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
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CI(.__5- TY OF ORONO CALLED N V
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INSPECTION NOTICE SCHEDULED (y 2-4/p-
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PERMIT NO. o4i2' -t 0731 COMPLETED
ADDRESS 1/755 W/// W b rooZ. De'
OWNER c TELEPHONE NO.b/Z 97g /zc �J
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CONTRACTOR Je . e4
>: DESCRIPTION
• ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
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POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREETLANDS
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❑ 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:
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OW ,..KWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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❑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
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DAT TIME
CITY OF ORONO CALLED IN
INSPECTIONt�OT� ICE SCHEDULED 91 io art
PERMIT NO.o�01D -Li""7JP COMPLETED—,
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OWNER ELEPHONE NO. - 8 ' `O
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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_
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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