HomeMy WebLinkAbout2009-00324 - water damage repair !
' �` CITY OF ORONO PERMIT NO.: 2009-00324
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE 1ssUEn: 06/18/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 1300 FRENCH CREEK DR
PIN : 10-117-23-32-0015
LEGAL DESC : FRENCH CREEK
: LOT 007 BLOCK 002
PERMIT TYPE : ADDITION/REMODEL/REPAIR
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 1,500.00
NOTE: WATER DAMAGE REPA[R
APPLICANT PERMIT FEE SCHEDULE 57.50
RENAISSANCE PLASTERING STATE SURCHARGE(VALUATION) 0.75
5780 215TH LANE NE
WYOMING, MN 55092- TOTAL 58.25
(651)755-8800 PAID WITH CC# 5886
Minnesota State License#: 20579884
OWNER
NANN, BERNARD& VICTORIA
1300 FRENCH CREEK DR
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 Yor additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shail be compied with whether or not specified herein.This permit wili
expire and become null and void if construction authorized is not
commenced within 180 days of the da[e 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 i�formance with the State Building Code.This permit may be
t any time�r ue cause.
, � /� D � / /
p�sa rmitee 'n Date Issued By Signature Date
S ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
city ot Urono
Building Permit Application fo�- Internal Work
. (windows, doors, siding, re-roof, etc.)
MailingAddress: pemtit number: �� "�� a�
���,�.� , PO Box 66
Crystal Bay, MN 55323-0066 Date received: U�
;/'� r�- --` Q
I�� �� y �,r! Streei Address: Received by_
�'�, . � �`�� v�� 2750 Kelley Parkway Plan review fee:
'�/� Orono, MN 55356
t9x���"/ Total Fee: � �
Main: 952-249-4600 Fax: 952-249-4616 www.ci_orono.mn.us � �
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please printj
GENERAL INFORMATION:
Job Site Address: � �pc'� — � �/ �.�
Will th�is be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No
If yes, a special evenf permit is required with Police Department arrd Ciry Council approval 60 days pnor to the event. Shuttle bus service wdl be
required e�nless applicant demonstrafes suffibient on-site parking is available. Non-permitfed events will not be a!lowed.
CONTRACTOR/�PLICANT INFORMATION:
Name: � '� ' � � �� ;,,�
State License# Expiratio Date: ''���p
Phone; ,� �I -'1 ;� o�ce � - 'S{S -�� b cell
Mailing Address: "1 ^� � C, Ci : � ZIP: S'�^ �,
Contact Person: � �- Applicant is: raet r �/ Ho owner �c����one�
Email andlor Fax: , (- 6�S- 1'3� �o+�
PROPERTY OWNER I�IFORMATI
Name: �� �,��
Phone (day}: � - "�?��i- '1 ZIP: ��'�� �
Address: �'�pp ��„��P� ��,�_ City� Q�s�p
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movecnent may r+eqaire
MCWD review 8�permits
❑ Door(s) ❑ Remodel �lUater Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) �Repair ❑Storm Damage 18202 Minnetonka Blvd
Deephaven,MN 55391
❑ Siding ❑Restoration ❑Other: (specify) Phone: 952�71-0590
�ax: 952-�71-0682
❑Re-roof ❑ Fire Damage www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Yaluation of Project(excluding land) $ l,�'G� •C76
APPLICANT ACKNOWLEDGEIUIENT:
• Agrees to provide all information required or requested by the Building Department;
• CeRifies that the information supplied is true and correct to the best of hislher know�edge. The applicant recognizes that they
are sofely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Some or all of the information that you are asked to provide on this applicaiion is classified by State law as either private or
confidential. Pnvate data is informativn which generally cannot be given to !he public but can be given to the subject of the
data. Confidential data is information which generaEly cannot be given to either tfi�e publ3c or the subject of the data. Our
purpose and intended use of this information is to annually update our records and records of other governrnental agencies
re uired b law. If ou refuse to su 1 the information,the a lication ma not be issued.
�, .
ApplicanYs Signature: �� Q�,�-�,�� Date: �'-I b-G�
Last Updaled: 05-04-2009 �
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CITY OF ORONO �� _ CALLED IN `�
INSPECTION NOTIC2E�« � scHe�u�E� ��2- � ���
PERMIT NO. �l��._ )��-� COMPLETED
ADDRESS 1 . ^ � "
OWNER CONTR. �1�S� t'l�C . �
TELEPHONE NO. �` � �- � ��� ,��j�'r'�. �l�``��'{'�
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� DESCRIPTION � �
� ❑ FOOTING ❑ MECHANICAL R� ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS:
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W��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETtJRN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-46��
OwnerlContractor on site:
Inspector. ,r� /r'V,')�
White Copyllnspector's File Canary CopylSite Notice
__ __ _ _ _ _
��� � D TE TIME �
CITY OF ORONO C LLA ED IN --�—
INSPECTION NOTICE SCHEDULED �`� / g �
.2vv,y'-oa 3a- �
PERMIT NO. COMPLETED
ADDRESS l3� GL�- L�L�L1�!/'PJ
OWNER CONTR. ��'�-�Q�'I� �
TELEPHONE NO. J���- � �vJr'l' 7SS—�P�
� DESCRIPTION �� ,
l� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q'�'�RRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL � FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� �NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED - ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '-� CITATION ISSUED
❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-46QQ
OwnerlContractor on s'te:
Inspector. � �
White Copyllnspector's File Canary CopylSite Notice