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Home My WebLink About2010-1179 - addn/remodel/repair / � CITY OF ORONO PERMIT NO.: 2010-01179 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �ssuEn: 12/06/2010 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 : REPAIR/��1 I/(�=��'�� ACTIVITY : 434-RESIDENTIAL VALUATIOIY : $ 2,426.00 NO"CE: NLGDS"CO I3E INSPGCTED DURING INS"I'ALLA"I�ION 32 LINGAR PI:G"]�DRAIN"I'ILE WITH SUMP PUMP&I3ASKGT. I 1 � APPLICAIVT PERMIT FEE SCHEDULE 88.50 JESSE TREBIL FOUNDATION SYS INC. STATE SURCHARGE(VALUATION) 5.00 603�5 U S HWY 12 LITCHFIELD, MN 56387- TOTAL 9,.50 (320)974-8729 PA[D WITH CC# 3188 Minnesota State License #: 20446489 � OWNER I NANN, BERNARD& VICTORIA � 1300 FRENCH CREEK DR WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT l�he work for which this pennit is issiied shall be perfonned according to the approved plans and specifications,applicable City�approvals,and thc State Building Code. This permit is ibr only the work described and does nut grant permission for additional or related��ork�vhich requires separate pennits. All provisions of laws and ordinances governine this type of�cork shall bc compicd�vith��•hether or not speci�ied herein.This permil 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 conunenced. Che applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code."I�his pennit may be � revoked at any time for ue cause. o�, �o ��v�t-a� i o�� v plicant Perm� ignature Date Issued y Signalure Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. DE�-3-2G�:.0 �3:40 FROM:TREBILFOUNDATION SYS 3205938720 T0: 19522494616 P.3�3 City o# Orono Buiiding Permit Application for Internal Work (windows, doors, siding, �e-roof, etc.) r��, MailinpAddiess: Permitnumber; �l —�� Q��,�0 PO Box�6 Crystal Bay, MN 55323-0066 Dete rocoived; i � .D D � ,�' � Street Address: Received by: 2750 Kelley Parkwey Plan review fee: ��;� $ Orono, MN 55356 \�+Ar 4. �=-�" ��d Tot�l,Fee:, Main, 952-249-4600 Fax= 952-249-4616 www,ci,orpnp.mn.us This applicakion form must be completed in full and all required informaticn must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: ��,�c n� r� � r�v Will this be a Parade of Homes, Remodelers Showcase Mome or other Display Home? Yes No !/yos,a speclel event permit is requlrod wlth Pol�Ce DepeRment and Clry Councll epprvvu/60 deys prlor!o the evant. Shuttle 6us aarolce will De requirod unless appdcant damonsfretea sW/Iclent oa-s!ro perking Is evsllable. Non peimllted events w/ll nor bv allowed. CONTRACTOR/APPLICANT INFORMATION: Neme: 'S�_��.��T� ,�.� C��5\�.�icK� ��,i�,�e,�,-.c-� 'C`'n� State License# _ �r,�l_y(r,y. $ �, T____. _ Expir'ation Date: �-3�- o?_O\7.__ Phone: � P= � offica cell Mailing Address: -� ��_ Cit � ZIP: Sr�3 Contact Person: � , Applicant is; r�3. Momeowner �ci.ci.o�a) Email and/or F�� a PROPERTY OWNER INFORMATION: Name: � �r PhOne (day): - r - � - Address' �� Cit ZIP: .�� Email and/or Fax PROJEC7 INFORMAtION: 7ype of Project: Any earth mcvemant m�y requlre MCWD rovlew&permlts �Door(s) ❑ Remodal ❑Water Damege Minnehaha Creek Watershed Qfstrict(MCWD} ❑Window(s) []Rep�ir ❑ Storm Damaga 19202 Minnetonka 6lvd Oeephaven, MN 55381. ❑Siding ❑ Rastoration �Other: (specify) Phone: 952-�71-�590 3�,\,••ea� ��+ C�r c„ �1 �� Fax: A62�a71-0682 ❑ Re-roof ❑ Flre D2m2�s - � www.minnAhahacrR9k.ora Overall Pro ect Deacrlptlon: Estimated Constructlon Valuatlen of ProJect�excluding land) $ ��-,r �(a ��Q APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all inFormation required or requested by the Building