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Home My WebLink About2010-00354 - roofing . � CITY OF ORONO PERMIT NO.: 2010-00354 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �SSUEu: OS/17/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1635 SHADYWOOD RD PIN : 17-117-23-21-0030 LEGAL DESC : SHERRI LAKEVIEW ESTATES : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATIOI�I : $ 2,800.00 NOTE: '1�EAR OFF AND REROOF APPLICANT PERMIT FEE SCHEDULE 88.50 LELAND, JOSEPH STATE SURCHARGE(VALUATION) 1.40 1635 SHADYWOOD RD MOLJND, MN 55364 TOTAL 89.90 PAID WITH CC# 2005 OWNER LELAND,JOSEPH 1635 SHADYWOOD RD MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT Thc 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 separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or no[specified herein.This permit will expire and become null and void if construction authorized is not commcnced 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 conformance with the State Building Code.This permit may be revoked at any[ime for due cause. �-�--�- S � r� �20�� r�. �'� /7 � /C� Ap�ftf et e Signature Date I ed By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � �"` � M R3 � •��r� `q` � �." f i` } �.tr.3'�'f]N .♦ t � ' � �' " � � - . K^C'�` � �� t: ' • t `�,*`4 �r rf� * '" e-. �ti.��'��:. ��{ City of Orono � y�� Building Permit Application for Internal Work �,� �� (windows, doors, siding, re-roof, etc.) �,. ��`u - Mailing Address: � ,�� Permit number: _.�,` Q�O�\ CrysBtal Bay, MN 55323-0066 Date received: � / / /� 1.:. �M�,.-. r= �� -�- Received b � �:��;;,�, �, Street Address: Y� ��; �'�,n ' � e'� �,ti�' 2750 Kelley Parkway Plan review fee: ��;: r9kE5Ii04'� Orono, MN 55356 p� � Total Fee: �f �Cf� �� !` 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) ��'�' GENERAL INFORMATION: �' Job Site Address: J�"� ��R_��_��,_e,��} �-�� { Will this be a Parade of Homes, Remodelers SKowcase Home or other Display Home? ❑ Yes �No �<<; If yes, a special event permit is required with Police Department and City Council approvaf 60 days prior to the event. Shuftle bus service wiU be '`` required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � �; ux_ CONTRACTOR/APPLICANT INFORMATION: �� Name: �� State License# Expiration Date: �� Phone: (office) (cell) Mailing Address: Citv: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) t��,;� Email and/or Fax: �� PROPERTY OWNER INFORMATION: � .' Name: ;�o pP.� L�/aWr� +� Phone (daY): _�� y�i�, - Z��SD �,.,�.�n ' Address: l�, 3s ��.900 �c) City:�y�.-�,4. ZIP� � � � ; � Email and/or Fax �' � � =':� PROJECT INFORMATION: �;�; Type of Project: Any earth movement may require � �= MCWD review &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 �i � Re-roof ❑ Fire Damage www.minnehahacreek.orq �� Overall Project Description: - �� Estimated Construction Valuation of Project(excluding land) $ �,� t. �`:� E�� APPLICANT ACKNOWLEDGEMENT: �. � � • Agrees to provide all information required or requested by the Building Department; �i; • 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 govemmental agencies , = re uired b law. If ou refuse to su I the information, the a lication ma not be issued. � �>,, _._.s--- —_ — ��-T�_ � , ApplicanYs Signature: —— --� Date: s�f�/�p/O �: �. Last Updated: 05-04-2009 _ �� ' � � �'�,�a�� `' � �� °�,� ,.�� _ __.��, ,�... «,, .. .. a,�..��,, , ��2�� .. _ �_ -�e . ,.._.� _x,��...��i�.,,�.. ,_ ��.��'�,.. �,�,..�,��: DATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. b C-`�� COMPLETED st��`�CD ADDRESS I ��3 S �`�A G� '-� �� OWNER �Q� ��f�TELEPHONE NO. CONTRACTOR � < <" �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TAEE REMOVAL Z ❑ INSULATION ❑ WOOD BUFiNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FiNAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ 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 c�n COMMENTS: � W a � �� n c� `.�J A -�-CS` ��`-�'C�� 0 � �''�.1� �.� -�-i<L� � f�F T- (_o c5 F ° 4 cJ 2S' 1=�'o n� A� c� �Q A�' W Q (��C [�. — �/OI�`n S*j II.S /CJ C�'i z �'�C��.1n �i,.�P c� — �a � � a f-F a� � �OTA I - L3P-�-� I' C�� ,"�Q W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W�ORRECT WORK�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECO�/ERiNG PERMANENT ❑CORRECTUNSAFECANDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. .�� White Copyllnspector's File Canary CopylSNe Notice � DATE TIME V CITY OF ORONO CALLED IN ' INSPECTION O CE SCHEDULED _ -/ /� � PERMIT NO. 0�� y� COMPLETED ADDRESS ��35 � � OWNER TELEPHONE NO.3�— �7Z—`3��j� CONTRACTOR � DESCRIPTION rL� �y"� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS 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 � ❑ 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 v�i COMMENTS: � W C � J O � � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED I�PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � � f /"'l White Copyllnspector's File Canary Copy/SNe Notice