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Home My WebLink About2010-00770 - roofing e ��' CITY OF ORONO PERMIT NO.: 2oiaoo��o 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuEn: 08/30/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1125 SPRING HILL RD PIN : 26-118-23-43-0004 LEGAL DESC : UNPLATTED 26 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 75,000.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES HOUSE AND GAZEBO APPLICANT pERMIT FEE SCHEDULE 869.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 37.50 5145 INDUSTRIAL ST SUITE 103 TOTAL 906.75 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#:20631574 OWNER PIPER,ADDISON&CINDY 1125 SPRING HILL RD WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry 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 construction is suspended for a p 'od of clays at any time after work has commenced. The a 's es on � le� or suring all required inspections aze re st � c o ce � the State Building Code.This permit may be vok � ayfy � r cause. .;� /� , ��, p � �O�� A cant P ' e ignature Date I s d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. � F Si, :S. .?.i., t,� . a� r C<'� �•.{ r.' � �` ,:. k Jf � -:t _, . .".�t-x�"3�..�_ _ : � � � City of Orono �� . L�F� t��.. V�'^ Building Permit Application for Internal Work � �` `� �� (windows, doors, siding, re-roof, etc.) {� � Mailing Address: Permit number: ox�l�'dd�7 � � ��,� PO Box 66 �; � � Q Crystal Bay, MN 55323-0066 Date received: l/(� � ��. ,;�� 4�:^;e �, Street Address: Received by: � �:; �'� ° '" Gti 2750 Kelley Parkway Plan review fee: ,� � L`�kEsxog'� Orono, MN 55356 r� - Total Fee: �Q � �� 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 INFORMATI N: Job Site Address: �a� S' 2;, �.c� �; Will this be a Parade of Homes, emo lers Showcase Home or other Display Home? ❑ Yes ❑ No '� 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. P�^.. �. ip.;i.: f� . � �.' CONTRACTOR/APPLICANT INFORMATION: �� Name: Ll//s�� C��sC��f �� .� State License# ��,�,31,s75 Expiration Date: 3-3/ - l..Z ''' Phone: �3 -y� . o„ office cell Mailing Address: �/ � �,� f�;,J S�. `.,, � �v Cit : (� , �,;�, ZIP: � ' << xu Contact Person: N,�1� �r�.e.� Applicant is: / Homeowner (Circle One) -�°�'- Email and/or Fax: 7�3� c�-� y - �� 6�, ,,.,; ;'� � PROPERTY OWNER INFORMATION: �"� ��;: �7,_ Name: 4 �-� t�C� �! � �e� �, �: x�; Phone (day): -�, 3_ti ?�� -s z�� , Address: �,��//�� S"'p�,,.�� /� �� Cit :��c�,-�;, ZIP: �:` Email and/or Fax -� �::; 2:.:_� 5�;::: � PROJECT INFORMATION: � Type of Project: Any earth movement may require � MCWD review&permits � �; ❑ Door(s) ❑ Remodel ❑Water Damage ��4�; 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 '� �:,; e-roof ❑ Fire Damage www.minnehahacreek.orq ' �`� Overall Project Description: e�; �,�..� r°�,� � ��`*�n,`� = � � �� Estimated Construction Valuation of Project(excluding land) $ 7 c a � ,� �>.: � � �, APPLICANT ACKNOWLEDGEMENT: ,,� �,' • 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 � t:3r;} are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative �'r;t, 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 � �i 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 ��'�<5 re uired b law. If ou refuse o su I the � f rmation, the a lication ma not be issued. f'.;? , � , ApplicanYs Signature: .� Date: Gu � ,5 O �'� G �- � `; �� LastUpdated: 05-04-2009 a�� ;t� aw ..�; : '� t�`; � - j.,� t � se�',�- x�� .z� y�i� a.w.. , e .. . . . . � _ ... ,. .z.�""�`, ._� ��,'�...:�,��=<>�..��m�Ur�,. .... ., ...�..�.�:,+� �-� � ✓ � �T� /D TIME CITY OF ORONO CALLED IN -j� INSPECTION NOTICE SCHEDULED � PERMIT NO. a�/d � �D��COMPLETED /: . ? ADDRESS " � /�- OWNER TE HONE NO. CONTRACTOR j; DESCRIPTION �E-�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV�RA I Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLA S y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � �14lQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDiTIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 Owner/Contractor �te• Inspector. o�� ♦ --S White Copyllnspector's File Canary CopylSite Notice �—^ � T � TIME � CITY OF ORONO CALLED IN ��/ INSPECTION NOTICE SCHEDULED I� _-�� PERMIT NO. ��7�D COMPLETED ADDRESS �� OWNER TEL ONE NO� l—� � � CONTRACTOR >: DESCRIPTION �L � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEEf YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � /� GW ❑WORKSATISFACTORY:PROCEED v�PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� Owner/Contractor on site: ! Inspector. �� .�r � .'— ',�..�.-� White Copyllnspector's File Canary CopylSite Notice