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Home My WebLink About2010-01101 - roofing _, CITY OF ORONO PERMIT NO.: 2010-01101 f 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 1 U09/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 345 SPRING HILL RD PIN : 25-118-23-43-0008 LEGAL DESC : REG. LAND SURVEY NO. 1429 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 33,000.00 APPLICANT PERMIT FEE SCHEDULE 499.00 FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 16.50 1891 SANDBAR CIRCLE WACONIA, MN 55387 TOTAL S15.50 (612)229-8619 Minnesota State License#: 20438042 OWNER MOECHNIG, DOUG &AMY 345 SPRING HILL RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to thc 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 permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein."Chis 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 applica onsible for assuring all required inspections are requ in confor ance with the State Building Code.This permit may be r oked at any ti e for due cause. �(�I —. �� / l / �c.��o �� i�;` --�'- ��'lC,� � �(��-j'—/Ci Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � � .�. City of Orono � '� s Building Permit Application for Internal Work fi �c � (windows, doors, siding, re-roof, etc.) ��`' �� Mailing Address: Permit number: �� ,�,�. PO Box 66 � � � O Crystal Bay, MN 55323-0066 Date received: N; ,a �''�'"� Received b � � 3��.; �, � Street Address: y� � �'.�, ° �� ti�' 2750 Kelley Parkway Plan review fee: `�' '��.gESHo4� Orono, MN 55356 �� v 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: ,F� Job Site Address: =`-�� F�r�;�H 1 c-t_ �-v,�D 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 be -� required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � CONTRACTOR/APPLICANT INFORMATION: �, Name: -�—v�,; ��C�c=2_t��-S , Lf,� State License# Zv�3�,v�� Expiration Date: 3— 3i�- 2or'�— Phone: (z�zz�— � � office cell Mailing Address: �� t J�,N�;3� ,,,�� City: (No�,,,�v�� ZIP: S�s�7 Contact Person: T2�=�,<,r._ -�-�;S Applicant is: o7�tra�tor / Homeowner (Circle One) Email and/orFax: /—��8- ;e�r �-- �3�.,�� PROPERTY OWNER INFORMATION: Name: �'�� `� �nnt-r i'�vb�f�ivr >> Phone (day): �?�1-- �3' i�l-� � Address: 3�� J,on_�,�,�/-�it� 2�,�,c City: �,/1��,,� ZIP: S.S S�/ `� Email and/or Fax PROJECT INFORMATION: � Type of Project: Any earth movement may require � �� MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage � 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 � e-roof ❑ Fire Damage www.minnehahacreek.orq verall Project Description: Estimated Construction Valuation of Project(excluding land) $ -�� c5cx�--� Y�� :� 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 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 s� 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 t he information,the a lication ma not be issued. � ApplicanYs Signature: Date: �� `�" �J`��- '� � .a t Last Updated: 05-04-2009 � � � �I � DATE TIME V CITY OF ORONO ��CALLED IN � INSPECTION NO+�TICE r / SCHEDULED f-�7�c -1�� PERMIT NO. �(T`.�C'� f 1�I�t COMPLETED � � ADDRESS �T '�J � � `�' � � � � � OWNER TELEPHONE NO.L�I� -��9'-�5'CC�q CONTRACTOR `�C%SS `.)C��-�f"1 L�^S >; DESCRIPTION ��-�� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ FOUNOATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � � "',�1.C�L -t-- �A�/t- n'�s.'S i i�� Zy « �•.�5,s� oc��' w►A�� - (l.p w IM �n> a � 0 � W � Q � Z W � W � � GW �.N�ORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE WO CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContract on 'te: Inspector_ White Copyllnspector's File Canary CopylSite Notice � �D� TIME CITY OF ORONO CALLED IN INSPECTION NOTICE D�� SCHEDULED �� _ PERMIT NO.aO�O– COMPLETED �– ' ADDRESS ��J� t-S�/�� l�� OWNER TELEPHONE NO.�l2 ZZ 7 �j7Z�ji CONTRACTOR �SS v1�7��''�lJY'S >; DESCRIPTION /—/rLC� �`�D� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � � � '�U /�� J IJ�1 �— � � O W 2_�, � �Nc�� O4it'1� ci � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED C SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� Owner►Contractor on site: Inspector. ,�(� ./�l /.l�t�S� , White Copy/lnspector's File Canary CopylSite Notice