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Home My WebLink About2010-01167 - roofing * - � ` CITY OF ORONO PERMIT NO.: 2010-01167 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 12/OU2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1805 SIXTH AVE N ; PIN : 27-118-23-41-0002 , LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 24,000.00 . NOTE: TEAR OFF REROOF-ASPHALT SHINGLES APPLICANT pERMIT FEE SCHEDULE 398.25 NORTHERN EXPOSURE EXT INC. STATE SURCHARGE(VALUATION) 12.00 9097 S HWY DR TOTAL 410.25 LEXINGTON;MN 55014 (763)783-1121 Minnesota State License#: 20527650 OWNER MIGAULT,LAURENT&DORETTE 1805 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 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 consuuction is suspended for a period of 180 days at any time after work has commenced The applicant is responsi for assuring all required inspections aze requested i orm e ith the State Building Code.This permit may be revoked a any ti e f e cause. I 1-/ � / f� C(�� oZl D /l /d Applican rmitee Signature Date Issu $y Si gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. R / ' City of Orono �� ,'. Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: 6a O�,�,j�.O PO Box 66 Permit number. /d-�// � � Crystal Bay, MN 55323-0066 Date received: Oi / D ;s �;. � a �'��-%" �. Street Address: Received by: � � t �',�, � �ti 2750 Kelley ParkwaY Plan review fee: �� '�9��Yg� Orono, MN 55356 � ESH� � - Total Fee: ��j�. �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: t�'.S C��=�t� �� (,� (J��-�� l'�,.J SS3� ' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No � If yes, a special event permrt is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill be :� required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. k � CONTRACTOR/APPLICANT INFORMATION: � Name: ��-� Er�sk,-e ,��,��uel�Nq� s� � State License# �(j5,�.�LS� ` Expiration Date: � Phone: ��i�3- �S3— na� (office) "��3 �S�-�55�' (cell) Mailing Address: o �� ,:, �� Cit : -> �,,, ZIP: o/ � Contact Person: �s�� Applicant is: ontrac o / Homeowner �c��ae o�e� �� Email and/or Fax: �� l��-.'til,):LUM � '� PROPERTY OWNER INFORMATION: �: Name: L,��'��-- M+gG�l�k- 3 Phone (day): ��= ��-- o�-�i� Address: 'g'�S ., . �Q Cit : �� ZIP: ,S.S35� .� Email and/or Fax — � � �; PROJECT INFORMATION: Type of Project: Any earth movement may require � MCWD review 8�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 =r e-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: NC.�,� + �� Estimated Construction Valuation of Project(excluding land) $ a�c�ov 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 ' formation,the a lication ma not be issued. � �; � Applicant's Signature: Date: ��-�I I I� � � � LastUpdated: 05-04-2009 u � � •%%1/' — TE TIME � CITY OF ORONO CALLED IN � � /a INSPECTION NOTICE SCHEDULED / PERMIT NO.�Q�D -�//�O� COMPLETED ADDRESS l�U � Ct�� /V OWNER TEL ONE N0.7�3 '7�3 �/Z� CONTRACTOR � � a-s j DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C � � O a � O � W � Q � 2 W � W � � d W� �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPIETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RERIRN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED O INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice