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Home My WebLink About2010-00638 - roofing ,, � CITY OF ORONO PERMIT NO.: 2oiaoo63s 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 07/29/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3050 SIXTH AVE N PIN : 28-118-23-32-0015 LEGAL DESC : LESLIE ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,200.00 APPLICANT pERMIT FEE SCHEDULE 206.50 DCC INC STATE SURCHARGE(VALUATION) 5.10 1620 215TH LANE NW OAK GROVE,MN 55011- TOTAL 211.60 (612)282-9010 Minnesota State License#:20638528 OWNER WELCH&MELODIE MARTIN,TIMOTHY 3050 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 [he State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate 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 revo any time r du cause. � � 7� � �o A licant Permitee Signature Date Is By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1' � ' "� �.�, �� s $' � �t a'�a f�'`,� s �s.:t �6��r� ��` �.�. ,�.,-_.. �� " City of Orono �� ` Building Permit Application for Internal Work ,� �, (windows, doors, siding, re-roof, etc.) f�.' Mailing Address: f 0�.,�,�0 PO Box 66 Permit number: / p -O G � Crystal Bay, MN 55323-0066 Date received: ��2`j'�/� � � � ,�; a �' ��ti�' s. Street Address: Received by: �� : � �'�,n � '9�' �� 2750 Kelley Parkway Plan review fee: �k ��' le '� Orono, MN 55356 kEsxo�``' -� Total Fee: �� D ,� ; 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: �j� � � �p , �� (P ` �F' Will this be a Parade of Homes, Remodelers Showcase Home or other Dis la Home? �� p y ❑ Yes ❑ No �� /f yes, a specia/event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shutt/e bus service will be '� r�. re quired unless a p plicant demonstrates sufficient on-site parkin g i s av ail a b l e. N o n-p e rr n i tt e d e v e n t s w i l l n o t b e a U o w e d. �.. .�. � ' CONTRACTOR/APPLICANT INFORMATION: � ;'' Name: ��L° I�./�' , ��, ��' State License# a o�3�sa� Expiration Date: ,�p i� �`�. ,�� Phone: (�/ -��a-j0! U (office) (cell) � y�` Mailing Address: � � �' . }�Sl, Cit : �4,eoYc ZIP: S s'o / x y' Contact Person: c- C� C- ��-i� Applicant i ontractor / Homeowner (Circle One) �; Email and/or Fax: � � ,,�.� 6 - 3.- -2 � I : ; ,,, v:,. <t��;� PROPERTY OWNER INFORMATION: - �-- � � �: �:.< Name: j' �i� �'�c� ,<� Phone (day): 6 i,2- 3�8 -�,Ly� � Address: 3� S—� �'o ,C� � City: �,e�civc, ZIP: S S-3.s� � Email and/or Fax �, ��,;t: �t: PROJECT INFORMATION: F. �,,t. Type of Project: Any earth movement may require � ; � MCWD review&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 ��. Re-roof ❑ Fire Damage www.minnehahacreek.orq �:� Overall Project Description: `� Estimated Construction Valuation of Project(excluding land) $ /� �o �, �' � l - �_;• �: APPLICANT ACKNOWLEDGEMENT: � � `. s • Agrees to provide all information required or requested by the Building Department; � ��{ ,� r'� • 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 the information,the a lication ma not be issued. _ . � � ApplicanYs Signature: �-, �i� , Date: � � a p � x� � ��' € �. Last Updated: 05-04-2009 "� � ��x.. a , �X :� 4,, c" � ..& +s�� ;t _ ,.� ., E't`�;�. _� .... ,�k�.'�s?� � < ��.,.�.a . ..,......,,.._f.m..�..'��w :tre^N`'��.��i„�:�ks�.�-��.i �I.,3 �C- � �� ✓ ��DATE //� TIME CITY OF ORONO C��c LLED IN 4 l! � � INSPECTION NOTICE Q�CHEDULED ��2-..��,��//U !2 � PERMIT NO�j� ��v PLETED � ADDRESS D D OWNER ELEPHONE NO. �� U CONTRACTOR � �� DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADI ILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y � FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W C � J O � � O � W � Q � Z W � W � � d � ��VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor site: , Inspector. � . r �i✓ White Copyllnspector's File Canary CopylSite Notice ��` � 7/J�qT� lm TIME CITY OF ORONO CALLED IN � �� INSPECTION NOTICE �CHEDULED � PERMIT NOo�O/D D�J�3 U COMPLETED ADDRESS ��/J(� ��(/`-�� OWNER TELEPHON O. l ��-�� CONTRACTOR � �; DESCRIPTION �L�� ❑ 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 ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �L ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �, �� White Copyllnspector's File Canary CopylSite Notice