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Home My WebLink About2010-00716 - roofing � CITY OF ORONO PERM�T�vo.: 2oio-oo�i6 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �ssuEu: 08/17/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2015 SALEM CT PIN : 27-118-23-34-0009 LEGAL DESC : DICKEY LAKE ADDN : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 31,952.46 APPLICANT FOSS EXTERIORS LLC PERMIT FEE SCHEDULE 488.25 1891 SANDBAR CIRCLE STATE SURCHARGE(VALUATION) 15.98 WACONIA, MN 55387 TOTAL 504.23 (612)229-8619 Minnesota State License#: 20438042 OWNER KLEINSCHMIDT, DONALD& MYR[NA 2015 SALEM CT LONG LAKE, MN 55356 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[3uilding Code. This permit 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 shali 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 ibr a period of 180 days at any time after wark has commenced. The applicant is responsible for assuring all required inspections are requested in nce with the State Building Code.This permit may be revoked• any time � r ue cause. � i�" _ �, ��:' � '�' � � �'� (u-t''] ., ,, � �� „ , `'___— U� l l 7 / c=-t".%;� t � �. _. � _� __� � Applicant Permitee Signaturc Date Issued 13y Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� • ' � � 4�� City of Orono �,�. �:,�� Buiiding Permit Application for Internal Work � (windows, doors, siding, re-roof, etc.) ;3 Mailing Address: �� Permit number: �,L,�,� PO Box 66 � 0,�,\ Q Crystal Bay, MN 55323-0066 Date received: ;tik � I � Received b �_, � ��',��.�� , Street Address: Y� a'� ' �' e� ti`�' 2750 Kelle Parkwa . � � ` � �� y Y Plan review fee: �,, 9kESH04 Orono, MN 55356 ,� ' Total Fee: F F '`' Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �-�� This application form must be completed in full and all required information must be submitted. � �� ;�' Incomplete applications will be returned. (Please print) � �R GENERAL INFORMATION: � Job Site Address: �� ; Will this be a Parade of Homes, Remodelers Showcase Home or other Dis la Home? 'y p y ❑ Yes ❑ No <- /f yes, a special event permit is required with Po/ice Department and Crty Council approva/60 days prior to the event. Shuttle bus service wi/l be �.. requrred unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. ,�`� t� �:, �� CONTRACTOR/APPLICANT INFORMATION: �� ` " Name: �--oss �;cT�n_1G2�' �C.� � ° State License# �O y��,�t�2� p� 2 �Z� Ex iration Date: - .3 - o r ,== Phone: c��Z-?��- �SCv(�' (office) " cell) � Mailing Address: j - ^ ,�-,,o � -,(',�, Cit : l c�� . ZIP: ,��- f�,` Contact Person: `T-'�Lc.^;-vo�, -�� Applicant is ontrac / �Homeowner (CircleOne) - �� Email and/or Fax: -��,.,o f�� :�c,�-�.,�, ,�<-� L�E." � � � . rvxx #:.: PROPERTY OWNER INFORMATION: I/ / � Name: '�,�-� �r'�'.��..>,�^��2 T1LL�,•.�SC.��M��l� �; Phone (day): `��iy�l 7��3 ;� �=:r Address: Zo(�' S�Lfyl/1, ��tJ�-"'r CItY: O�t�/'JU ZIP:r`�!� :,� Email and/or Fax � � g�`�' �v�K I F�� .� . Ut�l n-,,c/�4-d C�'`G1�l..��-u/`-'1 � � PROJECT INFORMATION: k� Type of Project: Any earth movement may require }� ��°'' MCWD review&permits "� ❑ Door(s) ❑ Remodel ❑Water Damage � ,k Minnehaha Creek Watershed District(MCWD) � ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 � �_ ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 � � Fax: 952-471-0682 >- Re-roof ❑ Fire Damage www.minnehahacreek.orq � � Overall Project Description: 4� Estimated Construction Valuation of Project(excluding land) $ 2,��Z `>_' r;� .� APPLICANT ACKNOWLEDGEMENT: �� • Agrees to provide all information required or requested by the Building Department; � � -'`° • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they -� are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative �� but to reject it until it is complete; � • Some or all of the information that you are asked to provide on this application is classified by State law as either private or �'� f` confidential. Private data is information 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 information is to annually update our records and records of other governmental agencies �� re uired b law. If ou refuse to s I the information,the a lication ma not be issued. �� z_-: � �r� A licant's Si nature: � �� Pp 9 LL�� -�.� Date: �j ��% ��U/C) Last Updated: 05-04-2009 �^� :�# ,�� ',� _ uT _ � _ , _... .,.._ � . �. d..�,�.,.�� . � _ _ � . . .._ � e. ..d>� � � � � DATE TIME V �'� CITY OF ORONO CALLED W �C� INSPECTION N IC SCHEDULED �% - PERMIT NO. �� ^C 7/�COMPLETED ADDRESS � C' � � S�t ��i'"Y� �� f OWNER TELEPHONE NO.�� `��-��3 CONTRACTOR lc�%S S �-�X frt':I�i �rS >; DESCRIPTION ��'r''"� ��i� � CCI��GLIrSi1C1.1t.�S � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SE TIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: ° ' � W a � J O � � O � W � Q � Z W � W � � d W� R�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W4LL RETURN �STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: , � inspector. � , � � White Copylinspector's File Canary CopylSite Notice ATE' TIME �/ CITY OF ORONO CALLED IN � r6 � j� INSPECTION NO�� r � SCHEDULED �� PERMIT NO. COMPLETED ADDRESS � �� le.�'K C°v u r'� ��la�'iK� OWNER �f�en ��`j�� TELEPHONE NO.C�/�� 227- b'3a� CONTRACTOR ,� SS � DESCRIPTION �� /� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a o � C '�V l L S _�,P_1�,�._,�G. a � 0 � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITAT�ON ISSUED O INSPECTION REQUiRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�0 Owner/Contractor on s' e: Inspector. White Copyllnspector's File Canary CopylSite Notice