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Home My WebLink About2011-00839 - roofing CITY OF ORONO PERMIT NO.: 2 0 1 1-0083 9 f � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/1U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 160 CYGNET PL PIN : 04-117-23-22-0020 LEGAL DESC : SWAN LAKE ADDN : LOT 003 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTIOl�1 TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 9,340.00 NOTE: VALUATION OF PERMIT: $9,340.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAK OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PIC"CURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 191.75 HOME EXPRESS REMODELING STATE SURCHARGE(VALUATION) 4.67 1239 CARTWAY ROAD CHAMPLIN, MN 55316- TOTAL 196.42 (763)576-5358 PAID WITH CC# 9659 Minnesota State License#: 20635544 OWNER DEBERNARDI, OLSON& PAUL 160 CYGNET PL LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for��hich 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 wRhin I 80 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 r �e t any time for due cause. �/1'\- / / / , / p icant Permitce Signature Date Issued By Sig ure ate SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABOVE. . City of Orono � � �� - Building Permit Application for Maintenance / e\ vation (windows, doors, siding, re-roof, etc.) ..-:.- - Meiling Add��ss: PenTlil nwllber. .CL,�_`�� P�Box B6 - 2C �Qy_ �O Crysta� I:�ay, MN 55323-QUGG Date reCeived: ��//- �gJ/ � r� " � +�' o. StroctAddr�ss, Raceived by \�'�+ �� 2750 Kelley Perkway Plan review fee: �`�g�auo4'�;''� OfG�IU, MN 5535ti '--'�� Tolal Fee, �9�, � Main: 952 249-4600 Fex: 952-249-4616 www ci vr�uio.rnn us This applicetion forn�must be completed in full and all required information must be submittCd, Incomplete applications will be returned. (Please print) GENERAL INFORMATION; (�� ,_ . Job Site Address: � � � � � _ ► t'"l J�. ��j I�C� _..:. �_ „ Will this be a Parade of Homes, Renlo�l� ShowCasE Home or other Display Home? Yes �No �r yos e SpBtl�l evAnl pArmil i5 required wifh POIiCe Dep�IlmCr)��ntl Clly Cuunul�pprov�l 80 deyy piior lo the evan� Shuhl9 hU3 56NIrg Wjll bN /uQunCrd U/iIHS9 t1ppGCfJIII C�@I/70/13tfBf63 3U(flCle(!f 0(I•site parking Is availa6la. Nnn-permlrFAd avAnf�will not be aUowad CON7RAC70R!APPLICANT INFORMATION� �j Name. �L� '- ''VI ._Q.�l.{, ��.- Statc License# '— — �� ' � � �� E iration Date; 0� ?�I �.L__( Lead CerLification Number: Expiration Date: --- (for woNc on nomes that wvro construct�ed prior to 19T8 _ _ Phone: (office) • �. ....�Q� ��>�k�'�__.. (celq Mailing l�ddress: � (�, ' �,� 'ty: " ZIP: �"�.?-!(k, • _._... .. --- Contact Peison. �f �k�� i � Applicar1t15: Contrac or I omeowner �Clrcl�puu� Email and/or 1=ax: - - � ' ) � N L?1V�C��'X-P VQ��- VYl _. e- �l In,�7�C� �L"�W1 G_.� � . C�J�'Yl PR�PER7Y OWNE NFORMATIO • —� Name• ,L ) ..... -- Phone(daY): (,h I - "��-�� — _...�j �J �ddress- 6 C� C.L1�R.i rl 2�_ `��e��.�. ��ty- �-��a u,�? . z�P� ...�� 2�� Email and/or Fax � PROJECT INFORMATION: Type of Project: �� Any ea�th movement mey r�quire ❑ Duor(s) ❑ Remodr:l ❑ F�re L�am2r.�e MCwn��viAw�pqrmits� M�nnehahe Greek Watershed District(MCWD) �f Ry-�nof,asphalt ❑Repair �Storm Damage 18202 Mirirtelunka lilvd U Re-iuuf.Ceder �h�esloratiqn ❑W2�te�D�mage �@ephaven,MN 5(391 Phone: 9�2�71-0�90 ❑ Re-iouf,olher(spoclfy) [J 5iding ❑Other' (specity) Fax. 952-471-0681 ❑Window(s) www.inii„inet,i�li,dci,tek.UtQ ...—.... ............ ..-------.. Overall ProJcct Doscrlption; - -._. ......