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HomeMy WebLinkAbout2016-00736 - windows CITY OF ORONO * Z 0 1 6 - 0 0 7 3 6 * . � 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2016 ' 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 PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 42,347.00 NOTE: REPLACE 13 WINDOWS IN EXISTING OPENINGS APPLICANT PERMIT FEE SCHEDULE 636.89 STATE SURCHARGE(VALUATION) 21.17 RENEWAL BY ANDERSON MAIL-IN FEE 2.00 1920 COUNTY RD C. WEST ROSEVILLE,MN 55113 TOTAL 660.06 (612)502-4777 Payment(s) Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 660.06 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 the approved plans and specifications,applicable City approvals,and the State Building Code. This permi[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 l80 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 applican[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. ) � ��� Y���1� � �c �( c��f �( � ��. 1 � �_.c_.c�`��_ �� � 2 =3� / i� Applicant Permitee Signature Date Issued By Signature Date � - Gity af Ora�a ' Buiiding Permit Application for Maintenance / �enovation (windows, doors, siding, rewrot�#, �tc.) Maflf»g Address: Permit number. r� i I � �Q 0.�,�,�Q PO�ox 66 �. Crystal Bay, MN 5532',rQ066 D2te rgC�ived_ �' �, StreetAddr�ss: Received by: � ''� � 2750 Kailey Parkway Ptan review fiea: 'J' �q�.��o� Orono, MN 55356 /� 7'otai F�e� �lUv- �-'�: Meln: 952-249�640 Fax: g52-249-461B www.cs.arono.mn.us 3'his application form must be completed in fE.Ell and all required Infom'iation trtust be submi�ted. Incomptete appNcatlqns will be returned. (Please p»nt) .fob S te Add e05 MATION: � ��„�- ��� ,� �^ w....,._._.. `��1���� � (�V� Will this ba a Parade of�iomes,Remodelers$howcase Home or t�ther Display liottte? Q Yes No !f yes,a special evetrt permlt!s ropulrgd wlth Pollce Department and City Gbuncil approval 60 days prfor ttl tite eV9»t- Shut!!a 6us S9rvlC9 wlJ7 b� requlred unless applicant demorrstretes sufh'aant ans�Ye paliCing is�vdlfablg. Non-permltied events wil!nof be allowed. CON'CRACTQR/APPLICANT lNFORMATiON: Name: 1�r��+�a\ �'Av�-t�Ser� State License# ��,1�jp9�'� Expiration Da#e: ���f 3t Lead Certification Number: �j�"('� a'�-a$3 —1 Expiration Date: _ ___�J�� (far work on homea tltat wer�e consfrucfed prLor to 9878 Phone: �S I�o�Z{��{-O S�' �(4 Ar. (Qffice} (ce11) — Mailing Address: •• ,. Wey� CjtY��pS�cv�11� ZIP: s — Contact P�rson_ Appficant is: ontra / Momeowner (Clreirt One) Emai(and/or F'ax� PROPERTY OWN�R 1�ORMATION;(. �..�nn� 1 I Name; �1 dl.rU ,�` ,� • — Phone(day): �� or2 • aa'1 I '31�� Address: City: ZIP: Emai€and/or Fax PROJECT tNFORMATION: 'Type of Project; Any earth movement m�y r�quire ❑ Door(s) ❑ Remodel ❑Flre Damage MCWD revlew�permlts: Minnehaha Craek Watershed�istrict(MCWI7) ( ❑ R�roof,asphalt [] Ftepair �Storm Damage 18202 Minnetonka Blvd � Re-roof,cedar ❑ Restoration ❑Water Damage ' DeSphaven,MN 55391 � Phor►e: 852�71-0590 ❑ Re-roof,o#her(sp�cify) � Siding �Qther, (specify} F2x: 952-�79-Q682 Window(g) www.minnehahecreek.orq Qvera[I Project Description: C,p C�.ri 1.C3 ' Estirnated Constructlon Valuati n of Pro3ect excludin land $ .� APPLICANT ACKNOWLEDGEMENT: • Agrees to provPde all info�rnation required or requested by the BulldFng Department; . Certt�es that the ln�ormatton supplied is true and correct to the best af his/her knawledge. The epplicant recognizes that they are soleiy responslble tar subm9�ing a camp��ta applicat�on being aware that upan falture to do so, the sta#�has r,o altemative but to reject i�until it is complete; • Seme or all of the informs#ion #hat you are asked to provide on this applicatian is cl�ssified by State iaw as e�ther p�ivate pr canfldentlaE_ Private data is inf�rmalion whi�h ge�eratly cannot 6e given to the public 8Ut can be given to the subfect of the ' data. Confldentlaf data is 'snformation wh'sch generally cannot be given to e�ther !he pub!)C or the subject of the data. Our � purpose and intended use of this information is to annually updat� our records and records of ather govemm�nta! �genefes re ulred b faw_ If reiusg t�Su ! th�inform�tion iha a lication ma not be issued. Aoflficant's Sianature: Date: ������� ��� �� � DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED I�- f- :��% PERMIT NO.�-��� f�%���'��� coMP�ErE� ADDRESS ,L,��SC �� � i� �`�C �'� �`7�'-e � !�lC._ OWNER TELEPHONE NO. �r 5 � a�� -�� CONTRACTOR G/1 C t�-�.?C� ���Nt� . � DESCRIPTION � � � / �'1'�'�E`�.� ��'l� � ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDA N WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADO SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ F ING ❑ MECHANICAL FINAL ❑ RATED WALLS _ ❑ SULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v AL ❑ WATER HOOK-UP ❑ FOLLOW-UP ¢ ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUN ATION/REMOV L J ❑ DEMO-SITE ❑ S TIC INSTAL � OWNERICONTHACTOR TO MEET YOU:�YES_N I /� c�.� COMMENTS: � � W C � J O �. � O � W � Q � . 2 W � W � j W ❑WORKSATISFACTORY:PROCEED PROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED . ❑ SUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours'n advance. 9-46�� OwnerlContractor on site: Inspector. P �- White Copyllnspector's File Canary CopylSite Notice � ^ v�� tl DATE TIME CfTY OF ORONO CALLED IN INSPECTIO N � SCHEDULED � I � �C.i PERMfT N � cOMPLETED ADDRESS I Z SC`� ��'"�'►�Ch C x��.{c- OWNER TELEPHONE NO.��� Z�' �rv� CONTRACTOR `-�--'��� '�`�"'�"�` � DESCRIPTION �"���'� 111 ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING �Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: W � � � � � � � ... O ). � �O W aC Q � Z � W � � J � ❑WORK SATiSFACTORY:PROCEED c�ECT COMPLEfE W ❑CORRECT WORK 3 PROCEED O UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS_ p pHOTOTAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REW IRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector: d VYhite CopyAnspector's File Cenary CopylS�ts Notke