DepaRmenC; . Certifies that the information supplied Is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible Por submitting a complete epplication being aw8re that upon fd(lure Co do so, the staff hes no alternative but to rejeCt it until it is complete; � Some or atl of the information that you are aeked to provide on thie appllcation ie claseified by State law as either private or confidential. Private data is informakion which generelly cennor be given to the publlc but can be given to the subject of the data. Confidential data is informati�n which generally cannot be given to either the public or the subject of tha deta. Our purpose and intended use of this infofinetion is to annually update our records and �ecord� of oth�er governmental agencies re uired b lew. If ou refuse to su I the information the e licetion me not be issued, Applicant's Signature: ��Q,� �p�� Data; ��„ .,.,,,.Q.,�n 3 ,T C�� '�eQ.,..�.a--,J.,�,.e.�,.,�.� C'�a�.��a,.� Last Updata0: O�Oa-Z009 DE�-3-2F�,10 03:39 FROM:TREBILFOUNDATION SYS 3�05938720 T0:19522494616 P.2�3 Bid Dace �� v �p� .�� INSTALLA'.t'i0N !"l`'"�' ��_'/� �1C1'�ur D� 1�-I�-I� Phone � FDUI110AT10N 6Y6TEM5 INC. Quality We Can Gua�rantee Fo�ma" -`� W ^•' l-800-430�851 � 9'j�- y�� ^ o�� . 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( ,'�' r , , ; . , , . : ; ,. . . . .: � _._ � j. f _ _ .�_;. . . .��_.:..`.I.....'_,..,. ... ....,...',..� i_. , � � � .4 I.� �„L, �,�. _ I Approximate numrer of days for job completion: • � , - � , r � : • - � - r r • � � � Additional chaxgc for mov�ng D Go�her One Amount of bid $ � objeccs out of the wark area $ 0 Yes (B=No !�Plus permic fees if reyuired Q Ho�eowner co get permit O►tr�rioriry is to #ix the prroblem with yaur foundation,that's what our customers re]y on us for. Keep in mind tbat we can not be responsiblc for any Cnish carpentry,painting,paneling,etc,rhae may be necessary �er our wnrk is compl�t�d.Jesse'h�ebil Fnundadon Systems.Inc, will not be r.esponsiblc for any landscaping,reseeding or re-sodin�, unless otherwisc aoted on bid. - We wi11 call"Gopher One"to have a�l public underground lines lacated.If you have private lines such as satellite dish cabies,propane Iine,spriz�kler syste.m,etc.you are responsible for marking them.Yesse TYebil�oundation Systems, Inc.will noc assume r�sponsibility if there is damage to privatc lines.If you live at a nual address,public lines will only be located to the pole or your prpp�rty'line.T'f tln,mage to any of these lines in�n area that was not marked occurs,you will he resPonsible foz al1 repairs. �your city requires outside�ngineering,this quote muy need to be tewriCCen to�neet their recommenda ions. Aby additional fces inaurred are not included in this bid and are th� customer's responsibf�ity. � . 1 G9��n��n��m.c�.d�w� R.cp�senraovc's Signature /� Auchorizul Signature � ` `DAT TIME CITY OF ORONO cn�ED IN 1 INSPECTION NOT CE SCHEDULED /Z-/7-/D q:O'D PERMIT NO.O�O�� D�l7g COMPLETED ADDRESS �3� �� -J OWNER TELEPHONE NO. ��u� ��`� CONTRACTOR ��_Cl� /%C%�'t-�' y��'�J >: DESCRIPTION � `�� '� �� lV ❑ FOOTING ❑ UMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECT�ON Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAI. J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED ��L7;PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED G�SUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CAL�TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-46�� OwnerlContractor on site: � - Inspector. � � % �� i White Copy/lnspector's File Canary CopylSite Notice