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HomeMy WebLinkAbout2010-00677 - roofing ! �, �. . ��y CITY OF ORONO PERMIT NO.: 2014-00677 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 08/09/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1245 SIXTH AVE N PIN : 26-118-23-34-0007 LEGAL DESC : AUDITOR'S SUBD.NO.291 : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 75,220.00 NOTE: TEAR OFF REROOF-CEDAR SHINGLES APPLICANT pERMIT FEE SCHEDULE 876J5 ALL SEASON REMODELING&EXTERIORS STATE SURCHARGE(VALUATION) 37.61 17344 PUMA ST.NW TOTAL 91436 RAMSEY,MN 55303 (612)221-3318 Minnesota State License#:20388311 OWNER GRANT,PETER 1245 SIXTH AVE N LONG LAKE,MN 55356 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 dces not grant permission for additional or related work which requires sepazate permiu. All provisions of laws and ordinances goveming this rype of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consVuction authorized is not commenced i n 180 days of the date of issuance,or if consVuction is suspende for a eriod of 180 days at any time after work has commenced. The appl cant i responsible for assuring all required inspections aze requeste in c formance with the State Building Code.This permit may be revoked t an time for due cause. �' � � �" � �- �, o A t ermitee Signature Date Is e By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . '?' "�� � �""-' fl�£, }�4� ' . ��;�:j� .e,� ' \ � ' City of Orono � � �,0�,� � � �. �- � �� � �. Building Permit Application for Internal Work = '� (windows, doors, siding, re-roof, etc.) �k ��; �� Mailing Address: Permit number. 0�0/�•�� � � 4v�,� PO Box 66 p- �; � Q4;\ Q Crystal Bay, MN 55323-0066 Date received: O p d `� a� �� , �z, �, ; Street Address: Received by: ,� �'.� � �''� �ti�' 2750 Kelley Parkway Plan review fee: � L9kESH04'� Orono, MN 55356 �� Total Fee: � �4 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� < `�� F� This application form must be completed in full and all required information must be submitted. � Incomplete applications will be returned. (P/ease print) �� E .� � F� ` GENERAL INFORMATION: G �.G `�� Job Site Address: /�ys CU�.-,�1 � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No g If yes, a specia/event permit is required with Po/ice Department and City Council approva/60 days prior to the event. Shuttfe bus service ill =' � ;, required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � �� �1� CONTRACTOR/APP N INFORMATI N: . �� � U. �� Name: �.�4S�c,.� n�u�B/,^��' z�(�^ n . ` State License# �p� �8�// Expiration Date: �� � Phone: E�/�Z-yYi'� _ ��-'1zL� (office) 6/,;2-�1-'(,�-// 'L f (cell) � Mailing Address: /' _��/ �Du,,,,,� ,S7' jIJ.W City: Aa,S'c'� ZIP: SS3a.3 � �F ` Contact Person: TdnrJ �t-{�� , Applicant is: Contractor / Homeowner (Circle One) _ �;, Email and/or Fax: _�'G l.,Q��Q � .��o c� �OL. Cr��, � �_ ° �{ PROPERTY OWNER I�f ORMATI � �, Name: /"(��,2 �2AI19� � ��::' Phone (day): b/� -cf9/— S/3fl �� � , Address: __/��S" �`ou.�Ty ,e� � City: ,Q�✓o ZIP: ��.3j-� � � � Email and/or Fax � ��` ,� � �''`: PROJECT INFORMATION: � � �� Type of Project: Any earth movement may require �� ��: MCWD review&permits fld�� �;; ❑ Door(s) ❑ Remodel ❑Water Damage � ���: Minnehaha Creek Watershed District(MCWD) �- ��; ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �T Deephaven, MN 55391 � �('. ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 � � Fax: 952-471-0682 � �4, ❑ Re-roof ❑ Fire Damage www.minnehahacreek.orq ` � Overall Project Description: `' �`#' _ Estimated Construction Valuation of Project(excluding land) $ r'f; Zzp "'` � ��� APPLICANT ACKNOWLEDGEMENT: � z� • Agrees to provide all information required or requested by the Building Department; � ��f` • 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 at yo are asked to provide on this application is classified by State law as either private or ;�" confidential. Private data ' mformat' n which enerall cannot be iven to the ublic but can be ,� g y g� p given to the subject of the $`� data. Confidential data ' informati n which generally cannot be given to either the public or the subject of the data. Our �'°� purpose and intended e of this � formation is to annually update our records and records of other governmental agencies �>,,$ re uired b law. If ou fuse to s I the information,the a lication ma not be issued. r.. �� Applicant's Signature: Date: 9 /cD �'I. : i � � = ' Last Updated: 05-04-2009 � 1 f 4 � ,� �.1- , .... n «�_ �, ,;�fla�i,�.�,.��. .. ,. s �o; av .l T�iT TIME CITY OF ORONO CALLED iN ��� � INSPECTION NOTICE /9��7� SCHEDULED PERMIT NO�l4'!/�/ COMPLETED ADDRESS �oZ �S ��fLf _ �/�!/`f� OWNER TELEPHON 01����/�g���� CONTRACTO �N � � � . � DESCRIPTION ^ ''�/u � � ❑ FOOTING PL ING FIN L ❑ CAV/ DING/FIL.LING Q ❑ POURED WALL ❑ MECHANICAL ❑ LA RE/WETLANDS 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 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 c� COMMENTS: � W a � ,�� (� �p� , 0 � 0 � W � Q � 2 W � W � � W�`WO� RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE WO CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN iNSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-4600 Owner/Contractor on si : Inspector. White Copyll�spector's File Canary CopylSite Notice '✓ 1 E TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO. �C�/�� COMPLETED ADDRESS �� TS .���i'�'C� �i�J1o� OWNER TELEPHONE NO. ��a�9�-"�6�I CONTRACTOR �� � . � 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 � ❑ 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 � COMMENTS: � W a � � O �. � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑16SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED D INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. w� � White Copylinspector's File Canary CopylSite Notice