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Home My WebLink About2013-00334 - windows '� � '' CITY OF ORONO PERMIT NO.: 2013-00334 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUE�: OS/09/2013 (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 PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 14,908.00 NOTE: REPLnCG 7 WINDOWS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 265.50 RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 7.45 1920 COUNTY RD C. WEST MAIL-IN FEE 2.00 ROSEVILLE, MN 55113 TOTAL 274.95 (612)502-4777 PAID WITH CC# 8788 Minnesota State License#: BC130983 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 performed according to: (1)the conditions of this permit; (2)the approval plans and specifications; (3)the applicable City approvals, Ordinances and Codes;and(4)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. This permit will expire and become null and void if construction authorized is not commenced within 60 days, 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 in conformance with the State Building Code. SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DE RIBED ABOVE. 1 1 w City of Orono Building Permit Application for Maintenance 1 Renovation (windows, doors, siding, re-roof, etc.) �� Mailing Addiess: �"��T PO Box 66 Permit number: Q �; �� Crystal Bay, MN 55323-0066 Date received: �- I � �, � Slreet Addiess: Reoeived by: '�'lq `,�o'` 275Q 1(elley Parkway Plan review fee: ��sao4` Orono, MN 5535fi Main: 952-249-4600 Fax: 952-249-4616 www.ci orono mn us Total Fee: This application form must be completed in full and all required information must be submitted. lncompiete applications will be returned_ (Please print) GENERAL lNFORMATION; Job Site Address: l S �� (��V� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes �No Kyes,a special event permit is required with Polrce Depariment and City Counci!approval 60 days prior to the event. 5hutt/e bus service wi11 be requi�ed unless applicant demonstrafes sufficient on-site parfcingls avaNable. Non-permrtted events wiN not be adowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��uJo.� �l �Av�-tYS�rv State License# �,G`309$3 Expiration Date: 3 �3� Lead Certificati�n Number: (`j ~r_ a� as3 _ Expiration Date: (for worlr on homes that were constructed erinr�,..�q78 ��15 Phone: (a S j� a�— L.�O�� (office) Mailing Address: ,. „ �� 19 v"1 C . � C l�es�- City:�yk �lle. zIP: SS1 Contact Person: Applicant is: oniractor / Homeowner Email andlor Fax: «�'��One� PROPERTY OWNER INFURMATIO • Name: �� '�O��} Phone (day); Q a , a - Address: Emaif and/or Fax + C ity: ZI P: RROJECT INFORMATtON: Type of Project: Any earth movement may requtre ❑ Door�s) ❑Remodel ❑Fire Damage MCWD review�permits: ❑Re-roof,asphatt ❑Re air Mfnnehaha Creek Watershed District(MCWD) P ❑ Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑ Restoration ❑Water Damage �ePhaven, MN 55391 ❑Re-roof,other(spaciry) ❑Siding Phone: 952-471-059Q ❑Other: (specify} Fax; 952-471-0fi82 ❑ Window(s) www.minnehahacreek ora Overal) Project Description: � �� Estimated Construction Valuation of Project (excludin la d � � �S a , _ 9 � 1 9 , O APpLICANT ACKNOWLEDGEMENT: • qgrees to provide all inforrnation required or requested by the Building Department; • Certifies that the infarmation supplied is true and correct to the best of his/her knowledge_ The applicant recognizes that they are sole�y responsible for submitting a complete application being aware ihat upon failure to do so, Ihe staff has no alternaiive but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classifred by State !aw as either private or confidential. Private data is infurmation which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this informakion is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the information, the a lication ma not be issued. Aoolicant's Sianature• ryv,,, l� Date: �� i ��} C/ z 'd 06T9bL91S9 3�IA213S 1IW213d Q '8 S �1 LS �zT ETOZ BO FeW ,(( � DATE TIME " (� \ CITY OF ORONO CALLED IN ��--13 INSPECTIO OTICE SCHEDULED �� !� PERMIT NO�� —�� `� COMPLETED ADDRESS � �`S Fr.p��. Cr(4 -�— OWNER� � 6 C'c�rr�� TELEPHONE NO�--� �� CONTRACTOR ��r.�-��l � (�=?v�uFsT��-- � DESCRIPTION ��(�(j� ��"� � ❑ FOOTiNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION O WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADO ❑ WATEF HOOK-UP ❑ PROGRESS � FINAL � ❑ SEWER HOOK-UP ❑ COMPLAINT � MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � j � �'WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WIIL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. l � ' , White Copyllnspector's Flle Canary CopylSite Notice