The URL can be used to link to this page

Home My WebLink About2016-01199 roof repair/tree damage . CITY OF ORONO * 2 0 1 6 - 0 1 1 9 9 * . 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1965 COUNTRY CLUB RD P[N : 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 : REPAIR ACTIVITY : O/S BUILDING-LINDEFINED VALUATION : $ 29,800.00 NOTF,: TREE DAMAGE/REPAIR ROOF APPLICANT PERMIT FEE SCHEDULE 490.12 STATE SURCHARGE(VALUATION) 14.90 FOSS EXTERIORS LLC TOTAL 505.02 1891 SANDBAR CIRCLE Payment(s) WACON[A, MN 55387 CHECK 16000 505.02 (612)229-8619 Minnesota State License#: BUIL-BC 438042 OWNER CONNER, MICHAEL&PATRICIA 1965 COUNTRY CLUB RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shail 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 additionai 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 beeome 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 requested in confor e with the State Building Code.This permit may be � revoked at any tin for�e cause. � � _„� .' '� _ 2�;' I� �� Appli Grmit e ' ture � � Date �� Issued B gnature Date �� City of Orono t3uilding Permit Application for Maintenance / Replacement / Remodel — Residential ONLY � (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANS N) �O� Mailing Address: Permit number — �� O PO Box 66 _ Crystal Bay, MN 55323-0066 Date received: � a Street Address: Received by: tiF � 2750 Kelley Parkway Plan review fee: � L Orono, MN 55356 �K�SH�� Total F �-�' /5 � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ��.Ji v This application form must be completed in full and all required information t be submitted. Incomplete applications will be returned. (P/ease print GENERAL INFORMATION: Job Site Address: _�'��" Ca�c.►vZ'R„� � � � �J Will this be a Parade of Homes, Remodelers Showc se Home or other Display Home? ❑ Yes � No If yes, a special evenf 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 I AP,�LICANT INFORMATION: Name: ,�'p5� ��T�21bJ�S �-L L State License# �C c� ��U t.,�2 Expiration Date: � - ,3 �_)$' Lead Certification Number: �U�7-- �'�g' �S� � Expiration Date: /j _��- /�, 1 (for work on homes that were constructed prior to 1978 Phone: (cell) �t 2 22� �{72,� (office) �� 2 2,2,� R 6��} MailingAddress: /�9C $A�.►�/��c}-12 G,;2,._. C�tY�/^�?�Cc�N �/-�- ZIP: �-t Contact Person: -�-�� -� Applicant is ractn� Homeowner (Cirde One) Email and/or Fax: ��' �"�c��c�2 �� 1 � PROPERTY OWNER INFORMATION: Name: ��_ Phone (day): �-2 2 �'Z2_ Address: � ��, City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt �Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding �Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) 0�� °12�P��2�W� www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 2S'_�o� 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 by law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: � `��-�J — I � �� n Owner's Signature: � Date: Last Updated:January 2016 DATE TIME CITY OF ORONO CALLED IN INSPECTION E p SCHEDULED PERMIT NO. •o it I y COMPLETED 3 /3./V ADDRESS /94S- 42 Am. �. ci0,5 4J. OWNER TELLEPHONE NO. CONTRACTOR r055 zolteAtetoes DESCRIPTION ave leaioe.r IN 0 FOOTING 0 DEMO-FINAL 0 SEPTIC FINAL s0 POURB)WALL 0 PLUMBING RI D EXCAVIGRADING/FILUNG 0 FOUNDATION WATERPROOF 0 PLUMBING FINAL 0 TREE REMOVAL 0 RADON SLAB 0 MECHANICAL RI 0 SITE INSPECTION 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS a 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT 0 FINAL 0 WATER HOOK-UP UP V 0 AS BUNT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v0 DEMO-SITE 0 SEPTIC INSTALL n TOMEETVONk_YEE—NO COMMENTS 4a-n�•C / t✓h.4,p ?Gs6l Ar 4 •crP/aie /# ec b•-c It Permit has expired per MN Building Code Sec. 1300.120 subp. 11 2 Expiration, no record of a Final inspection. 2 gt 31 U0 WORK SATISFACTORY.PROCEED a PROJECT COMPLETE 0 CORRECT WORK&PROCEED a ISSUE CERTIFICATE OP OCCUPANCY Q O CORRECT WORK,CALL FOR REINSPECTION TEMPORARY a BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOUR& O PHOTO TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CAU.INSPECTOR ❑CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal for Vio next inspection 24 hours In adroncoo.(952)249-4600 OvassriConbuctor on sib Inspector: 9 1,"^:"."746- wins CeprabsPo bh R#. Canty Copy/SIN N.Y..