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Home My WebLink About2010-00776 - roofing � � CITY OF ORONO PERMIT NO.: 2oiaoo��6 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 08/30/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 99 SIXTH AVE N PIN : 25-118-23-44-0012 LEGAL DESC : HOLLY ACRES 2ND ADDN : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 27,000.00 NOTE: TEAR OFF AND REROOF APPLICA1�iT pERMIT FEE SCHEDULE 434.50 LADWALK INC STATE SURCHARGE(VALUATION) 13.50 190 RYAN DR TOTAL 448.00 iJNIT B LITTLE CANADA,MN 55117- (651)490-5900 Minnesota State License#: 20578323 OWNER BRISCOE,MR.&MRS. 99 SIXTH AVE N WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvais,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 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 day of the date of issuance,or if construction is suspended a pen of I 0 at an ime after work has commenced. e ant is r po si I or suring a required inspections aze ques d� con rm c 'th State Bui ing Code.This permit may be r oke at y ti e fo se. �l � / �� i��,(� i i cant e ' e ture Date Issued B gnature SEPA RMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. f ;� � City of Orono Building Permit Apptication for Internal Work (windows, doors, siding, re-roof, etc.) Mailrng Address: permit number. ��-� �'b O.�0�.O PO Box 66 �� /D Crystal Bay, MN 35323-0068 Date received: Street Address: Reoeived by: 2750 Kelley Parkway Plan review fee: ��o�� Orono, MN 55356 (� � Total Fee: `�' � Main: 952-249-�{i600 Fauc 952-249-4616 �vww.a.orono.mn.us �� This application form must be completed in fuil and all required information must be submitted. Incomplete applications witl be returned. (P/ease print) GENERAL INFORMATION: /'�� / /,�� .�� /Y1 . � �� 9 � Job Site Address: L Ci (.�V �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o If yes, s special eveM permlt is reqWied with Police Department and Ciry Councll approva!d0 deys prfor to the ever►t. SbuttJe bus service !!be required unfess applicant demonsAretes sufl�cfent on-s�te parWng is eveilable. Non-pertnitted evenfs wfll not be allowed. CONTRACTOR 1 APPLIC NT INFORMATION: Name: � G� State License# 1� ' ;� 3 Expiration Date: Phone: - office cell Mailing Address: �� Ur ' Ci : ' . ZIP: - Contact Perso �, Applicant is: on c or / Homeowner �ci�eie o�� Email and/or�ax� - - PROPERTY OWNER INFOR TION: Name: � � Phone(day): G ,J •� ,,�i Address: Ci ZIP: l Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8 pernnits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑Repair ❑Stortn Damage 18202 Minnetonka Blvd Deephaven,MN 55391 ❑ Restoration ❑Other: (specify) Phone: 952-471-0590 ❑ Siding Fax: 952-471-0882 ►� e-roof ❑ Fire Damage www minnehahacreek.ors� Overall Project Descrfption: �'— cl�' ^ Estimated Construation Valuation of Project(excludin land) $ GLL� _ APPLICANT ACKNOWLEDGEMENT: � • Agrees to provide all information required or requested by the Building Oepa�tment; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicarrt recognizes that they are solely responsible for submitting a complete application being eware that upon failure to do so,the staff has no altemative but to reje�t 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 privete 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 Info�mation which generally cannot be given to either the public or the subject of the data. Our pe u�ed bn awtelfdou efuse th u�nf I he�irifoirmationnth Ila u�lication mae ot�beessued�rds of other govemmental agencies �� . . � � Applicant's Signature: i � '�� Date: �, � Lest Updated: 05-04-2009 Z 'd SGOi►S9S i S9 i ou I �t empe� eE0 �60 0 t OE ��d � 1 � , L10EriiSE#2057$323 � . � � � l90 RYAN DRNE Ur11T B,LITTLE CANADA,MN•5S I 17-651-�90-5900-FAX:b51-490-5910 Fi��OVEI��H�ET �I �,�-��I q - �l/G� pa�: � � �: ;; , �.��r�f.,� - . � FR�11�: c �" . , . , � . sus�r: /.�,ls�� ` � �.��,�.�'L � rrv�aa�oF�.� nv�,v�nv�eo�t: �— �URGENT RfiPLY CL�1�MP,l�t'1�'�FOR'Y�UR INFORMA.'1CIOIeT � COI�/IlVJ�1T'S: , • < ��,�� lL ,� � ' � � ' ' , (;7� � �� f r" r ��.."..---"�'.� i 'd SGObS9STS9T �uI �tempe� ez0 �60 Oi OE ��ki v� D E TIME � CITY OF ORONO CALLED IN g�� INSPECTION NOTICE SCHEDULED � � PERMIT NO.a0/b D077�o COMPLETED ADDRESS 99 5��. � � OWNER TELEPHONE NO. �$ � y90 S�D(' CONTRACTOR ��-w�� DESCRIPTION ��K ��'�'�� ❑ FOOTING ❑ PLUMBING FINAL ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � � Jy(ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cat1 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site; Inspector. l� White Copy/lnspector's File Canary CopylSite Notice DAT TIME � CITY OF ORONO CALL� ��C� INSPECTION NOTICE SCHEDULED � '� � PERMIT N0.�4��"'��7� COMPLETED ADDRESS 9 7 ��i� �• OWNER /C��EPHONE NO.�L�—�� " S�� CONTRACTOR L �: DESCRIPTION �� /�DOT � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W C � J O � � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED L.�P�ROJECTCOMPLEfE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice