HomeMy WebLinkAbout2015-00477 - windows CITYOFORONO * z0 15 - 00477 *
2750 KELLEY PARKWAY DATE ISSUED: 04/23/2015
�R
� ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1285 FRENCH CREEK DR
p�� : 10-117-23-32-0007
LEGAL DESC : FRENCH CREEK
: LOT 008 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOWS
ACTNITY : O/S BUILDING-UNDEFINED
VALUATION : $ 16,280.00
NOTE: REPLACE 7 WINDOWS 1N EXISTING OPENINGS
APPLICANT PERMIT FEE SCHEDULE 309.79
STATE SURCHARGE(VALUATION) 8.14
RENEWAL BY ANDERSON MAIL-IN FEE 2.00
1920 COUNTY RD C. WEST
ROSEVILLE, MN 55113 TOTAL 319.93
(612)502-4777 Payment(s)
Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 319.93
OWNER
O'CONNELL&LYNNE RASUMSSEN, BRIAN
1285 FRENCH CREEK DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which[his permit is issued shall be performed according to
[he approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
no[grant permission for additional or related work which requires separate
permi[s. All provisions of laws and ordinances goveming this type of work
shall be compied wi[h 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 I80 days at any time after work has commenced.
The applicant is responsibie 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. '
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Applicant Permitee Sig ature Date Issued By Signa ure Date
. � City of �rona
�" Building Permit Application for Maintenance 1 Renovation .,���
(windows, doors, sidin�, re-roofi, etc. ��'��
Mailing Address: Permit number: 2C,' (J ��� �7
��Q�� PO Box 66 J" -, _ �-
Crystal Bay, MN 55323-0068 Dste r�c��ved: — .�� f �
Recelved by. —� '
Stroef Address:
� ' '' �� 2750 Kelley Parkway I�lan rewew f�ae� "
� Orono,MN 55356 �j
�� � 7otal Fee: G� �
M2in: 952-249�800
Fax: 952-249-4616 _ci.o o.mn.0 '�( 1 ,
This applicatlon form must be completed in full and a11 required lnfarmation must be submitted.
Incomplete applecatEons will be returned. (P/ease print)
GEN�RAL,INFORM#ATIdN: , ��� � /' ���� ��;
Job Site Addr�ss: � �J
W1}f this be a Parade of Homes� Rerr�odelers Showcase Hort��ar other Display Home? ❑Ye� �10
M ygs,a speclel event pelmif is requirod wdh PoliC&,Oepartment and Crty COunci/approv2160 deys priqr to the ev�nf. ShUfile bus seNlC�wFll be
requfrod unless applfcant demonStrates stlffk��nt on-s�e p8rlcing is dval/abfe. NOn-permrtted evenfs wil!not be allDwed.
CONTRACTOR!APPLICANT INF�RMATIdN:
Name: ��,_,,\ �'A�'�YSer�
State License# �C.1�0�1�3 Explration Date: �(3
Lead Certificatlon Number: (�j '�.- ��-a$3 �1 _ Expiration Date: y
(!br work on homes that were construcfed prlor b l978� (Cell)
Phone: �D��y o�(��y L��` �,�qh {oifice)
Mailing Address. -" '� �• •, iJ�j�Sk ��tY�r`�C�cv�11� Zlp: �S i
Contact Person� App�iaartt is: ontra or / Homeowner �cirois o�)
Emall and/or Fax�
PROPERTY QWNE INFORMATfON:
Name: � `� �
Phone(daY)= f � � ����� Zlp:
Addr�ss: ���'
Email and/or Fax W
PRQJECT INFORMAT[ON:
Yype o!Project• My earth movement may roqaire
� MCWD roviaw&permits:
[� Door(s) ❑Remodel ❑Fire Damage Minnehaha Cr�ek Watershed Dlstrlct(MCWD)
0 Re-roof,asphalt ❑ Repair []Storm D&mage p9ephavlen,�MN�553�91
❑ Re-roof,cedar ❑ Restoration ❑Water Damage phone: 952-A71-0590
❑Re-roof,other{apecify) ❑SidEng []Other. (specffy) Fax: 852-471-0882
www_m inoehsha�reak.2r�
❑Window(s) �_�
Overalf Pro ect Descriptic�n: G�Cg 1.�� S i� �
Estimat�d Construction Valuation Project(excluding land) $ �, d C� �
APPI.ICAN7 AGKN�WLEDG�MENT:
. �grees ta provide all informatton required or tequested by the Building Department;
. Certi�es that the information supplled is Uve and correct to the best of his/her krtowledge. The applicent recognizes that they
are soleiy�esponsible for submitting a complete appllcation being aware that upon failur�to do so, the staff has no affemative
but to re}ect it until it is comple#e; �
. 5ome or ail of tt�e informatlon that yau ate asked to provide on this applicatiOn ls classil4ed by S�te lew as etther private or
confcientiaf. P�lvate data is tnformation which generally cannot b� given to the public but cen be glven to fhe subject qf the
data. Confidentia! data is informatlon which gener�ily cannot be glven to either the publlc ar the subject of the data- Our
purpase and intended use of this inSormat�on is to annually update our records and records of other gov�mmental agencles
re uired b law. If ou refuse to su he irrforrnation,the a lication me not be issued.
Aoolicant's Sianature:
� �� Dafie: �� 1 I I 1.�
(�� `-- �- DATE TIME V
CITY OF ORONO CALLED IN
INSPECTION N TICE SCHEDULED
PERMIT NO. '� �COMPLETED
ADDRESS ` � � � � v��C� ��,�?
OWNER TELEPHONE NO. ��� �� �
CONTRACTOR
� �-C.SL>Y�
a DESCRIPTION � —
lN ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMfNG ❑ MECHANICAI FINAL ❑ PROGRESS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
�AL ❑ WATER HOOK-UP ❑ FOLLOW-UP
_ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL
v ❑ DEMO-SITE ❑ SEPTIC�ALL ❑ FOUNDATION/REMOVAL
Q OWNERICONTRACTOR MEETYOU:_YES NO
y OMMENTS: ��� (�/ I l �"�� (�� �� �
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W ❑WORK SATISFACTORY:PROCEED �B�JECT COMPLEfE
� ❑CORRECT WORK&PROCEED vI � ISSUE CERTIFICATE OF OCCUPANCY
W
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE CWERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN
INSPECTOR WILL REfURN
❑ STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector_ C.1�–�
White Copyllnspector's File Canary CopylSite Notice