ORONO CALLED IN Y � INSPECTION NOTICE SCHEDULED " "" PERMIT NO. ��/D —007g? COMPLETED ADDRESS ��� �'�� � � OWNER��K�Q' �S1'�i'S .TELEPHONE N0.952 5�73 v�SZ CONTRACTOR �/Y.O �Gu•L.t`��n�✓�C4 � DESCRIPTION Ll>�i'1qc�Z1J �'!/'�� �' �'��/�� ���v � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOODBURNER/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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � � O � � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4f)�� Owner►ConVactor on site: Inspector. � r. White Copyllnspector's File Canary CopylSite Notice