HomeMy WebLinkAbout2014-00405 - windows �, CITYOFORONO * z0 14 - 00405 *
2750 KELLEY PARKWAY DATE ISSUED: OS/06/2014
• 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 ALTERAT[ONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 15,157.00
NO"I�F,: RI?PLACE 7 W]NDOWS IN i�:X]S�I�ING OPENINGS
APPLICANT PERM[T FEE SCHEDULE 280.25
RENEWAL E3Y AND�RSON STATE SURCHARGE (VALUATION) 7.58
1920 COUNTY RD C. WEST MAIL-IN FEE 2.00
ROSEVILLE, MN 551 13 TOTAL 289.83
(612)502-4777 Payment(s)
Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 289.83
OWNER
O'CONNELL& LYNNE RASUMSSEN, BRIAN
1285 FRENCt1 CREEK DR
WAYZATA, MN 55�91-
AGRF,EMEIVT AND SWORN STATEMENT
I'he work for which this pennit is issucd shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State t3uilding Code. This permit is(or onl��the work described and does
not grant permission for additional or related work N�hich requires separate
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 ifconstruction authorized is not
commenced���ithin 180 da��s of Ihe date of issuance,or if construction is
suspended for a period of I AO days at any time alter work has commenccd.
The applicant is responsible fbr assuring all required inspections arc
requcsted in conformance with the State[3uildin�Code.This permit may be
revoked at anv time for duc cause.
/ /
Applicant Permitee Signatw�e Date Issued E3y Signature Date
�Tc..�-�.�. S�'��f
. City of Orona
Building Permit Application far Maintenance / Renovation
(windows, doors, siding, re-roof, etc.)
MaJling Address: Permit number: �4� —C���
�r a.� PO BOX 6S
d �, a Crystal 8ay, MN 55323-0066 Date received: —�O /
.� ,�
� -'•' Street Address: Received by: �Q�' V �
�, �� 2750 Kelley Parkway f'lan revlew fee:
�r���o�.�' Orono, MN 55356 �
Main: 952-249�600 Fax: Q5,2-249�G16 Tofal Fee: 2�<.�', �'3
w�w.ci.orono.mn ��s
This application form must be compl�t�d in full and ail r�quired infprmation must be submit�ed.
Incomglete appfications will be returned. (Please print)
GENERAL lNFORMATION: ,��
Job Site Address: �Y,.Li�1C,� �.'(-��,,,��.j'(►l�l..C1
Wil!this be a Parade of Homes, Remode{ers Showcase Home or other Display Home? Yes ❑ N�
!f yes,a speclal event peimit is requlred wifh Pol/ce beperiment and Clty Counc;l approva!60 days privr In the event_ Shuttle bus service w!!I be
reqilired unless appllcant demonstrates su�cient on-slte parking is available. Non-pgrmitted events wIH not bA allowed.
CONTRAC70R/APPLICANT INFO�tMATfON:
Name� t���4�\ �^�1 `A��trSer�
State License# '�C,\'7jp9 S� �xpiration Date� ���1
Lead Certification Number: � -T� a� a g� -} Expiration Date: �{1(s
(for work an homes that were consfruc(�ed prlor to 7978 � '�"
Phone� (orj�� � _�(.O�' n (office) (cetl)
MailirtgAddress. � a� . i�d '•G•, W�Sk GitY:'�,pStv�l � ZIP' SSl
Cpntact Person� Appficant is� ntractor / Homeawner �c�rcie ona�
Email and/or�ax: �
P�2bP�RTY OWNER INFORMATEON:
Name: _ �Y (►e�ra d�COIr'�,r��,�
Phone(day): 95c� � � �3�
Address: rj; �, City: ZIP:
Email andlor Fax �
PROJEGT IfV�ORMATiON:
Type of Project: Any earth movement may require
❑Door(s) ❑ Remodel ❑ �ire Damage MCWb revlew 8 permits:
❑ Re-roof,asphalt 0 Re air Minn�haha Creek Wate►shed Distr'rct(MCWD)
i p [] Storm damage 18202 Minnetonka Blvd
�]Re-roof, cedar € �]Restoration ❑Water bamage �eephaven, MN 55391
0 Re-roof,other(specf�jr) ❑Sidin Phone: 952-471-0580
9 ❑ �ther: (specify) Fax: 952�71-Q682
�Window(s) vrww.minnehahacreek.or4
Overall Pro"ect Description: i 0� ,� �+� ;
Estlmated Construction Valuation of Project excludir�g land � � �j , . �(�
APPLICANT ACKNOWLEDGEMENT:
• /�grees to provide all Information required or requested by the Building Department;
• Certifies that the information supplfed is tnre and eorrect to the best of his/her knawledge. The applicant recognlzes that they
are solefy respansible for submitting a complete application being awa�that upon failure to do so, the staff has no alternative
but fo rejeci it until it is complete;
• Same or all �f the information that you are asked to provide on thls application is classified by 5tate law as either private or
confidential. Private data is information whfch generally cannot be given to the public but can be given to khe subject of the
data. Confdential data is information which generally cartnot be given to eithQr the public or the subJeci of the data. Our
purpose and intended use of this informatlon is to annually update our records and records af ather governmental agencies
_ required by law. If you refuse t�supply the information,the a licatipn ma not be issued.
Andlicant's Sianature� �'�`� Date: � ��
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�r � ;�. ��?'�„^w"A''�"�`�^>:�,x��
,i[_l.`..:,�.^., ._'4'371.
W S&D Permi�Service
9533 - 3b7�Street; North Branch, MN 55056
Phone 65�-674-1766- Fax: b51-674�-6190
Orono, City of
Attn: Bldg. �7ept.
�Sa-249-4b1$ - Fax
Please issue these permits fox�tenewal by Andersen. Please Ca11651-674-17b6 for
Credit Card Info�nation.
Please mai� the permits back to me at t�ie address above. If you have an�y
questions please do not hesitate to ca1i.
T`hax�"You,
Kara Bensan
651�674-1766
�`r�' � ���;--� � =
��� �
W S&D Permit Setvice
9533-367th Street
North$�raach,MN 55056
r
� DATE TIME ��
CITY OF ORONO CALLED IN �
INSPECTION NO ICE�1,�,�/ CHEDULED ��1�
PERMIT NO.��`� v`� COMPLETED
ADDRESS ���`� �'` C�/1�il�- �/�
OWNER T LEP NE NO. - ���d��
CONTRACTOR � "� a�
�; DESCRIPTION i�Z��-f ��Q%�/T/
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA ING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOR ETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REM AL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPE TION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAIN
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-U
� ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD CO R REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAT N/REMOVAL
� OWNERfCONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: '
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W ❑WORK SATISF TO .PROC D ❑ PROJECT COMPLEfE
� O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN
INSPECTOR WILL REfURN
❑CITATION ISSUED
❑STOP ORDEFi POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �9 9-4600
OwnerlContractor on site: �
Inspector. � `-
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