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Home My WebLink About2010-00846 - roofing CITY OF ORONO PERMIT NO.: 2010-00846 � � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 09/16/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2780 SHADYWOOD RD PIN : 21-117-23-24-0041 LEGAL DESC : REG. LAND SURVEY NO. 1196 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,200.00 NOTE: TEAR OFF REROOF-ARCHITECTURAL SHINGLES APPLICANT pERMIT FEE SCHEDULE 162.25 RALOWS ROOFING&REMODELING STATE SURCHARGE(VALUATION) 5.00 4351 PARKLAWN AVE#108E TOTAL 167.25 EDINA,MN 55424 Minnesota State License#: 20631301 OWNER WITTMER, W& S 2780 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 permiu. 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 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 aze requested in conformance with the State Building Code.This permit may be revok d at any time for due cause. L% - l l �4 / �� l ��pl �� A Permitee Signature Date Iss y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono ' � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �O� MailiPO Bo�r66 � Permit number: ��D �� ;� Q O Crystal Bay, MN 55323-0066 Date received: / /� ,;� a ��e,.�. I '� 4;��, s. � StreetAddress: Received by: "� �' � '�" ti 2750 Kelle Parkwa ,� � � Y Y Plan review fee: L<9kESHOts,�' Orono, MN 55356 Total Fee: l�� `j 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��«�� R�i1. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ��'1No !f yes, a special event permit is requrred with Police Department and City Council approval 60 days prior to the event. Shuttle bus service w!II�tSe required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: a �wS ,y� wy a� �-p �1^-S State License# �1�(0 �� j " Expiration Date: Phone: � � office cell Mailing Address: j 1 ,-i � Cit : F - `�� ZIP: S Contact Person: � Applicant is: ontrac o / Homeowner (Circle One) Email and/or Fax: (�r�j�c✓s r�n F;v�u � v /�1�. c'�v�-� PROPERTY OWNER INFORMATION: Name: cr � • ' i'' Phone (day): y ' 5 Address: a, '� Cit : C� ZIP: S ,S 3 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 �Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 0� �--- APPLICANT ACKNOWLEDGEMENT: �^ • 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 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 governmental agencies re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: Last Updated: 05-04-2009 ; z, / J _, � / �• �� y ATE TIME CITY OF ORONO CALLED IN / � � INSPECTION N TICE SCHEDULED -�� PERMIT NO. �� ' P ETEo ADDRESS OWNER ELEPHO E NO � d g� CONTRACTOR / 0 � >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � � � � ✓ i e? J� �'e> /�j �� 0 � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �tOJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP OFDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952� 249-460� OwnerlContractor on site: Inspector. �, �� ' � White Copyllnspector's File Canary CopylSite Notice