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Home My WebLink About2010-00788 - roofing � w CITY OF ORONO PERMIT NO.: 2010-00788 �` 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/OU2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2002 SUGARWOOD DR PIN : 34-118-23-21-0003 LEGAL DESC : SUGAR WOODS : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 35,000.00 APPLICANT pERMIT FEE SCHEDULE 520.50 MIDWEST SIDING ROOFING&WINDOWS STATE SURCHARGE(VALUATION) 17.50 6451 SYCAMORE CT N MAPLE GROVE,MN 55369- MISC FEE 0.00 Minnesota State License#:20010277 TOTAL 538.00 OWNER GILL,MR&MRS RICHARD 2002 SUGARWOOD DR 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 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 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 plicant responsib or assuring all required inspections are r uested in co forman ith the State Building Code.This pertnit may be evoked at any time f ue cause. ��" l i i C� i i Appli Permi ee Signature ate Issued y ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED A O . �,yry..�.. ,�� . � y r -f+y ��( � _ N � � a , - City of Orono � ,�_ � �� R � ± � ;: .. �iig (. � . Building Permit Application for Internal Work ` � � �� , . ;��; � (windows, doors, siding, re-roof, etc.) �� Mailing Address: Permit number: 4v 0,� PO Box 66 � � � Crystal Bay, MN 55323-0066 Date received: � ��;�._ � a r�� E:�� s, Street Address: Received by: ,, �'�,n � �'� �ti�' 2750 Kelley Parkway � Plan review fee: �� t�ifEs�o�� 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: ��`Z7oZ �,� -�,,r,,.,,,-�� ^ � k ��y Will this be a Parade of Homes, Remodele s 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. ,�� '�' CONTRACTOR/APPLICANT INFORMATIO • .� N a me: ��l.t i c.��,�J�s f ��.-,� � ��'; State License# ��v a--1 7 ' Expiration Date: � Phone: �io 3 - tf a � �-`I!� �l� (office) 7[0 3 �8��-1�Y�-cell) `° ` �r Mailing Address: S� �c� Q„ N Cit : �� ZIP:S"��q `�— �' �; Contact Person: -� ,� ��,'�.., A licant is: trac / Homeowner � pp (Circle One) �� Email and/or Fax: ic,�,�, �L,.L<<,Q��s�-P�us - �o-� �7(� 3 `��7-10-�/ �• ��' PROPERTY OWNER INFORMATION: �� : Name: iG.�.av� �� I �: Phone da A n ( v)� `�S�� -�-f 7(,� — [o��(9 � � Address: aa-t�� u9�� Cit ,�� ' �- Y� O(� � ZIP: �S-3S( � �, Email and/or Fax ,3, E �Q , �� PROJECT INFORMATION: � ��, Type of Project: Any earth movement may require � , ;�`�; MCWD review&permits � ❑ Door(s) ❑ Remodel ❑Water Damage � r^ Minnehaha Creek Watershed District(MCWD) ''° FY^; ❑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 � M Overall Project Description: j c�� ,��( �rz - �.�� e��v S'��,�� S � Estimated Construction Valuation of Project(excluding land) $ ,3 s' 6tsp �� 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 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 t u the information, the a lication ma not be issued. �� y � � �� , � ApplicanYs Signature: Date: 9 1 / C� � � r . Last Updated: 05-04-2009 � � ;� � :� . � �� F' h . .�,. .� . , ,_ _,�.. .t��_,��:�b..__.:�.,x �.`.� Y�,..�:�a��,�,� ��,�� T� ✓ DATE TIME ��CITY OF ORONO CALLED W — I V I �� C� INSPECTION�i IC�CE�`�� SCHEDULED �(� �--�� PERMIT NO. " COMPLETED ADDRESS �C�'�Z oG ,1 aQrC 7�['� .D�� OWNER . �C I TELEPHONE NO. CONTRACTOR ��C�I�S�" „�L/'� j DESCRIPTION ��o-'� 5�� S �- T�c� D--�, � ❑ FOOTING ❑ PLUMBING FINAL Q ❑ POURED WALL � MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a j O � � O � W � Q � Z W � W � � d 4�IORK SATISFACTORY:PROCEED OJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlConVactor on si e: Inspector. White CopyMspector's Ffle Canary CopylSite Notice ATE TIME "y CITY OF ORONO CALLED IN ��' INSPECTION NOTICE SCHEDULED ��l�4"�� PERMIT NO. a?O/O -0078� COMPLETED ADDRESS ��Da- �� OWNER TE PHONE NO. ��3 c��0 �DO y� CONTRACTOR 1 D'� � DESCRIPTION ��n� �� ❑ FOOTING ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit : Inspector. White Copyll�spector's File Canary CopylSite Notice