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Home My WebLink About2011-00517 - minor alterations � CITY OF ORONO PERM IT No.: 2011-00517 � � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE�SSUED: 06/24/2011 � 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 OFF REROOF-ASPHALT SHINGLES APPLICANT pERMIT FEE SCHEDULE 466J5 , FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 15.00 1891 SANDBAR CIRCLE TOTAL 481.75 WACONIA,MN 55387 I (612)229-8619 PAID WITH CC# 0978 Minnesota State License#:20438042 ' OWNER PAGE,ANDREW&NLIE 3050 JAMESTOWN RD LONG LAKE,MN 55356- 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 sepazate permits. All provisions of laws and ordinances goveming 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 consuuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze '� requested in conformance with the State Building Code.This permit may be revok�d.at any time for due cause. % � � 2? � // c:, � � / Ap cant Permitee Signature Date Issue y Signature � Date S�PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City af Qrono Building Permit Application for Internai Work (windows, doors, siding, re-raof, etc.} ' tl��O-��\ MailiPO Bo�r66• Permit number. D� ��vs� �y Q,�x Crystal Bay, MN 55323-0066 Date received: �O i�,� �. �,1+ SfreetAddress: Received by: ^� d, . �� t � { ti�' 2750 Kelle Parkwa � Y Y Plan review fee: \�g �� Orono,MN 55356 Q i F:sxo� �U�. �� `'--'� 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) , G�NERA�INFORNIATION: Job Site Address: � .3v4NttST�.�W� �r� WFiI this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o tf yes,a specia/everrt permit is required with Palice Departmenf and City Council approva!60 days pr'ror to the event. Shuitle bus rv' wiN be required unless applicant demonstrotes s�cienf on-slte parking Is evallad/e. Non-permitted events wrll not be aJlowed. CONTRACTOR/APPLICANT INFt3i2MATION: Name: �� `�Q...t �L L,.C..�- State�icense# ~?�,t„�'��,,, Expiration Date: �—�/-Zd�-Z,, Lead Certification Number: R,r �� - �f_��,I S Expiration Date: 3��.�,a� (for work on homes that were constructed priar to l978 � Phone: Cp t Z- '�.��- £3(0(9 (office) (cell) Mailing Address: ( �� ,",rd ,4,,,, ��, City: � �IP: ,5'��$ Contact Person: ^�"'��,� F--�� Appficant is: ontracto / Homeowner �c��oi�000t Email and/or Fax: ��,p�� .�-��.C�;r,.� PROPERTY OWNER INFORMATION: Name: f�inlLl.�! �.�'Ut--i� ��' � Phone(day): �j�Z _� � �j+� Address: ��5� _"C�ydrrF�T�s,,,�,J (�,o� City: �Y��kj ZIP: �",�'� �o ; Email and/or Fax ,,��p�_ p��,;rt��rM� PROJECT INFORMATIQN: Nr�?c�- S/JJ(�C„� Type of Project: Any earth movement may require ❑Door(s) ❑ Remodel ❑Water Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑Repair ❑Stortn Damage 18202 Minnetonka 61vd ❑Siding ❑Restoration ❑Other.(specify) Deephaven,MN 55391 Phone: 952-tt71-0590 e-roof ❑Fire Damage Fax: 952-471-0682 www.m i n nehahecreek.oro Overail Praject Description: ' �stimated Gonstruction Valuatlon of ProJect(excluding land) $ �,a��----� APPLICANT ACKNOWLEDGEMENT; • Agrees to provide all information required or requested by the Building Qepartment; • 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 altemative' 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 generalty cannot be given to the public but can be given to the subject of the data. Canfidential data is information which generally cannat be given to either the public or the subject of the data. Our , purpose and intended u ' formation is to annually update our records and records of other governmental agencies re uired b law. If o efuse Uo su I the information the a lication ma not be issued. Applicant's Signature: Date: �O``Z.�-l"7—c�j/ Last Updated: 03-01-2011 �I � DATE TIME ✓ CITY OF ORONO ��CALLED IN INSPECTION NOTICE / SCHEDULED ��Q�� PERMIT NO.�l�—�� COMPLETED ADDRESS d,�� L' --�� '�� OWNER TELEPHONE NO.�� `��'��'�� CONTRACTOR �(��S �--�C �l T'rS >; DESCRIPTION ��Z ` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ XCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES�NO � COMMENTS: � W a � J O � � O � W � Q ti Z W � � r� j � 25 WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED Ci INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on sit � Inspector. White Copyllnspector's File Canary CopylSite Notice D E TIME � CITY OF ORONO CALLED IN 7/� � INSPECTION NOTIC� ��/� SCHEDULED ��LI PERMIT NO. � COMPLETED � ADDRESS �05� �`� ' �i�,-��- ��9 OWNER ELEPHONE,MO. CONTRACTOR � ��?`-'� ' . ��. � a DESCRIPTION �� /� ""` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y O FRAMWG ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ' Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAtNT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/R�MOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLET� W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPOR�#RY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WtLL RETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: � Inspector. � u,�� White Copyllnspector's File Canary CopylSite Tlotice