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Home My WebLink About2010-00652 - roofing `' ~' CITY OF ORONO PERMIT NO.: 2010-00652 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/03/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1485 SIXTH AVE N PIN : 26-118-23-33-0029 LEGAL DESC : AUDITOR'S SUBD.NO.291 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVTTY : O/S BUILDING-LTNDEFINED VALUATION : $ 50,000.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT pERMIT FEE SCHEDULE 681.75 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 25.00 12366 RIVER RIDGE ROAD BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 (612)861-7000 TOTAL 708.75 Minnesota State License#:20593656 PAID WITH CC# 5206 OWNER PEARCE,WILLIAM&BARBARA 1485 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 oniy 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 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 time for due cause. f��r�c ��-� � �� -� /C� Applican Permitee �gnature Date I u By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .b'��1,_� ��`'`` � .� "City of Orano Building Permit Application for Internal Work windows, doors, sldin , re-roof, etc. �.Oj� . �oe�ox� O O ��Y�MN 38323-0066 � � Str•et Addras�� 2750 Kell�ey PsAtway � Ofdto,MN 55356 Meln: 952-249-4600 Fax: 952-249-4616 www. I. ron . Thls applica�on form must be oompleted fn full and atl requlred fnformatlon must be submitted. Incamplete�pplica�ions wlll bo'returned_ (Ple�ase pr�nt) GENERAL INFORMATION: Job Site Address: . � Wiil this be e Parade of Homes, Remodelers 3howcase Home or other Display Home? Yes No NY�a�e apecle/everd permh la reqWaad whA l�hoe Oapa�hnenA and c�ly Counc�/ap�ve/60 ders pAor w tl►a sr�i Shutlle bus ae►Wtre w�!be iaqWreo uMass BpplM�l dem�onahatea aullklaM a�lts paAong ia evade6le_ Nfon-ponnitfed everda wNl rrot be e�bw�ed. CONTRACTOR I PLICANT II�F RMA QN: t' � Name: (�h h 1`101�1, � Stste Lloense# E�ira�on Da�e: Phone: - of'Hce cell Meiling Address: CI . zIP: Caitad Person: ApPl�nt is: Contracbor / Homeowner �c:s.�.o�e) Email and/or Fax: (�a- 5''�?��e/� _ _ -- PROPERTY ONM I ORM TI : Name: � ti Phone(day): • add�ss: c� . ziP: 5535 Co Email and/or Fax� PROJECT INFORMATION: 7'Ype ot sct: , Arfy emi�th movarr�nt�ner requin ❑��(g) ❑Remodel MCWO revlew 8�pennita �,0 W�er Damege ; ❑��Kg) ❑RePa� ❑Storm Da Minnehaha Creek Watershed Dishict(MCwD) mage 18202 Minnetonka Blvd 0 3tdbt9 ❑Resbratlon Deephaven,MN 56391 ❑�Ufer.(spsdfY) Phone: 852�71-0590 ❑Flre Damepe Fam�932-471-0682 O1/BfB��p t�eSCI; (Of1I �� w Estimated Constntction Valuatibn of Pro eet excludi land s p bo p, � APPLtCANT ACKNOWLEDQEMENT: • AOrees to pmvide aA Mtorma�o�required or requested by qte Bullding DspartrnenK • Certlfles Ihat d�e infortnetlal;supplied ib bue arld Carnect to Ihe best of hi6lher knawledge. The applipini recognFres ttrdt they are solely reaponeible for submltqng a complete applNatfon being aware fhst upon iailure to do ac, the sfaf�h�no allemelNie but to reject it u�b�It Is complete; • • Some or all M tl�e inFortnati�n thet you are asked to povide on thls a�p8cation ts daesMed by Stato Iaw ss�tlier privata a confldential. Private data is�IMamslian which generally c�ruwt b�phren bo tl�o public but can be ghren Eo Ihe sub�ed of the data. ConAdentlal data is Mfonnatlon whi� generally amnd be'giv�en 10 either Ihe pubNc �t�e subjed ot the date. Our D��P�e and (Mer�ed use of�Is Iniormatio� is to annuaqy upda�e our records and r�eoorda of other govemmental a9endes uired 18w. if re�use to su q�e li�on,q�e r�t��u�. Appllcant's Signature: � l �1 � Dste: C' t.�u�d: o�.oe,� � . .��j r CONSTRUCTION � ; ronc �� C�. � � To: , Frotn: Faxs .. �f� Pagese Phon� _ ., Dst� � Re; CC: O Urgont � For ilavlaw ❑ Pleas�Cornnren! O Please Reply ❑Please Recycle • Comments: • / . QC�� a�U�o� � �o� ��'�'' . � � . �,, . , � . �� . � , �,� �- � ��. . �1�� `° . `so � /t� `�� urP�� o� � �� , � , . ��( . . �� . � �� 1 SIMON CONSTRUCTION �� 612861.7000 offlce � `�Ca��G�X.. • G��. _ or mon��. sv� 612.573.6615 fax � ' � � � www.SlmonConstruction.com MN General Contracto�#205936SB , ` �� DATE TIME v CITY OF ORONO CALLED IN --�� INSPECTION NOTICE SCHEDULED � �� PERMIT N0. ZcOMPLETED ADDRESS � OWNER TELEPHONE N0�51 �6 CONTRACTOR �� ' ��Z �; DESCRIPTION / �-�� '�� ❑ FOOTING ❑ PLUMBING FINAL /� ^�n�XCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI �..C!«�� LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ? ❑ 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 � Z W � W � � d � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� Z4J-4600 Owner/Contractor on site: Inspector. , r�i lS White Copyllnspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION OTICE SCHEDULED PERMIT NO. � � COMPLETED y '.2S'lt ADDRESS I � � � S� X-}l-� �v�L /� OWNER TELEPHONE NO. CONTRACTOR � � �a � � DESCRIPTION 1"�/��" � �� ❑ 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 ❑ COMPIAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�ERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice