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Home My WebLink About2010-00740 - roofing CITY OF ORONO PERMIT NO.: 2010-00740 2750 KELLEY PARKWAY ' � ORONO, MN 55356- DATE IssuEn: 08/19/2010 .� • 952 249-4600 FAX: 952 249-4616 ADDRESS : 2055 SALEM CT PIN : 27-118-23-34-0008 LEGAL DESC : DICKEY LAKE ADDN : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 25,006.17 NOTE: TEAR OFF AND REROOF APPLICANT pERMIT FEE SCHEDULE 423.75 FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 12.50 1891 SANDBAR CIRCLE TOTAL 436.25 WACONIA,MN 55387 (612)229-8619 Minnesota State License#:20438042 OWNER SODERSTROM ET AL,JEFFREY E 2055 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 Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permiu. 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 180 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 applicant 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. / / �"l /al/ 60 Applicant Permitee Signature Date I d By ►gr►ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . � .. y�' �1""^�*x�^�� T �^ a ,� �� k -d k� � y�� ' ; �mc h`� �,�. � � � �` �yh,�y: A�-j e�, � 4�� ). Y '� �!( i�3 �� City of Orono � �.��-�� _ . � Building Permit Application for Internal Work �� (windows, doors, siding, re-roof, etc.) y� Mailing Address: Permit number: Q--��7 �,L,0,� PO Box 66 Q , � Crystal Bay, MN 55323-0066 Date received: �l /� � ''� �ppp +`�� Received by: � Mf� �,��,;; �, Street Address: - � �� ° a� Gti`�' 2750 Kelley Parkway Plan review �: L�kESH�4� Orono, MN 55356 � Total Fee: "� 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) GENERAL INFORMATION: � °, Job Site Address: �Zv �� :n��, C�,u�f �, � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No � If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will b �r required unless applicant demonstrates sufficient on-site parking is availabfe. Non-permitted events will not be allowed. $�, CONTRACTOR/APPLICANT INFORMATION: � Name: �"�"o S� �,xT�2,l c�!\:� , l�C.. L . � State License# Z�� 3 ,v��Z ' Ex iration Date: � `-�s_' P� �-3�-Z-o/Z— Phone: �,p�Z,- �2 _ Q�c� �< office) cell � Mailing Address: t�i t ND qL C�n.�l� Cit : ,�a��,,�; ZIP: S S3 �"�� Contact Person: ��,�,�„ A licant is: ontractor / Homeowner �. � pp (Circ�e one) � Email and/or Fax: �j ",rz„E_Ut�;L,n�"F��ss�;Xi�,,c.,,v,L,S , Gc,r'l r; PROPERTY OWNER INFORMATION: � Name: Sc r�-� � 1'`�✓�U/ � �')c=�25'T-.�.�M � Phone (day): � Address: Z o �� v��,� ��2rt-- City: C�20�1 b ZIP: ' �.��p � Email and/or Fax � PROJECT INFORMATION: ,,, � Type of Project: Any earth movement may require .� � MCWD review&permits o-$a ❑ Door(s) ❑ Remodel ❑Water Damage � �t;: 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: 7"'E,c�_.e�� 2�-,� ��,c � Estimated Construction Valuation of Project(excluding land) $ ZS �O(o �? w� �. �,.. 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 a l l o f t he in formation that you are asked to provide on this application is classified by State law as either private or �` 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 t � rmation is to annually update our records and records of other governmental agencies � re uired b law. If ou ref to su I the information, the a lication ma not be issued. � ^ / � y;.,r Applicant's Signature: Date: � g�` �-�-�'�O � G� Last Updated: 05-04-2009 �� ( ' �� t � �` '� ' a. � + > ... ...,. ...A., ...fi. ,> .. , , 'r,;�.c.n.:.,. _ _.. .' i _-,.d�v. ..�.F_..�i r�z,�+tr'�a�.,e,�.�.-s�a....�.� rcaa .,.:?^.�'",�s,.?��- t4G�^�' D T TIME ✓ CITY OF ORONO CALLED IN � INSPECTION OTICE SCHEDULED - PERMIT NO. �� COMPLETED ADDRESS °�s� �/�z�m �� OWNER TELEPHONE NO.��Z Z.Z� �lo`� CONTRACTOR SS � DESCRIPTION ��Lt.0 CJ�7� � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE W ORRECT WORK E�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit : Inspector. (�S White Copyllnspector's File Canary CopylSite Notice