HomeMy WebLinkAbout2016-00765 - windows " CITY OF ORONO * Z 0 1 6 - 0 0 7 6 5 *
� 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2016
ORONO, MN 55356- �
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2195 FRENCH LAKE RD
PIN : 10-117-23-21-0006
LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN
: LOT 001 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILD[NG-UNDEFINED
VALUATION : $ 6,614.00
NOTE: REPLACE(3)WINDOWS WITHIN EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 154.85
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.31
1920 COUNTY RD C. WEST MAIL-IN FEE 2.00
ROSEVILLE,MN 55113 TOTAL 160.16
(612)502-4777 Payment(s)
Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 160.16
OWNER
DALTON, MICHAEL&JENNIFER
2195 FRENCH LAKE RD
WAYZATA, MN 55391-
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 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 l80 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
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By ignature Date
h I
! Clty Of O�Q�O �'��
Building Permi# Application #ar Ma�ntenance 1 Renova��on
(windows, doors, siding, re-roaf, etc. '
Mai!ingAddr�ss: PermiE number. p�� ��7
��Q�� pQ Box 66 �
Crystal Bay, MN 5�323-0066 Dats received:
Fteceived by:
r� � Streaf Addrass:
� ' , � 2760 Kelley Par[cw8y PIBn review fee: �
�° Orona, MN 55356 i�a /�
�-�� Tofa1 Fee; �
Main: 852-249-4600 Fex: 952-248�1616 -o{,o .mn.us
Thls applicatfon form must be completed in full and aE!required Information must be submitt d.
lncomplete appliCatlons wiN be retuPrted- (P/e&se prinf)
GENERAL 1NFORMATION: � � ()� �a � i
Jab Site Address: T1
Wlll this be a Parade of Hnmes, Rernodelers Showcase Home or ather Display Home? Yes I ❑ C�o
1f y�es,a specia!event pe�mit ia rgqulred wfth PoliCe Depa�tment and Cily Cauncif approvgf SO days prlor to the 6VanL Shuftls b�us seNkB w1B be
�'equlrad unless applicant derrronstrates sUR7clent on,sFte parking Is eva!lable. NGn-pemtitted events wlll not be apo�ved-
CON�'RACTO�t/APPL{CANT iNFORMATI�N: Ili
Name: �1 r� \ �rc�-ers�er� I
State License# '$Gl�pq� Expiration Da�e: '� ��
�ead Certification Numbar: � �{'� ���$3 - Expiration Date_ I y f�
{for work on homes that were cor�structedprior to 1978 (cg{I}
Phone: (p�j�— �� --�(.0$$- �, (offrce}
Mailirtg Address: � �, , "C" We,S}- City:�p ; � ���'' S I 3
Contact Person: Applicant is: ntract / Homeowner (ctr�ie ans�
Email and/or Fax: I
PROP�RTY OWNER 1NFaRMATiON: �
Name� - �
Phone (dey): �S,`I� '
Address: (��a_ Q Clty' �»''
Emall andlor Fax
PROJECT !N�'ORMA.TfON: II
Type at Project: Ar�y earth mavement ay requlre
MCWD revlew E�p$rmlts:
[] Door(s) ❑Remodel ❑Fine Damage Minnehaha Creek Watershed'I pistrict(MCWD)
❑ Re-roof,asphalt Q Repair ❑Storm Damage 18202 Minnetonk�Bivd
Deephaven, MN 55391
❑Re-root, cedar [�RestOrBtlon �Wafer Damage phone: 952-471-b580
r]R�roof,other(s�eclfy) ❑Sidlrsg Q Other� (spec�fy) Fax: 952-471-d}}�$2
S ���v�y,vww.minn� ahacreek.o�r
��ndow(s) '�l.a� _3 l�'�� ,,�:s+•
Overali Pro'ect DescriptFon:
Estime#ed Construction Valuation of Pro ect(excluding land $ y °.° '
APPLICANT ACKNOWt�DGEMENT: '
. Agrees to provide a1i lnformatit�n t�quired or requ�stvd by the Building Dapartment; !i
. Gertifles that the inf�ormation supplied is true and carrect to the 8est of his/her knowledge. 7he applican�recognizes that they
are solely responsible for submitting a compfete application bsing aware#hat upon tailure to do so,the s,laff has no aitarnative
but fo rejsr.t It untii it is Complate;
� Sdme or alt af the infarmation that you are asked to provide on this appilcation is cEassifieci by State la��+v as either private or
confldential. Prlvate data Is iniortnati4n which generally cannot be g'sv�n to the publiC but can be aiveri.to the subjeCt of the
data. Confidential data is infarmation which generslEy cannat be given #o either the pubiic or the subject of the data. Our
purpose and intended use of this informa�on i& fo annually update our records and records of other gOvernmentai agenoles
re uired b law. if u refuse to su i the Infosmatlon the a licatfon ma not be issued.
Aonlicanfs Sianature:
GJ��., �Qrv�.��G".� Data� �V ��"E ��
�III
�-� s.� ,
DATE TIME�
CITY OF ORONO CALLED IN ��"� .�
INSPECTION N TICE SCHEDULED �- oZ -/(o D
PERMIT NO. ���� ��� COMPLETED
ADDRESS al�S C�- �-��- � �f
OWNER TE EPHONE NO. � �d
CONTRACTOR ��� �
� DESCRIPTION K`� � -3
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
Z
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICOHTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: ` o?�'J.'c� 5��is fo Lj t rSo/fGc��� `
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GW ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
O INSPECTION REQUIRED_CALL TO ARRANGE ACCESS.
Call forthe next inspection 24 hours in advance. (952) 249-4600
OwnerlContractor on site:
Inspector_
White Copyllnspector's File Canary CopyfSite Notiee