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Home My WebLink About2012-01020 - windows CITY OF ORONO * 2 0 1 2 - 0 1 0� � "� 2750 KELLEY PARKWAY DATE ISSUEU: 10/10/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1285 FRENCH CREEK DR PIN : 10-117-23-32-0007 LEGAL DESC : FRENCH CREEK : LOT 008 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS NROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING- UNDEFINED VALUflTION : $ 6,474.00 NO"1'I;: RENLACG(4)WWDOWS INTO GXIS�I'ING OPGNWGS. APPLICANT PERMIT FEE SCHEDULE 147.50 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.24 1920 COUNTY RD C. WEST ROSEVILLE, MN 551 13 MAIL-IN FEE 2.00 (612)502-4777 TOTAL 152.74 Minnesota State License#: BC130983 PAID WITH CC# 9627 OWNER O'CONNELL& LYNNE RASUMSSEN, BRIAN 1285 FRENCH CREEK DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfcrmed according to the approved plans and specifications,applicable City approvals,and thc State Building Code. "I�his permit is for only the work described and does not grant permission for additional or related work which requires separatc pennits. 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. "I�he applicant is responsible for assuring all required inspections are rcqucsted in conformance with the State Building Code.This permit may be revoked at any time for due cause. � G��C.�„"'_' i i ��'1�6t�� /D l /[�l / �- Applicant Perm�tee Signaturc Date Issued y Signaturc Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. L ity ot orono Ruilding Permit Application for Maintenance 1 Renovation f (windows, doors, sidin , re-roaf, etc.) Ma!ling Address: Pennit number. �� Z - �� .� PO B ox 68 Q � Crystal Say, MN 55323-0066 Date received: — Z a a. Streef Address: Recelved by: �� •, G'�F 2750 Kelley Parkway Plan review fee� �Fc�8Ho4`0' Orono, MN 55356 �_�- Total Fee: �5�, 7 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono mn us This application form must be completed in full and all required informatfon must be submitted. Incomplete applicatlons will be retumecl. (P/ease print) GENERAL INFORMATION:,^ � � Job Site Address: o� �� '� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If ys=, a spedal event pertnli(s required wlfh Police Department and Ctfy Council apprvval 60 days prlor to fhe event. Shuttle bus service wiN be required unless applicerrt demonstratea su�cient on-site parking!s ava!laD/e. Nonpennifted etrents wlll not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �G'n�Wa.� `�y Ar�trSe�N State License# �jC�?jp�S-3 Expiration Date: 3(31 Lead Certification N urnber: (`j�--r_ a�a B 3 - 1 Expiration Date: y��5 (for work on homes that were consfructed pryor to 19T8 '� Phone: (c5�— oZ(Ot�—y�.�-� (o�ce) (cell) MaifingAddress: � , ` �• •• We�. City:�,�,�V� e ZIP: � ( 3 Contact Person; Applicant is: ntract / Homeowner �c�r�i.o�.� Email and/or Fax: PR�PERTY QWNER lMFORMATION: Name: �� i pL(Lj n�n-�,11 Phone (day): a _ �$ Address: City: Z�p; ' Email andlor Fax PROJECT INFORMATION: � Type of Project: Any earth movament may requlre ❑Door(s) ❑Remodel ❑ Fire Damage MCWD revlew S pennits: Minnehaha Creek Watershed Disirict(MCWD) ❑Re-roof,asphal! ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof,�edar ❑ Restoratlon ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑Re-roof,other(apecify) ❑5iding ❑Other: (speclfy) Fax: 952�71-0682 ❑Window(s) �(� y l.�,j� �,�j +�.minnehahacreek ora Overall Project Description: �� •� ; ; Estimated Construction Valuation of Projeet(excluding land) $ r APPLICANT ACKNOWLEDGEMENT: • Agrees to provlde all informaGon required or requested by the Building Department; • Certifles that the information supplied is true and correct to the best of hislher knowiedge. The applicant recognizes that they are solely responsible for subrniriing a complete application being aware that upon failure to do so, the staff has no altemative but to reject it until it is complete; � Some or all of the information that you are asked to provide on th(s appliqtion is classified by State faw as either private or confidential. Private data is infoimation which generally cannoi be given to the public but can be given to the subject of the data. Confidential data is information whidt generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other govemmental agencies re uired b law_ If ou refuse to su I the infiormation, the a lication ma not be issued, ( Aoolicant's Sianature: d�� Date: � ��' �2.- E 'd 06i9bL9TS9 3�IA�13S 1IW213d Q '8 S f� OS ��T ZTOZ 60 ��0 C�/�� DATE TIME � CITY OF ORONO CALLED IN / � INSPECTION ICE _ � SCHEDULED /l� PERMIT NO. �� 2 � ��co PLET ADDRESS � ��/�� '�"� OWNER E EPHO E NO.�� CONTRACTOR �� Q-/�- >; DESCRIPTION .�� '"� V�/ �-�� [�S � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING � MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECT�ON Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ 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 � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REiNSPECTiON TEMPORARY V BEFORECOVERING PERMANENT 0 CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. (� / White Copyllnspector's File Canary CopylSite Notice