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Home My WebLink About2010-00830 - roofing CITY OF ORONO PERMIT NO.: 2010-00830 ,� 2750 KELLEY PARKWAY s ORONO, MN 55356- �ATE ISSUEn: 09/13/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 625 SPRING HILL RD PIN : 25-118-23-33-0003 LEGAL DESC : UNPLATTED 25 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATI01�1 : $ 40,000.00 APPL[CANT PERMIT FEE SCHEDULE 574.25 VENTURE BUILDERS STATE SURCHARGE(VALUATION) 20.00 11309 FETTELLY RD. W MINNETONKA, MN 55305- TOTAL 594.25 �) Minnesota State License#: 20537603 OWNER HAWN, VAN ZANDT& ELIZABETH 625 SPRING HILL RD WAYZATA, MN 55391 AGREEMEI�T 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 does not grant pemiission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or no[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 inspec[ions are requested in conformance with the State�Building Code.This permit may be revoked at any time dae cause� � � � - _�` ��'� _ �� .� � i� � / / Applicant Permitee Signature Date Issued By S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB . �� City of Orono . " Building Permit Application for Internal Work �, (windows, doors, siding, re-roof, etc.) ;, Mailing Address: Permit number: � g,�,�. PO Box 66 � 0 � O Crystal Bay, MN 55323-0066 Date received: � ��`�� Received by: � � � ��G�:> o. Street Address: �',�, '� s� Gti`� 2750 Kelley Parkway Plan review fee: t�kESH�g'� Orono, MN 55356 Total Fee: 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: �F Job Site Address: l��'j '_�t-�ir�� jl_c: �iJ , � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No ':� ,x If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � CONTRACTOR/APPLICANT INFORMATION: Name: ��` �' � �?�� C,C_ State License# Z�J3"��J j Expiration Date: ' 3� // Phone: �,jl 75,:; �3�'7 (office) %/�'��:� J3Q� (cell) � Mailing Address: �S;,u'j r%�fTc��<.�/ �� c_,v, City:_/�'�,�,' ZIP: ,��;:jv'� .� Cont�ct Person: J�-�/-�--� .J�.��iyjC, Applicant is: �Contracto� Homeowner (Circle One) � Email and/or Fax: �j'�Z j�� Z'�� / ;� PROPERTY OWNER INFORMATION: ,"��' Name: l/f�r � C� �� 4L�/�/ � Phone (day): `fi52�� 771,� -1C�/I � Address: ��'' C,GZS� �l��'l%iL�,�-�/l� i�i�. CitY� �',�i�� ZIP: ]�� ; / �? Email and/or Fax :� PROJECT INFORMATION: 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 � �R ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 � Fax: 952-471-0682 � {4 Re-roof ❑ Fire Damage www.minnehahacreek.orq � � Overall Project Description: -7"O"j,,C� /lC ('�'� � Estimated Construction Valuation of Pro'ect excludin land $ '� ' '� '' " 1 ( 9 ) Ci(.J,t�'� �� APPLICANT ACKNOWLEDGEMENT: '' • Agrees to provide all information required or requested by the Building Department; `� i� • 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 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 r 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: ��/��✓ � ��._�� Last Updated: 05-04-2009 � � (�D�y,� TIME �/ CITY OF ORONO ca, ED IN / =�/ INSPECTION NOTICE Q� SCHEDULED � PERMIT NO.�O/D—DOp3O COMPLETED ADDRESS �Z.S ��'�n 9 �� ° OWNER TELEPHONE NO. CONTRACTOR ��t'�� w�4 � DESCRIPTION Ta�-� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL p MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TFIEE REMOVAL Z � INSULATION ❑ WOOD BUFiNER/FIREPLACE ❑ SITE INSPECTION Q O 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 y COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � w�. �(�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W V0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE CO�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContra or on sit - Inspector.�.� ��/� � White Copyllnspector's File Canary CopylSite Notice DATE TIME ✓ �CITY OF ORONO ALLED IN �"�/�D INSPECTION NOTICE�� SCHEDULED __�0 � PERMIT NO.�(�(.2,�� COMPLETED ADDRESS /'� OWNER TELEPHO NO. ��a" 7�� CONTRACTOR � c�(�P�'t7�-u/t� �-C�Pr'S �; DESCRIPTION ��a� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLtNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFIWETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTI FIN ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES�NO c�n COMMENTS: � W a j O >. � O � W � Q � 2 w � W � � d W� ❑WORK SATISFACTORY:PROCEED �FROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL AEfURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. �.f .� �'�i� �s White Copyllnspector's File Canary CopylSlte Notice