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Home My WebLink About2010-00538 - roofing CITY OF ORONO PERMIT NO.: 2010-00538 � 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUEn: 06/29/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2771 SHADYWOOD RD PIN : 21-117-23-24-0059 LEGAL DESC : REG. LAND SURVEY NO. 0358 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -RUBBER ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 1,900.00 NOTE: 2 FLAT ROOFS-RUBBER MEMBRANE APPLICANT PERMIT FEE SCHEDULE 70.50 INCLINE ENTERPRISES INC STATE SURCHARGE(VALUATION) 0.95 26175 BIRCH BLUFF RD SHOREWOOD, MN 55331 MISC FEE 0.00 (612)471-9065 TOTAL 71.45 Minnesota State License#: 20168831 OWNER OGLE,RICHARD&MARLY 2771 SHADYWOOD RD EXCELSIOR,MN 55331 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 separate permits. All provisions of laws and ordinances governing this[ype 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 is uance,or if construction is suspended for a peri d of l 80 d � at any ti e after work has commenced. The appl�cant is re onsible f a suring a jequired ins ctions are requeste in conf mance wi t e State ]ding Cod This permit may be revoked t any ti e for due a e. ?��-��l �� _ % , , Appl cant ermi e Signature Date Issued ignature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO �, ' ' . .. '�� ;.' �Ys,:�.s � R"�+,T_ Y' v"�'.� M� ' R� �p t. ' . . , { � _ i � � j - _.. T . .. . . . . . . � � . . . _ . . � . . - � y }Y. City of Orono � x y ��Y ;k €r, � '� Building Permit Application for Internal Work � ' = ��,, * _� ' (windows, doors, siding, re-roof, etc.) �� Mailing Address: Permit number: "� �, �.,�,j� PO Box 66 ��' � ', t-� Crystal Bay, MN 55323-0066 Date received: X '; O "�^��3 1.. _ O � a „�� .-r-;� a, Street Address: Received by: �� '��%�� °�� 2750 Kelley Parkway Plan review fee: �;�: 9kESHo¢'� Orono, MN 55356 �� ` 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) ��' GENERAL INFORMATION: � �' Job Site Address: S �� 7�7/ i��i� �"��, �� ,� 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 w 1 e � ,'! required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. '� CONTRACTOR/APPLICANT INFORMATION: � �- Name: �-�1C 1��1\SL_ c�31�y�j ��Sc_S ��- � '� State License# � a�u)��t�,�l Expiration Date: // � : Phone: �>� �� _ � office C��,'�- S >� N '�� cell A�� a ' Mailing Address: ,,� )�� iY , )� Cit : �'� ,�d.;o,; ZIP: �� ) f� � Contact Person: l��, _ Applicant is: ont ctor Homeowner � , (Circle One) �� " Email and/or Fax: �s�� y 7� - )� �-j �i � F�-` PROPERTY OWNER INFORMATION: *� �" � Name: .��;� O� �� i Phone (daY)� '-�7��- ��`,'� � �� ,;��; Address: Cit : ZIP: ,. Email and/or Fax � ..- � r� 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 �,�: r, ❑ Siding ❑ Restoration ❑ Other. (specify) Phone: 952-471-0590 t� ,,'�' Fax: 952-471-0682 � �;.� Re-roof ❑ Fire Damage www.minnehahacreek.orq �. �� - verall Project Description: � �- -x-- �`O� S � � �jyt �� Estimated Construction Valuation of Project(excluding land) $ / 9C% ;— �� ' APPLICANT ACKNOWLEDGEMENT: � � Agrees to provide all information required or requested by the Building Department; �u . �' • 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 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 in rmation is annually date our records and records of other governmental agencies � �:: re uired b law. If ou refus to su the infor tion,the a lication ma not be issued. �� :i �s '�; �f � Applicant's Signature: Date: � ��r� ' <.� �E"C � � Last Updated: 05-04-2009 � �' � 7 �.� _ ...._. _ _ ._ __ _... _�._.� ._ ..5��,��__s�:� ., . . . . ,.:��.�.. C� DA TIME �/ CITY OF ORONO CALL D� � �� INSPECTION NOTICE SCHEDULED 2�� PERMIT NO.�0<�'"�d S3g COMPLEfED ADDRESS 7� � OWNER ELEPHONE NO.Q5� ��—gD��"" CONTRACTOR��l «•� � DESCRIPTION L ��- O� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y � FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVA� 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 � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � 1lORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on site Inspector. White Copyllnspector's File Canary CopylSite Notice