-- Estimated Construction Valuation of ProJect(excludln lana) $ , 7� APPIICANT ACKNOWLEDGEMENT: _.._...... .... � Agrees to provide dlt uiformeiinn required nr r�quested by the �uildinc� Oepartment; • GeRltles that the information supplied is frue and currecl lu lhe best ot h�s/her knowledge The applicant recognizcs that they are solely responsiblc for submitliny a cuiriplele applicetion being aware that iapnn f�ilure to do so,the st�ff has no allcrnalive but to reject it unlll it is complele, • Sume ur dll of the information that you are ask�d to provide on this application is classifed by State Idw dy eiirier private or confidenti�l. Private data is information which gener211y cannot bc givcn to lhe publiC but Can he given to the suhjAct of the dala. Confidenfial data is informdtlon WhICh generally cannot be givcn tu ei�lie� 1he pubhc or the subject of the data. Our purpose and intanded ll5e of this infortnation is to annually updal� our recnrds �and records of other governmentdl �gencies � _required by law. If ou refuse io su I the information Ihr�y>)6cet�on ma �ot be issued. A��plicbnl's Signature: �l.�[-� � �_� �.�• D�le� _ R '� � � _ �r1 �� Lasl Updaled: 08•09•2011 �I n,�, �/, �� ` �rJ ,f � ` � " + I �(,�1 �- ('� C �. r � '-�� ,l�� J�T�- �L�Ci� r�l� � >, �� I� 1'1 1/`� S�ti'd 9ti9b6bZZS6+:ol OSSbSZZZti9 ��d Jd�1f1�Sd(10I0�1d��'�� 80�TZ ZtiOZ-Oti-Jfld JAN-10-2011 21:42 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.1�3 � � Jesse Trebil Foundation Systems, Inc, 60335 US Highway 12 ` Litchfield, MN 55355 Phone: 320-593-8729 � Fax: 320-593-872'Q � I I I To: City of Orono From: Kristi Carlson F�: 952-249�616 uate: January 11, 2011 Phone: 952-249�600 Paee,: 3 R�: 8uildi�g Permit Application cc: 1 � C] Uig�nt ❑ For�toview p Pleasa Commont X Plea9e Reply ❑ Please Ro�yalo + •Comment9: 1 Fo►war�iing building permit applicafiivn for 160 Cygnet Place, Orono, MN 55356. Please call with an amount after final approval and mail permit to our office. � NO�fE: Si ce there is no building permit needed, could you please sign this fax proposal so we Fan k p record that there was no permit required for this job. It is a safety precaution an our park o the business. /1/'� P�� r G-� v,2c..� �. -�.�,,c�—�t�= I T ank y u, ' , �� ,�` ( OR.�Q�VJ 1l'jV�I�IA+�j CITiU �/L Kri i Carlson � �, 1- �z-�� i Ad inistrative Assistant I , JAN�0-20�1 01:49 FROM:TREBILFOUNDATION SYS 3205938720 T0:1952 49 P.2�3 � � City of Orono � Building Permit Application for Int rnal Vy , (windows, doors, siding, re-roof, etc `' �- �� Mailing Address: � ��_� �' �,L�,;� PO Box 66 �� 0 � �0 Crystal Bay, MN 55323-0088 Qate receivad: � /a / . � �� Street Address: R6ceived by;, E. �,�' 2750 Kelley Parkway Pla,n review fee: ��tly/ � Orono, MN 55356 Total Fee: Main: 852-249-4600 Fax: 952-2a8-�616 www.ci,orono.mn,us This application form muat be completed in full and all required information must be submitted. Incomplete applicatlons wfll be retu�ned, (Pl�ase print) GENERAL INFORMATION: Job ite Address: Will t�iis beia Parade of Homes, Re a lers Showcase Home or ather Display Mome? Yes o II ,e Sppcl8l event perrnit!s�eq�red with Police Department and Clty Councll approval BO deys prior to the ewent. Shuttle bu8 seNlCe ll be �roqulrod unless epplice t demanstiatss suN/clent on-sire parking is available. Non-permitfed evenrs will not be 9/lowod. CON RACTOR/APPUCANT INFORMATION: Nam • �r��`T_��o� \ ��rcL�:c.,-. Sw�� A.,r.� nr� Stat Licen�e# _��y go, Expiration Date: 3_��.a.��J7� Pho e: �-��_�-�"1�� (office) (cell) Mailirg Address: (�� .