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