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Home My WebLink About2010-00989 - roofing CITY OF ORONO PERMIT NO.: 2010-00989 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuED: 10/13/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3050 JAMESTOWN RD PiN : 28-118-23-33-0015 LEGAL DESC : LIBERTY ACRES 2ND ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 30,000.00 NOTE: TEAR OPP REROO�-LAMINATE SHINGLES APPLICANT PERM[T FEE SCHEDULE 466.75 FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 15.00 1891 SANDBAR CIRCLE TOTAL 481.75 WACONIA, MN 55387 (612)229-8619 Minnesota State License#: 20438042 OWNER PAGE,ANDREW&JULIE 3050 JAMESTOWN RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this pem�it is issued shall bc perfonned according to the approved plans and specitications,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 responsiblc for assuring all required inspections are requested i ance with the State Building Code.This permit may be revo at any tim for due cause. l6 � f? �2��a /��/��/� Applicant Permitee Signature Date Iss By Signature Datc SEPARATE PERMITS 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: ��1�'� (� Og,O,�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: �� a �� r I '� `�+ �, Street Address: Received by: �'.�, ' 'e" �ti 2750 Kelley Parkway Plan review fe . t'�kESKo�`� Orono, MN 55356 � -- Total Fee: �/� '7 � 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 e submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: S"' .�( �►�'�E�s"�c �� ✓�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 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 servrce � be required unless applicant demonstrates sufficient on-sife parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: '"�g�lc� r-dSS ��'%�2ru2�, — State License# Zo c(3�t��. Expiration Date: 3-3 )- Zo)� Phone: ��-Z_-z,-z�,- �� 5 (office) � �� (cell) Mailing Address: ;3.��. �.�,` Cit : ' .✓� ZIP: Contact Person: --��,,=�a,�.�� Applicant is Contractor / Homeowner (Circle One) Email and/or Fax: ��,�,�'��-��-�=�i �tis • �-��. PROPERTY OWNER INFORMATION: Name: � Phone (day): � C --�7 _ Zo L Address: 3�� .��4rv�t.^5T'c>w� TZ,o,d� City: �},�� ZIP: �'�� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�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 e-roof ❑ Fire Damage www.minnehahacreek.orq O rall Project Description: Estimated Construction Valuation of Project(excluding land) $ 30 0� "O � v 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 refus I the information, the a lication ma not be issued. ApplicanYs Signature: Date: � � — �3"Zd�Q LastUpdated: 05-04-2009 �— ` �� DAT TIME V CITY OF ORONO CALLED IN / INSPECTION.N,Q,TI E /'��/��// SCHEDULED j �v PERMIT NO.d-��W L �MPLETED ADDRESS �►� OWNER _ TE EPHOfdF,�NO. bI ' �� [�a�7 CONTRACTOR l QC� � >; DESCRIPTION U v �� ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 a � J O � � O � W � Q � Z W � W � � � GW WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site• Inspector. � White Copyllnspector's File Canary CopylSite Notice ` / � ��G/(d TIME CITY OF ORONO ALLED IN � INSPECTION NOTiCE .�^�G SCHEDULED � � PERMIT NO.��-�/'�/��COMPLETED ADDRESS �� a��-5�1�l�-CL OWNER TELEPHONE NO. - �� CONTRACTOR � S � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOdD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATffR HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEW�R HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTI INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SE FINA ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEEf YOU• ES NO � COMMENTS: � W a � J O a � O � W � Q � 2 W � W � � d � ❑WORKSATISFACTORY:PROCEED �^�PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ I$SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑ST�P ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspectio�24 hours in advance. (952) 249-46�� OwnerlContractor on site: t � > Inspector. � � ''� �_ � (,�_S .:�" � i W. White Copyllnspector's File Canary CopylSite Notice