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Home My WebLink About2010-00582 - roofing CITY OF ORONO PERMIT NO.: 2010-00582 4 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �SSUEu: 07/14/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4545 SPRUCE WAY PIN : 30-118-23-31-0005 LEGAL DESC : LJNPLATTED 30 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 191.75 SLAUGHTER, GLENN&JANE STATE SURCHARGE(VALUATION) 5.00 4545 SPRUCE WAY MAPLE PLAIN, MN 55359 TOTAL 196.75 OWNER SLAUGHTER, GLENN&JANE 4545 SPRUCE WAY MAPLE PLAIN,MN 55359 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 separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified hecein.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 I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Sta[e Building Code.This permit may be revoked;�ny time for due c,ause. ) ( "' ,�� A+�.; : 'I..j �./�l_, �/ / `��- / �l� , r „ � � 7� � �v App cant Permitee Signature Date � Issu y Signature Date SE�ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1.` ;.",3, _ " ¢-1 1 � . Cit of r � � � � � �`�� : t O on o , Y . �� Building Permit Application for Internal Work µ� � F : y� �� (windows, doors, siding, re-roof, etc.) � Mailing Address: �� _��. � `� �,L,0,� PO Box 66 Permit number. � � �� ` � Crystal Bay, MN 55323-0066 Date received: �/ /D . a � �-�;�, a, Street Address: Received by: �'� � �� ,titi 2750 Kelley Parkway Plan review fee: t9kESH0�'� Orono, MN 55356 �, * L Total Fee: / 9'�� 5 ��5 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ` "E This application form must be completed in full and all required information must be submitted. r_ ` °'' Incomplete applications will be returned. (Please print) ��-: ��: GENERAL INFORMATION: � , , �. �-�� Job Site Address: �f; ��: ; �✓�i; r�_ ( ; ;�r.r.��-- ��, �� C��r;��:��, ��s' Will this be a Parade of Homes, Remodelers Showcase Home or oth;�r Display Home? ❑ Yes No x� If yes, a special event permit is required with Police Department and City Council approva�l 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: " State License# Expiration Date: °'' Phone: _ (office) (cell) £` Mailing Address: _ City: ZIP: -f•� Contact Person: Applicant is: Contractor / Homeowner (Circle One) �z Email and/or Fax: , ��; PROPERTY OWNER INFORMATION: �. � Name: ��,�y�1� .�i_fi��tl�1��r"�- Phone (day): (�=7� � - ;�Co`') � Address: ' ^ � �� c� " � `� � �f`_��f 5 :�o��;c e e i.L�c,.0 City: ��, � c� �.��; ZI P: ..� > j J 1 ;,, ��'�; Email and/or Fax ��t l��, ,«.� � � ��,,,,,,, (� , � �!:.; it4"; �;:; 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 q Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 �`\ Fax: 952-471-0682 �:` Re-roof ❑ Fire Damage www.minnehahacreek.orq 4, � Overall Project Description: r,�, �^,�c+ ' Estimated Construction Valuation of Project(excluding land) $ t(�, Q�.==� r � ��. . � �;�' 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 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. , � ('� . � � !� � PP 9 �- '%,' '� ��L'L,C_�� ;;%1� Date: / " r �f — �'� � A licant's Si nature: �'"�'�� ,� � � Last Updated: 05-04-2009 v � -a�.�rrN,,,�MvY'� ..; +af ,�a, y 'm Rv ��:�,� _ � �� x�,..��.�-.;I=.s'��,__ti ,.,. �..r� ..,..��' �'�� --� � '�' '�" �" Iny� ✓ CITY OF ORONO CALLED IN 7 �d �a T�' � INSPECTION NQTIC��C O� '�+EDULED 7 0 PERMIT NO. �� J� �COMPLETED ADDRESS STS � OWNER � � LEPHONE N . �a- � CONTRACTOR � DESCRIPTION �'t� X7l � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � • � O . � � O � W � Q � 2 W � W � � � J�@'WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE f� _ W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT O CQRRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cal1 forthe next inspection 24 hours in advance. (952) 249-460� Owner►Contractor on site: i �Inspector. .r � White Copyllnspector's File Canary CopylSite Notice � DA TIME V � /.O CITY OF ORONO CALLED IN � . INSPECTION NOTICE SCHEDULED PERMIT NO.c�a/�'DD:�COMPLETED ADDRESS � G� r OWNE �` � rT LEPHONE NO.�� -7 3 ✓�� CONTRACTOR a DESCRIPTION ,��L� � � ❑ FOOTING O PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: " �� W a 0 1 �C—�f f¢S ��J a3� � � 0 � W � Q � � z W � W � � � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � � �� White Copyllnspector's File Canary CopylSite Notice