The URL can be used to link to this page

Home My WebLink About2010-00928 roof � CITY OF ORONO PERMIT NO.: 2010-00928 i 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/04/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1965 COUNTRY CLUB RD PIN : 27-118-23-42-0020 LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN : LOT 002 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS � PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 12,000.00 NO TE: TL'AR OFF REROOF-ASPE IALT SHINGLI=,S APPLICANT PERMIT FEE SCHEDULE 221.25 FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 6.00 1891 SANDBAR CIRCLE TOTAL 227.25 WACONIA, MN 55387 (612)229-8619 Minnesota State License#: 20438042 OWNER MONDALE-CONNOR, PATRICIA 1965 COUNTRY CLUB RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT Che work for which this permit is issued shall be performed accordin�to the approvcd plans and specitications_applicable City approvals,and the State 13uilding Code. This permit is for onl��the work described and does not grant pennission for additional or related work which requires scparate pennits. All provisions of laws and ordinances goveming this type of�vork shall be compied with whelher or not specitied herein."I�his permit will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. I�he applicant is re nsible for assuring all required inspections are requested in conf r ance with the State Building Code.This permit may be revoked at any t� or e c• se. C ��l � l �� l �l l� npplicant P mitee Signature Date Issue y Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , , City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: "X��"�� ,0,�. PO Box 66 � � �� O ,` Crystal Bay, MN 55323-0066 Date received: %� j�-' O 't" I� Received by: ,� �� `';Y.�4�.; s, i Street Address: '�'.�, ' °q� �ti 2750 Kelley Parkway Plan review fee: L9'kESH�g'� Orono, MN 55356 ,.� Total Fee: (� � �� j 5 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: JobSiteAddress: ,r�` � ' ' ��,/`t�' �L �� Will this be a Parade of Homes, Remodelers Showcase Ho e or other Display Home? ❑ Yes No If yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �- v 5�� k`f�;/�,-!�>�'�� G,l_C�. State License# � � ;` v " Expiration Date: Lc�/ l Phone: f�` ��7 6��j (office) �w�� (cell) Mailing Address: /�'6 � �-� � Cit : /�J� - - ,�,�,g ZIP: �5 ��- Contact Person: ��/�� Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: j��:� ?�y � �'-s�,�� PROPERTY OWNER INFORMATIONP: Name: `�(l� �L-�' 0/�� Lc�n��v� � Phone (day): �� l?� ��— Address: Cit : ZIP: Email and/or Fax � _ �c,�,��;��, c-��.��, 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 �Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ / 2- �>c;>�--� — 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: �/ Date: �a -- l(`- � O Last Updated: 05-04-2009 �A TIME � CITY OF ORONO CALLED IN / INSPECTION NOTICE Q SCHEDULED .�� PERMIT NO. aoro 'QQ��U COMPLETED ADDRESS I9� �U''''��9 �� OWNER TELEPHONE NO. �l Z ZZ' g 7Z(p CONTRACTOR �'DS�S �C,� >; DESCRIPTION ��n� �DD� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑COFRECT WORK&PROCEED �_. ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. �L � � White Copyllnspector's File Canary CopylSite Notice �—/ `�� ` ��'( • DATE TIME � CITY OF ORONO CALIED IN / � INSPECTION NOTICE p�V SCHEDULED / o c�?��./� PERMIT NO. aU�V -DD 7�O COMPLETED ADDRESS ��/� ��u�7�"�l L-�L/� �cc/ � OWNER TELEPHONE NO.1��' ��9��/ CONTRACTOR , _� S S ��/0 rS �: DESCRIPTION l � Ll� ❑ FOOTING ❑ PLUMBING F ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O � W � Q � Z W � W � � GW �WORK SATISFACTORY:PROCEED L, PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� Owner/Contractor on site: Inspector. � �� White Copyllnspector's File Canary CopylSite Notice