The URL can be used to link to this page

Home My WebLink About2013-00928 - doors E � CITY OF ORONO * 2 0 1 3 - 0 0 9 2 8 * 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1250 FRENCH CREEK DR PIN : 10-117-23-32-0013 LEGAL DESC : FRENCH CREEK : LOT 005 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 29,059.00 NOTE: REAPI,CE(2)WINDOWS AND(6)DOORS WITHIN EXISTING OPENINGS. APPLICANT PERMIT FEE SCHEDULE 466.75 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 14.53 1920 COUNTY RD C. WEST ROSEVILLE, MN 55113 MAIL-IN FEE 2.00 (6l2)502-4777 TOTAL 483.28 Minnesota State License#: BC130983 PAID WITH CC# 8788 OWNER DANIELSON, SCOTT& SHARI 1250 FRENCH CREEK DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work Yor 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 au[horized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspec[ions are requested in conformance wit the State Building Code.This permit may be revoked at any time far due cau . ' 9/ // l �� !�y�%(-Gl�f"j- QIl �/ l/�.3 Applicant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � City of Orono Building Permi# ApQlication for Maintenance ! Renovation {windows, doors, siding, re-roof, etc.j �"�� MaiJing l�ddress. D/ _ � ��-�7' PO Box 66 Permii number: 0 ,,� Q Cry�tal Bay, MN 55323-0066 Date received: 9�/D/?j �. �^ �- �f Streel Address: Received by: �'�' 4 o~F l 2750 Kefley Parkway ��r�s�o'¢� Orono,MN 55356 P�an review fee: _ 1 Main: 952-249-4600 Fax: 95�249-4616 www_ci.orono mn us Total Fee: � �Q�'�Q v p This ap plication f�rm m u s t b e c v m p l e t e d i n fu f l an d a l l required inforrnafion must be submitted. Incomplete apptications wfl! be retumed. (P/ease print) GENERAL lWFORMATION: Job Site Address� �a�j� .�(�,r�C�^�. �f,Q,�� Will this be a Parade of Nomes, Remodeler�Showcase Home or other Display Home? Yes No II yes,a specia/event permit is required with Aolice QeperFment and Ciry CouncN approva!60 days prior to the evenC Shuttle bus service wi!!be raquired unless appliCant demonstrates s'ufficient on-sife parking is availabfe. Non-pemritted events wi!!nof be a!lowed. CON7RACTOR/AP�P�L.ICANT INFORMATIO�V: Name: 0.� ,Av�,,�[,r�.� Staie License # �C,130�8� Lead Certification Number: Expiration Date: 7j� 3� N T- o? 0?83 - Expiration Date: � (for work on hornes that were constructed prior b 1978 Phone: (051� a -t��-}-�., (office) Mailing Address: � � ,�C„ �e� C' . (cefl) Contact Perso�: �'�StV�I e. Z�P� S�� "3 — Applicant is: ntractor / Homeowner �ci.ae o�o� Email and/or Fax: - PROPERTY OWNER INFORMATION: Name: S Phone (day): -' �, 1 �� Address: — 45 - - l► Email and/or Fax � �� C��'� Z1P: PROJECT INFORMATION: � Type of Project: Any earth movement may requlre �j Door{s) � ❑ Remodel MCWD review 8� ermits: ; ',(] Fire Damage Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphatt I ❑Repair � Storm Dama e 9 18202 Minnet�nka Blvd ❑ Re-rooi,cedar ❑ Restoration �Water Damage Deephaven, MN 55391 ❑Re-roof,other(apeclty) � � g�di�g Phone: 952-471-0590 ❑ Other: (specify) Fax: 952�71-0682 _��Window(s) www.minnahahacreeic orq Overall Project Description: I R�1ac� a w�o,�S (o d4x wl rrv • Estimated Constructron Valuation of Project�exciuding land ��Q � �� ) � o� 1 Q�J r APpLICANT ACKNOWLEDGEMENT: • Agrees 2o provide all inforrnation required or nequested by the euilding Department; � Certifies that the information supplied is true and correct to the best of hislher knowledge. The applicant reoognizes that lhey are solely responsible for submitting a complAte application being aware that upon failure to do so, the staff has no alternative twt to reject 'rt until ii is complete; ' • Some or ail of the information that you are asked to provide on this application is classified by State law as either privaie or I+ confidential. Private data is information which generally cannot be given to the public but Can be given to the subject of the data. Gonfidentlal data is information which generally cannot be given to either ifie public or the subject of the data. Our � purpose and intemded use of this information is to annually update our records and records of other governmental agencies re uired b law. If u refuse to su I the infdfmation, the a lication ma not be issued. Anoficant's Sianature:01, C�-� ��,3 Date: Z 'd 06T9�L9TS9 3�Ih�13S 1IW21�d Q B S f� LT �ET ETOZ Oi daS � _ � L�G�� / DATE TIME V CITY OF ORONO CALLED IN �Y'-7 l� INSPECTION OTICE SCHEDULED — I– I PERMIT N " cOMPLETED ADDRESS �as� �l��. �,�� C(!/U OWNER TELEPHONE NC1P��`��'� CONTRACTOR (� � � DESCRIPTI N ��-X l�t��t�tGc� y �C�� . � � ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POUR WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FR ING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ I ULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ADON SLAB ❑ WATER HOOK-UP O PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � J d � ❑WORKSATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑CITAT�ON ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED_CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor on site: Inspector. White Copylinspector's Ffle Canary CopylSite Notice