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Home My WebLink About2010-00980 - roofing w � � CITY OF ORONO PERMIT NO.: 2010-00980 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/1U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2550 SIXTH AVE N PIN : 28-118-23-41-0005 LEGAL DESC : WILLOW RUN : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 9,316.92 NOTE: `I'EAR OFF REROOF-ASPHALT SHINGLGS APPLICANT PERMIT FEE SCHEDULE 191.75 CUSTOM CREATIONS REMODELING STATE SURCI-IARGE(VALUATION) 5.00 1321 ANDOVER BLVD NE SUITE l 12 TOTAL 196.75 ANDOVER, MN 55304- (763)441-5907 Minnesota State License#: 20586285 OWNER RICE, EDWARD&TERESA 2550 SIXTH AVE N LONG LAKE, MN 55356 i � AGREEMENT AND SWORN S�ATEMENT 'I'he work for which this permit is issued shall be performed according to the approved plans and specitications,applicabJ�'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 permits. All provisions of laws and ordinances governing this type ofwork shall be compicd 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 thc date of issuance,or if construc[ion is suspended for a period of 180 days at any[ime 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 revo' at cause. /� ' ��'�� i // i /� pplicant Permitee Signature Date Iss e y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 . � City of Orono Building Permit Appiication for Internal Work {windows, doors, siding, re-roof, etc.) Mailing Address: ��,�� PO Box 66 Permit number: O/O— O� Crystal Bay, MN 55323-0066 Date received: �Dl!/ ,,�_ � I � �,� Street Address: Received by: �_= ��, � '= �ti 2750 Kelley Parkway Plan review fee: �.��og� Orono, MN 55356 -— Total Fee: �y�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 retumed. (P/ease print) GENERAL INFORMATION: Job Site Address: ��Q ,ov��? � o�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No If yes,a specia/event permit is required with Police Department and City Council approva160 days prior to fhe everrt Shuttle bus service will be required unless applicant demonstrates s�cient orr-site parking is available. Non-permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: CuSTo�-'� C.R�<a-n o�s �c r-�o��,�L��J y 1-�L State License# ZoS'��28� Expiration Date: 31 ZCa 1'� Phone: �1�3-�-I'--11 5�o-t (office) -1�,3-1�z -3�69\ (cell) MailingAddress: 13Z� Aa�v�� 3L�� rl� S��-�-t i�z City: w'�n+Do�ER ZIP: �304 Contact Person: (`_rtA� 3�dy`s Applicant is: n rac / Homeowner (CircleOne) Email and/or Fax: Gha.�.��jZ,a,-,�;,�.-�.JS PROPERTY OWNER INFORMATION: Name: ��WARD � —1—r1��LSA- ��u� Phone (day): (o►z-"13o- 3"1(oG Address: ZS3'o �o v�� o+a� (o City: 01Z�r�lv ZIP: S$�3�� Email and/or Fax _�--- PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permfts ❑ 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.ora Overall Project Description: 1�.TrA� or=� � � E2oo�i- yS� �(o �q Estimated Construction Valuation of Project(excluding land) � q3/(p,9� APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information require or requested by the B ding Department; . Certifies that the information supplied is true and correct to the best of his/her Imowledge. 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 altemative 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: LastUpdated: 05-04-2009 �G�2� � �t . ,� � /� / TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � PERMIT NO.dG/�'�� PLETEp • • ADDRESS OWNER TEL�%Ge.NEG�� CONTRACTOR � � 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � O � � O � W � Q � Z W � W � � � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRE T WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlConUactor on site: Inspector. � � White Copyllnspector's File Canary CopylSite Notice �� DAT TIME v CITY OF ORONO CALLED IN ��/� INSPECTION NOT E SCHEDULED �D� � PERMIT NO�l�'��D COMPLETED ADDRESS aSSD o�if�( CL(.C�/� OWNER TELEPHONE NO. T�3 7?Z ��/ CONTRACTOR L�a-�'7.r?��.a �: DESCRIPTION ��7L'�`�C �—�'�! � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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. p FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO ti COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ��PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ❑ ISSUE CERTIFICATE OF OCCUPANCY p �CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR 1MLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on s'te• Inspector. �a„ �K's, �S White Copyllnspector's File Canary CopylSite Notice