�,\�;��,\c„ `-Z,,,, CItY: �l.S�l� ZIP� y��'3 �` Cont�ct Person; ��.,s�, (�,r�,,: �� Emai and/or Fex: �Z��_ ��.�;3_.��°'�"��pplicant is: Homeown�r ici.�ioo�.� � '—' PROPERTY OWN� INFpRMATION: Nam�� .�� ,,� r c�0.r c\. Phone (day): � �' � Address: Cit : c�..,�G 21P�� Email and/or Fax Pw . � C� PROJECT INFORMATION: 7ype of Project: Any earth movement may requlre MCWD rovlew 8�po�mlts ❑ Door(s) ❑ Remodel ❑Wacer Demage ❑Window(s)I �Repair Minnehaha Creek Watershed District(MCWp) ❑Storm Damage 18202 Minnetonka Blvd ❑Siding ❑ Restoration � Deephgven, MN 55391 � �Other: (specily) Phone: 952-471-0690 � Fax: 852-471-OG82 [�Re-roof (] Fire Damage �e��, c��e, - www.minnAhahaoreek.ol� Overall Project Descrlption: � ' � � Estimated onstructlon Valuetion of Proje�ct(axcludin nd) $ � � APPLICANT ACKNOWLEDGEMENT: I • Agreas to provide all information raquired or requested by the Building Depar7nent; � C�rti6es thet the informatian supplied fs t�ue and correct to the best of his/her knowledpe. The applicant recognlzes that they are solely responsible for submitting a complete applic�tion being aware that upon failure to do 80, tha st�ff has no alternetive but to rejoct it until it i�complete; • Some or all of the information that you are Aoked to provide on this applicCtion i;, clas3ifiod by State law ae either privete or confidentiel. Privete data is information which generally cannot be given to the public but can be given to the subject of the dats. Confidential data is information which generally cannot be given to either the public or the subJect pf the data. Our purpose and intended use of this information is to �nnually update our records and recofds of other governmental agencies re ulred b law. If ou refuse to su I the information the a lication ma not be issued. Appli ant's ign�ture: - , - — Date: ��o� ��, �O\\ Lasl pdated: 05-Oa2008 � 1 + � � JRN-10-z011 �1:50 FROM:TREBILFOUNDRTION SYS �2059�8�20 � T0: 19522494616 P.J�J ., 1 .. . .. _. _. .. ...,,- � INSTAY.X-A'1'�ON ' .� — / h[IE'.i7u�L s� n�DaLe �( pat� Phonc � FOUNDA7IDN 5Y5TEM51NC. Foresmm� 1� nn� � — Q�I�y�Ve Can Cuarantee , ( 1-E0003a-s$5j w c�� / � . � � / � , �-� �' r �� amo ( C � � Mailing Addless rob s�u Aaa�sS �]! 3�� . :. , ,/�• uty.Sr�u •,y, u,cc I , �_ _ ..r. � � -,- ,�,'- � __ .,_ _ . - .- -�:- _�, _ �. ..� '-� .-r-r- �....._.... .__........ =-..,...-,-•- .. - . '. �,.�......,._.._ . �,. - - , � I . - a._ ��. __ �:-�- _r�. ;� _ _� _:�_.._.;_.:�._r {� . - i � �_q/ac �-;--:..._ � �� _._.. ,.._ �r . "�` - ! ;� _ _ r � _�^=.� , , ; ..._ _ , ,1..�. . i..l . ' .,....._. - : ._.....,_..�... -.. � y_.l. I._.. ��. I'-' ,.,j„ ,j ;-.� r-.�•-,-- - ��_� . -� - -�•-{' - - , .......... ......._.�. I� , - ._... 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' ..��'...w.._.,„j � � r- - � t- � �� ....� -,. p' '^'I ��--- • .�.... � �, . . ,..`........... ...� .-�........... .. ......... , , , ,� _. . _.,.. '� ,..�..� --`�--�_._..i.. - ._, r i __ ,..... t�I j... f � �l. i � ... ; . . I I �_. , i _ � i . . , ---1 � J - -- '- --.. J--- Y. - --- �.,u_•.- , , �......._...,...... . . _ . , ., � .�.,_._...� .�- .,..._ . , +" . - - - - -- - - --- - -- --- ..;.. . , ._. .. �_.,. ' _:_.._....r.._ ... i ....._._._j........ �.....___ � i.._._.._._. .p I.._ ..'. i �,..__._... . . � � : � _.._,.. __ .. . ... . ._...,... . .. _.I_..... . �� A,ppro ' atc number of days for job completion: , . . . � . � • � , / � • � Addidon char�e for rnoving Gopher One Amount oiF bxd $ //DD ~ bjects ou�of rhe work area $�7 ❑'SCes �-No �Plus permit�ees iP rcquired : O Hvmcowner to gct permit ur pnor�ry is to fix t�ie prvblem wich your founQation,tl�at's wb,at owr c:us�paners rely on us for.. Kecp in mind that t�ve can n t be z'espon�ible for any finish catpcn[ry,painrang,pan�ling,e[c.ihat may be neceasary afrer our work is � cample .Jesse�eail Foundation Systems,Inc.will not be responsible for any ]anascaping,reseeding oz ze-sodfi�ag, unlcss o crwise noted on bid. � We will 1"Gopher One"w have al.l public uz�dez�growad Ximcg lacar�d.I�you have private lincs such aa eal:ellice disb � cables,p pane line,sprinkler syscem,etc.you ar�responsible for marki.ng the�on.Jesse Ixebxa Poul�datffln Systems. Inc.will ot assume responsibility if Chere is damage to pnvate lincs.If you live at a rural address,public lines will only be locaud to Che pola or yow pcoperty l.xr�e. �f damage to any of these lines in an area that waR not marlted occurs,y u wi�l bc.responsible for all repairs, i,f your city reyuues outside engineering,rhis quote may need to be rewritten to m�et their recommendation�. A�y additional fees incutt,ed are not included in this bid and are the custome 's responsibility_ � G� i ' 3��,,,��,g��.Ka�diwm � r� �„-. / �-- � � Representativt'S Signanue Authorized SignaNre � I JRN-10-2Q�.1 01:49 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.1�3 ._._.._ _. .._._..._.. Jesse Trebil Foundation Systems, Inc. 60335 US Mighway 12 Litchfield, MN 55355 Phone: 320-593-8729 Fax: 320-593-8720 �� City of Orono From: Kristi Carlson ax: 952-249�616 Date: January 10, 2�11 � . . hvne: 952-249�600 Pages: 3 a� Building Permit Application cc: Urgent ❑ For Revloyy p Please Can,ment X Please Reply O Plea�e Retycle , •Comments: Forwarding building permit appli�ation for 160 Cygnet Place, Orono, MN 55356. Please call with an amount after final approval and mail permit to our office. i Thank you ��f�� n� �, � � � � �� , �la� �e �,c�re� G�— �� . 1 � I i i � , . � Confiirmation Report — Memory Send � Time : Jan-10-2011 03:36pm � Tel line : +9522494616 � Name : CITY OF ORONO Job number . 259 Date . Jan-10 03:35pm To . 13205938720 Document pages . 001 Start time � . Jan-10 03:35pm End time . Jan-10 03:36pm Pages sent . 001 Status . OK Job number : 259 *** SEND SUCCESSFUL �� . � - '—'•- •••�-�+�Lr v�..nvyH 1 1 UN SYS 3Z0593B720 � TO:15i5ZZ494616 �-1�3 I Jessa Trebil FoundaYlan Systems, Inc. -- �60335 US H7g1-�vyay yz 1 �-�*chfiald, MN 55355 Phone: 3Z0-593-872g I �Fax: 320-5 93-g 72 p F �• �ti.o�o�o�o F'o�+• Kristi Carlson I ' S2-249si616 � oata, January 10. 2�7 7 �"�^� 2-Z49�600 vasos: g u(/cJ7rtg Perrnit AP licatiort cc: ' Y�saflt Q POI Rqv� Q PIaJ�y� " OW 1 ��nent X Plvasa RaPb O Pi�sa R �]Kf� �cornme.�ta Fonivarding bui(ding pe�rt apP�ication for 'I60 G i Plaas@ p��yy�,.h,8� a�ount aftar fine�eDP►oval ar�d mail t PJ��' MN 55356. �rona, ` P@rmlt to our of1i�_ 1 Th�nic you � � �v� �r� �l.-� -f� n� a-�-evti�za,� '��2�c� vt� 4 i aCo �a+- �e � - c� - ; � �� - <��, --�� (��. _ , 1 � I � � � . i � � � � I � �� C�� DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION OTICE ,,�y� SCHEDULED 'l( � PERMIT N0. D — (J� COMPLETED ADDRESS �� %if►'� �� OWNER TELEPHONE NO._�6.✓ �'�S G�5(� CONTRACTOR ¢� C�1lI.AiS � DESCRIPTION ��'�"�- � ' ` — � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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: �� I��'l :�� W 0. � J O >. � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED f�OJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952� 24J-46�� Owner/Contractor on sit�: � Inspector_ i � White Copylinspector's File Canary CopylSite Notice