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HomeMy WebLinkAbout2010-00818 - roofing . CITY OF ORONO PERMIT NO.: 2010-00818 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 09/10/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2135 SALEM CT PIN : 27-118-23-31-0013 LEGAL DESC : DICKEY LAKE ADDN : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 46,000.00 APPLICANT PERMIT FEE SCHEDULE 638.75 TIMBERLINE EXTER[ORS, INC. STATE SURCHARGE(VALUATION) 23.00 7026 E FISH LAKE ROAD MAPLE GROVE, MN 55311- TOTAL 661.75 (651)329-6916 Minnesota State License#: 20633887 OWNER WACHMAN, ERVIN & MICHELLE 2135 SALEM CT LONG LAKE, MN 55356 AGREEMENT AND SWORIV STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 wili 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. Thc applicant is responsible for assuring all required inspections are requested in con ormarkce with t State Building Code.This permit may be revoked at y ime �_r due e. ��� , , � �-- 1C-._�<,, ✓� ,�� � , i�� � i , i G jCi � ��-�_ C`Yy'�c��'� i Apqli� t er itee Signa e Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - p- r`.� � � `'�' `� _ :,; '_ ; +�- _ �''. � -��'� � � � � ,, ' . �• City of Orono ��`� ���x, : �f � . ! Building Permit Application for Internal Work �` ��� °��#� (windows, doors, siding, re-roof, etc.) � � Mailrng Address: Permit number. �; �,0,�. PO Box 66 , �� O Crystal Bay, MN 55323-0066 Date received: � I '�� 3 _ � a �'�'��" o-, � StreetAddress: Received by: � �_� �'�,c, 4 B"� �ti 2750 Kelley Parkway Plan review fee: � '���'� Orono, MN 55356 ,�� ESH� r� Total Fee: j „(„ ` , � ''� ; Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �/lY �,� This application form must be completed in full and all required information must be submitted. �� Incomplete applications will be returned. (Please print) �� ° GENERAL INFORMATION: ` ,� �� Job Site Address: /�� ;�_(�,.t.-v� ���- . = ' ' 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 service will be � required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wrll not be allowed. CONTRACTOR/AP�CANT INFORMATION: � Name: -r,t., ',c ti.z i-�G��-S �1� '� State License# ���� J;�,r� Expiration Date: � ��j � �' Phone: � �;) - ��� �- �;��' � office cell � Mailing Address: ', (y h Cit : �i ��;y�ZIP: �„� � Contact Person: ���,z..��y�L, Applicant is: ntrac or Homeowner (Circle One) -. �;: Email and/or Fax: fl.. ' PROPERTY OWNER INFORMATION: Name: �rviv�t /�{��z�%�'l-�.CcrYl �:�� Phone (day): �3�� � G � � `'SS "' Address: ;�,/_3 5 Sa�E.v,/l � City: �I�G✓t.0 ZIP:.���(� �" Email and/or Fax �; `�_ PROJECT INFORMATION: �� ,: � ,`�: Type of Project: Any earth movement may require � ' MCWD review&permits ,,� ❑ Door(s) ❑ Remodel ❑Water Damage r ' ' Minnehaha Creek Watershed District(MCWD) s ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd F Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other. (specify) Phone: 952-471-0590 " Fax: 952-471-0682 �� e-roof ❑ Fire Damage www.minnehahacreek.orq Overalt Project Description: � � �� � � ��� ��; I,�C�{/ L� _ /�//ir>.�!�' C` �; Estimated Construction Valuation of Projec ( xclu ' g land) $ y(� ���� �:; APPLICANT ACKNOWLEDGEMENT: �'� x>: ?�; • 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 y are solely responsible for submitting a complete application being aware that upon fail�re to do so, the staff has no alternative z� � 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 Y; 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 refuse to su I the information,the a lication ma not be issued. '` k � � ,_/,� ! ii + 1+;. �,�, ApplicanYs Signature: � r;> Date: ,O� �'V�� . Last Updated: 05-04-2009 � ; _ � � � � ;� ,,;� � . � ::, � _..... . �. , ,.,.,., ,�„� � ` �� � .. . �._ .� .,. . � �.< _.._,,. � �_. - .,.,.. �� p� - �/ G���"�� /D D ') TIME CITY OF ORONO CALLED IN �` �� INSPECTIONrIQ��E��/� SCHEDULED PERMIT NO��J v— COMPLETED ADDRESS 47�..� � 1 OWNER TE�EPH CONTRACTOR � DESCRIPTION �` �`�C-eC� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC RADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ 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 FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J � �L��1 C� : �,�.0 iZ n �a� �� 0 � W � Q � Z W � W � � � O W� �ifORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALI INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� Owner/ConVactor on site: Inspector. ,ri _ White Copyilnspector's File Canary CopylSite Notice v �� T TIME � CITY OF ORONO ��IED IN � INSPECTION TICE �y� Q/ SCHEDULED ` PERMITNO. �Q�b'v�/ v` � MPLETED ADDRESS 3 S _—(��i� OWNER TEL PHONE N�sl���— CONTRACTOR �/ t- — � >; DESCRIPTION ` G c � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � 2 w � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFOREC�IERING PERMANENT ❑CORRECT UNSAFE CONDlTION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contractor on.s�t . . Inspector. "V �✓ 6,��� White Copyllnspector's File Canary CopylSite Notice