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HomeMy WebLinkAbout2010 - 00738 - roofing CITY OF ORONO PERMIT NO.: 2010-00738 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/19/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1175 WILLOWBROOK DR PIN : 26-118-23-41-0004 LEGAL DESC : WILLOWBROOK : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 15,500.00 APPLICANT PERMIT FEE SCHEDULE 280.25 SCHMITZ HOME SERVICES LLC STATE SURCHARGE(VALUATION) 7.75 613 WAYZATA BLVD #8 MISC FEE 0.00 WAYZATA, MN 55391- TOTAL 288.00 (612)978-1248 PAID WITH CC# 6889 Minnesota State License#: 20638374 OWNER KRUEGER,RICHARD& SUSAN 1175 WILLOWBROOK 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 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 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 requ, e. conformance th t,:tate Building Code.This permit may be revo ed at any time fo .ue ca,.: Applicant '' . Date Issued By S ature ! ' late S ' '.=TE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 4------V:0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: 'uar Received b a, Street Address: Y '' ,'�' --. tip' l 2750 Kelley Parkway' y,..�l , a Y Y Plan review fee: %,t).'';:411 --.74,6(7// 9 Orono, MN 55356 ati' 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: ( 175- i-J'i lloco4I t• 0k Or" W2e12.,ya.A'f ff Ste, q/ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Ho e? ❑ 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: 5G401.//1-Z lifofrt e Slecaces LGG State License# a tt2 6 7,p 31q Expiration Date: Phone: C4 p-,77 /a 4g (office) (cell) Mailing Address: 6/3 cJcgy j 0I& #F Cit :C.) ZctA+4 ,$ - ZIP: 3-,5-399/ Contact Person: S�'oT i�// 2j7, m: Z Applicant is: ontrac / Homeowner (circle One) Email and/or Fax: _ 7?./ .- 7fbj , :or-t;2.5,mirzc a.n1Q,1( ,coM PROPERTY OWNER..INFORMATION: Name: !J:c f( (cif /- Phone(day): 0.- - / //A Address: /1,c i o. too brook D/' City:tory P: ✓ 1/fr ✓�C ? Email and/or Fax C- 7.1/ --,0/1F. PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review&permits ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑Repair El Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Siding ❑Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Ni Re-roof ❑ Fire Damage www.minnehahacreek or( Overall Project Description: �j- Estimated Construction Valuation of Project(excluding land) $ ' '/ ,50-600 i 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 purpose and intended use of this information is to annually update our records and records of other governmental agencies required b law. If ou refuse to sus.1 the information,the application may not be issued. Applicant's Signature: �v Date: (5"` tr."d-0/O Last Updated: 05-04-2009 ---1:94)475c ,Q Df CI(.__5- TY OF ORONO CALLED N V V ''/� TIM• E INSPECTION NOTICE SCHEDULED (y 2-4/p- -/1 PERMIT NO. o4i2' -t 0731 COMPLETED ADDRESS 1/755 W/// W b rooZ. De' OWNER c TELEPHONE NO.b/Z 97g /zc �J J CONTRACTOR Je . e4 >: DESCRIPTION • ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING W CI /W POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREETLANDS y ❑ FRAMING CI MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc cc O O W CC W CC OW ,..KWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W• ❑CORRECT WORK&PROCEED E ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 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 in advance. (952) 249-4600 Owner/Contractor on te: Inspector.. , ►� White Copy/Inspector's File Canary Copy/Site Notice 'J t 9QYL- DAT TIME CITY OF ORONO CALLED IN INSPECTIONt�OT� ICE SCHEDULED 91 io art PERMIT NO.o�01D -Li""7JP COMPLETED—, /!75W / W, yL'7r� Y! OWNER ELEPHONE NO. - 8 ' `O • CONTRACTOR 3: DESCRIPTION 41/Ptki W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ci) ❑ FRAMING ID MECHANICAL FINAL ❑ TREE REMOVAL • ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL S OWNER/CONTRA OR TO MEET YOU: YES nn ANO 9, COMENTS E (CO UVI. Ve_ W O cc O W W z W k LU ❑WORK SATISFACTORY:PROCEED ) PROJECT COMPLETE El CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 LI CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 171STOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice