HomeMy WebLinkAbout2013-00453 - windows _ ,,, .
` CITYOFORONO * z0 13 - PJ0453 *
2750 KELLEY PARKWAY DATE ISSUED: 06/OS/2013
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 BUILDING - UNDEFINED
VALUATION : $ 44,431.00
NOTE: REPLACE(26)WINDOWS AND(2)DOORS WITHIN EXISTING OPENINGS.
APPLICANT PERMIT FEE SCHEDULE 628.00
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 22.22
1920 COUNTY RD C. WEST
ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00
(612)502-4777 TOTAL 652.22
Minnesota State License#: BC 130983 PAID WITH CC# 8788
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 accordin�[o
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not gran[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 hereia 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 180 days at any time afrer 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.
C��� p� ) �, 5,� ,� , �
Applicant Permrtee�gnatur Date Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Qrono
Bui�ding Permit Application for Maintenance 1 Renovation
(windows, doors, siding, re-roof, etc.)
Mailing Addriess: / _�
�►0,� Permit number: � �
PO Box 66
� �, � Crystal Bay, MN 55323-0068 Date received�
� � . :`�-- ��� Street Addr�ss: Received by�
,��wG~ 2750 Kelley Parkway Plan reviewfee:
'tSEggp� Orono, MN 55356
Main: 952-249-0600 Fax: 952-249-4616 www.ci.orono mn us Toial Fee� �� -�j�I �'j
�J �/ �
This app�ication form musi be completed in full and al(req�ired information must be submitted.
lncomplete applications will be returned. (Please printJ
GENERAL INFORMATION: �1
Job Site Address: ql l� �j �(•�,,nC .�� .
Wilt this be a Parade of Homes, Remodelers Showcase Home or other Dis pla y H o m e? Y e s N o
/f y e s,a s p e c i a!e v e n t p e m r i t r s re quire d wi t h Pa lice Dgpartment and Cify Counci!approva160 days prior fo the event. ShuttJe bus seMce will be
required unless applicant demonstraAes sufficient onsrte parking is availa6le. Non-permitted events will not be allowed.
CONTRACTOR!APPLICANT INFORMATION:
Narne: �.�, � ,A�trS.er�
State License# ��,�'30c�$-3 Expiration Date: 'S(31
Lead Certification Number: �=� �a83 —1 Expiration Date: c{��s
(for work on homes that were Consbvc(ed o�ir�r�0 197$
Phone: (as�— a _L�/o�'� (office) (ce!1)
Mailing Address: � ap , � �• .� we�. Ci ��p:
Contact Person: ty'�`��v�1�� SSI 3
_ Applicant is: ontractor / Homeowner (CirCleOne)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: �� "��`1..
Phone (day): � f�����
Address: �a _ �� Q
Email and/or Fax - � C'ry� ZlP:
PROJECT(NFORMATION:
Type of Project:
Any earth movement may require
❑ D�or(sj ❑Remodel ❑ Fire Damage M�D neview 8 permits:
❑ Re-roof,asphalt ❑ Re air Minnehaha Creek Watershed District(MCWD)
P ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof,cedar ❑Restoration Dee �aven, MN 55391
� Water Damage Ph ne: 952-471-0594
❑ Re-roof, other(apecify� ❑Siding ❑Other: (specify) Fax: 952-471-0682
❑window(s) a Q�S www.minnehahacreek.ora
Overall Project Description: OCX 5 �v� i S
Estimated Construction Vafuation of Project(excluding land) $ Ytj� L� f �
APPLICANT ACKNOWLEDGEMENT: 4
• Agrees to provide all information required or reyuested by the Building Department;
• Certifies that the information supplied is true and correct to the best of his/her knowfedge. The applicant recognizes that they
are solely respons'rble for submitting a complete application being aware that upon faiiure to do so, the staff has no altemative
but to reject it until i1 is complete;
• Some or a!I of the information that you are asked to provide on th'rs application is classified �y State law as either private or
canfidentiai. Private data is information which generally cannot be given to the publiC but can be given to the suhject of the
data. Confdential data is information which generally cannot be given to either the public or the subjecf pf the data. Our
purpase and intended use of this information is to annually update our necords and records of other governrnental agencies
re uired b law. If u refuse to su I the information,the a (ication may not be issued
AnolicanYs Sionature: � �`T �
G'�r�,'.`� Date: .7�J(JYLQ �
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` CITY OF ORONO * Z 0 1 3 - 0 Pl 4 5 3 *
. 2750 KELLEY PARKWAY DATE ISSUED: 06/25/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
REPRINTI:D ON 6/25/2013
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 BUILDING -UNDEFINED
VALUATION : $ 44,431.00
NOTE: REPLACt�.(26)WINDOWS AND(2)DOORS W[THIN EXISTING OPENINGS AND REPLi10E(3)HEADERS
APPLICANT PERMIT FEE SCHEDULE 628.00
RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 22.22
1920 COUNTY RD C. WEST
ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00
(612)502-4777 TOTAL 652.22
Minnesota State License#: BC130983 PAID WITH CC# 8788
OWNER
DALTON, MICHAEL&JENNIFER
2195 FRENCH LAKE RD
WAYZATA, MN 55391-
ACREEMENT AND SWORN STATEMENT
The work for which this permi[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 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 commenced.
The applicant is responsible for assuring all required inspec[ions are
requested in conformance with the State Building Code.This permit may be
revoked at any time Yor due cause.
/ / / ��
Applicant Permitee Signature Date Issued y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� ` CITY OF ORONO PERMIT NO.: 201�00453
2750 KELLEY PARKWAY
ORONO, MN 55356- °ATE IssuEn: o6�2si2oi3
(952) 249-4600 FAX: (952) 249-4616
REPRINTED ON 6/25/2013
ADDRESS : 2195 FRENCH LAKE RD PERMIT APPLICANT:
PIN : 10-117-23-21-0006 RENEWAL BY ANDERSON
LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND 1920 COUNTY RD C. WEST
ADDN
: LOT 001 BLOCK 003 ROSEVILLE, MN 55113
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL (612) 502-4777
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 44,431.00
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:
INSPECTION TYPE DATE INSPECTOR INSPECTION TYPE DATE INSPECTOR
FRAMING
FINAL
INSPECT[ON COMMENTS:
IN ACCORDANCE WITH CITY ORDINANCE,NEW OR SUBSTANTIALLY REMODELED BUII,DINGS SHALL NOT BE OCCUPIED UNTIL ALL
WORK HAS BEEN APPROVI?D.AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUI:D 13Y"I�HE I3UILDING DEPARTMENT.
THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.
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�G./�� + � DATE TIME ✓
CITY OF ORONO CALLED IN - - �3��
INSPECTION NOTICE SCHEDULED
PERMIT NO ' COMPLEfED
ADDRESS �
OWNER T LEP O E NO.�{c����
CONTRACTOR - �Gl�J
a DESCRIPTION " G��
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� ❑ FOOTtNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ L4KESHORFJWEfLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q � RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE COVERING
PEFMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52� 249-46�0
OwnerlContractor on site:
Inspector. _
White Copyflnspector's File Canary CopylSite Notice
'� E/� TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED ! �-/�
PERMIT NO.o7D/.3- �� COMPLETED
ADDRESS � ' G�-
OWNER P N NO. � �1S
CONTRACTO _ ✓t �/�/!�'���i CL vl
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�: DESCRIPTION ��vl.f�[' G!�'���/�ti����
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Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
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Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
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V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN
u CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. �95Z� Z49-4600
OwnerlContractor on site:
Inspector. ti,
White Copyllnspector's File Canary CopylSite Notice