The URL can be used to link to this page

Home My WebLink About2011-00455 - roofing * � � CITY OF ORONO PERMIT NO.: 20��-oo45s 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2003 SUGARWOOD DR PIN : 34-118-23-21-0010 LEGAL DESC : SUGAR WOODS : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 24,000.00 NOTE: TEAR OFF REROOF-CEDAR SF�AKES APPLICANT pERMIT FEE SCHEDULE 398.25 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 12.00 6541 SYCAMORE CT N TOTAL 410.25 MAPLE GROVE,MN 55369- (763)427-9696 Minnesota State License#:20637010 OWNER BRINK,JEFFREY&VICTORIA 2003 SUGARWOOD DR LONG I,AKE,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 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 1 SO 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 aze requested in conformance with the State Building Code.This permit may be revoked at time - � � [ ��- (( �i/3i // _Appli ant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ;� � t - City of Orono � Building Permit Application for Internal Work � �, (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �l�� ,L 0,� PO Box 66 � 0 Crystal Bay, MN 55323-0066 Date received: �/ / a � ��-�+" s. Street Address: Received by: �' A"�� ti 2750 Kelley Parkway Plan review fee: f� �t�'kESHo�`'� Orono, MN 55356 � Total Fee: ��D, �5 :� 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: ` �D `z� Job Site Address: ��l� �L ��`� �''��c�u �% - ��%7y�'��. ,!� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No � If yes,a special event permit is required with Police Department and City Council approvaf 60 days prior to the event. Shuttle bus service will be � required unless applicant demonstrafes sufficient on-site parking is available. Non-permitted events will not be allowed. i? CONTRACTOR/APP�CANT INFORMATION: / Name: �vt��f�G-CSr' e�c:�� %"y S,d�� /kci�i� State License# ��p �;� 7l � Expiration Date: �-- � - �� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 -� Phone: (office) � � �" v�,�-�-5� � (cell) Mailing Address: Lf_S/ C�e�u.-P �- City: ,p� ZIP: ,S'�.fCy� Contact Person: �:��,�� Applicant is: to / Homeowner �c�r�ie one� `� Email and/or Fax: PROPERTY OWNER INFORMATIO : Name: S��{� ��',l� � Phone (day): �S a - y 7� � 7�Y Address: af�G.3 Sc�g�,i(;,.f�.e ,�:, City:L�i•'� l--�l.� ZIP: Email and/or Fax � PROJECT INFORMATION: � Type of Project: Any earth movement may require � ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) � ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd '`' ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 '� �Re-roof Phone: 952-471-0590 � ❑ Fire Damage Fax: 952-471-0682 �� www.minnehahacreek.orq � Overall Project Description: � -�r G{t- . � %�;� f �r�G�/ S/�((�C '`� Estimated Construction Valuation of Project(excluding land) $ � y; �7�;�Q '� x 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. Confidenfial 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 govemmental agencies � � re uired b law. If ou refuse to su I the information, the a lication ma not be issued. /� Y Applicant's Signature: ��/��/ Date: v � ��` �� % Last Updated: 03-01-2011 :� s' �_ � 7�" "'` " ATE TIME v �— /„ CITY OF ORONO CALLED IN 4�� INSPECTION N TICE SCHEDULED - PERMIT NO. ��'�� COMPLETED ADDRESS � OWNER T EPHONE NO. CONTRACTO G� — � DESCRIPTION � � v"l � � ❑ FOOTING ❑ PLUMBIN I L ❑ 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 � HARD 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 � � W fXWORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W1LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑IPISPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice �� ATE TIME / CITY OF ORONO CALLED IN �� v INSPECTION NOTICE ��—�CHEDULED PERMIT NO. � — � cOMPLETED ADDRESS OWNER TEL HONE N . 3 ��22 CONTRACTOR � DESCRIPTION � � ❑ 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 O 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 c��, COMMENTS: � W C � � O � � O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOT/kK�l INSPECTOR WiIL RETURN + �/ ❑STOP ORDER POSTED.CALL INSPECTOR �CITATIORTSSUED O INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnerlContractor on te: Inspector._��_ , Whiie Copyllnspector's File Canary CopylSite Notice