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Home My WebLink About2010-00151 - roofing � � � CITY OF ORONO PERMIT NO.: 2010-00151 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 03/16/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1410 REST POINT RD PIN : 07-117-23-33-0001 LEGAL DESC : SUBD REST POINT PARK LAKE MTKA : LOT 001 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 9,500.00 APPLICANT pERMIT FEE SCHEDULE 191.75 W.F. SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 4.75 6585 SO SAUNDERS LAKE DRIVE TOTAL 196.50 MINNETRISTA,MN 55364 (612)867-3117 Minnesota State License#: 5309 OWNER BREDESON,ROBERT 1410 REST POINT RD MOUND,MN 55364 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 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 appiicant is responsible for assur'ng ail required inspections aze requested in confo ce with the St Building Code.This permit may be revoked at y time r d e cau . , 1 � , io L 3i / i /l� Applicant ermitee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. > t .. � - �,� ��;� x ��.a- �--^�,j �ca,-x=. , �.H� .� � �{- . . . . � . . -v. �.°+�A . . . �" : �' `r�#3 � .. ,_�. .�.... . ,�. . _ . , , . .. . , „- ,,, n_`!: i �a,. . ,,. .. - �+�.;..�"' �'�� f � � �� City of Orono �� ;,- �� Building Permit Application for Internal Work w � ��' (windows, doors, siding, re-roof, etc.) t� �� °- Mailing Address: �j`b — D/� � : �,L,0,� PO Box 66 Permit number: *�' 0 , O Crystal Bay, MN 55323-0066 Date received: / /� � � �$�` � � Received by: �✓�'e�� .'I StreetAddress: ��;� �'� �� "" ti�' 2750 Kelley Parkway �/� � , o Plan review fee: ��' �9kESFI�4"� Orono, MN 55356 � 9 � -- Total Fee: / � �. Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us / ��Q• � ?� ��• This application form must be completed in full and all required information must be submitted. � `'�° Incomplete applications will be returned. (Please print) �=�� GENERAL INFORMATION: / � r Job Site Address: ' /� ��5�? �� %2/� �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No s� <, If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill be �F. required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � �k� CONTRACTOR/APPLICANT INFORMATION: ` Name: �1 1� S I� ��1 ��i�.�C� State License# �«� �—� �7 5' Expiration Date: "3 — 3 j �� ' Phone: S�— � � � S- � office b/� -�56�7 3 �c cell � ; Mailing Address: G�- � � i2, � 1D� Cit : ,'n,� � ZIP: S�. �{" Contact Person: v►� Applicant is: Contractor ! Homeowner (Circle �e� �,; Email and/or Fax: 1,�1,>i rz,2,�, R .� /n 7�-� A o L C �v�,� -� ��.�, ,�r_: �' PROPERTY OWNER INFORMATION: Name: �2 t; n c-�S v �--� ��, Phone (day): Address: City: ZI P� ��=° Email and/or Fax .ti�;: ` PROJECT INFORMATION: �`� T e of Pro'ect: �;�j�:: YP J 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 � E��s Deephaven, MN 55391 � `` ❑ Sidin N,,i,, g ❑ Restoration ❑ Other. (specify) Phone: 952-471-0590 'h �. �� Re-roof Fax: 952-471-0682 " ❑ Fire Damage www.minnehahacreek.orq �, verall Project Description: � ,�,r Estimated Construction Valuation of Project(excluding land) $ � D -� . E� � �� * APPLICANT ACKNOWLEDGEMENT: � ' • Agrees to provide all information required or requested by the Building Department; �� ¢s�� '�'+,, ��'` 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 pubfic 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 govemmental agencies � �- re uired b law. If ou refuse to su I the inf rmation, the a lication ma not be issued. �:. �.. �� 3 `` � � ApplicanYs Signature: Date: � Y � � + r� � �J . - • . : ,., .> .,, .. :: }� � ` �, Last Updated: 05-04-2009 �,� ., 5 . ' . "i :. s�.y � �. 4 ��' ��j .n. ^��, �� f ;�� .r.,, ��%'-� '� q } 3 3u�C } t v. .$l...,a..__ .,3. <_. ...asr._._. .,.t�..sP,�...��Y'' s,._ s.c. .,,._. ._c ��.�u,3.,.�.�`,'��w'.�He'xr..irY. .wm'+34�'"�4.�.51"s�i"3a�i�.:� � '� C�I�y� DATE TIME � CITY OF ORONO CALLED IN -3 �c/ �D INSPECTION NOTICE {� SCHEDULED ��[�� PERMIT NO. ��'��`+ COMPLETED �• ADDRESS � T�b -Q� �r OWNER TELEPHO E NO.��"��?�� 7 CONTRACTOR �(�• �- �}7'�%l-�. `-�� DESCRIPTION � ��'r � . � ❑ FOOTING ❑ PLUMBING FI AL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT _ v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEE?YOU:_YES__ ':v u�, COMMENTS: "" Ww-: . C � � O a � O � W � Q � 2 W � W � � W��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEE� ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OFiDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSfte Notice