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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 � C��k- `4-t� f5��-�' f�'/ifi�v.�J� � C-�N�-� //`'f�J' / � �,� /��� /�,t;�/r��w (��-'� � � �� � l'd b088E6t��9L diysue�{uel8 Pl�uoa dE9�60 60 9� ��f ��� DATE TIME ✓ 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�``��'{'� � ���� ��� � 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: � W a o �� �� ,' . � ����r� �{ ��SP � �/U ��;�1�� �fi S . 5 P c. � �P ° �..`S ��-L. � l�,4��f � � W °� � ..:�t'�c 1 J.S Q � z W � W � � d 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: � W a j o �'�� C C.� /1�.r���S��►'�� ' r� � (e.�n '� `� c�.s �-�C A c>� �" � G�C���S � � 0 � 1 �v �� � � f� � 1� {S G � S � W � Q � Z W � W � � d 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