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Home My WebLink About2010-00772 reroof cedar � � CITY OF ORONO PERMIT NO.: 2010-00772 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEu: 08/30/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2010 SUGARWOOD DR PIN : 34-118-23-21-0007 LEGAL DESC : SUGAR WOODS : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 22,000.00 NOTE: TEAR OFF R.F,ROOF HOUSE AND GARAGE-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 368J5 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 11.00 695 SYCAMORE CT N TOTAL 379.75 MAPLE GROVE, MN 5531 1- (763)427-9696 Minnesota State License#: 20637010 OWIVER MESHBESHER, RONALD&K[MBERLY 2010 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 governing this type of work shall be compied with whe[her or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the datc of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applieanf is respons e for assuring all required inspections are reqaested in contorma c with the State Building Code.This permit may be tevoked at any time �e cause. � -�� L--�� (� ,� g,�, �c� Appli t Permitee Signature Date [s By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. .,�� t ', �„�f � ,"'� ,�' s,,,� � � � ��r r P v� �'� k :�� "�A k$ .� -. 'T' i� ]. f } � ��,1�� . • . .. .Y, $ /"�"•r,e. �' .i .. .d, '24, a..u't_ . '��`5�Q City of Orono `� Building Permit Application for Internal Work `� �'� �, ; 3� (windows, doors, siding, re-roof, etc.) „ � flq � a MailingAddress: Permit number: .��/� -Q�� : �� .,�,� PO Box 66 � #_"; � ^ Q Crystal Bay, MN 55323-0066 Date received: �' (� /L� � � �� Received b .� � �,,��-��, s, � Street Address: � Y� �� '�,nL� 4 '% ��' 2750 Kelley Parkway Plan review fee: � ' ' �kE5H04'� Orono, MN 55356 � � � Total Fee: %�� f L-� , F;� M a i n: 9 5 2-2 4 9-4 6 0 0 F a x: 9 5 2-2 4 9-4 6 1 6 w w w.c i.o r o n o.m n.u s �� r � c/ ,, r�' This application form must be completed in full and all required information must be submitted. ;� � ��: Incomplete applications will be returned. (Please print) � �°�` GENERAL INFORMATION: ":� � �� Job Site Address: < �u l C� ,�c Q�;,��z� LJ� � �,r� Will this be a Parade o f Homes, Remo d ers S howcase Home or o t her Disp lay Home? ❑ Yes �'No �w. , /f yes, a special event permit is requrred with Po/ice Department and City Council approval 60 days prior to the event. Shuttle bus service wi/l be '�'>> required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ;t,;: ��" CONTRACTOR/APPLICANT INFORM 10�, � Name: f�'��S F o-,vf-,��._i � �,,, State License# �v��O a�7 7 —� Expiration Date: � Phone: 7i.,"3 --�-(�-7-`1 l�7(p (office) ��, > - �s� -��?Yj (cell) � �� - Mailing Address: �, S� c��.,�� Cit : �r ,,�,,,� ZIP: S '^3�-`" Contact Person: �a-1. ;o,,� tz;,,. Applicant is: ontractor Homeowner � (Circle One) � `. Email and/or Fax: ;�..�, ;^-�;d�,.,�,�s f �5. 7(�- � �-(�7_ - ��;;: ��, �� PROPERTY OWNER INFORMATION: � Name: �'c�, �`1PSl, 6es�.�✓ �� Phone da ( Y)� �� - 33�-`fil��- �" Address: �-o i S'�,r ,�;' 6 i��-ac,�' li'�' Cit : C7�'crz.o zIP: 5 S 35" , �a. Email and/or Fax + : �> `��' PROJECT INFORMATION: ��: Type of Project: Any earth movement may require �� MCWD review 8�permits =;a ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) �� ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � �ka Deephaven, MN 55391 �3 � ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 �� Fax: 952-471-0682 � �'�` Re-roof ❑ Fire Damage www.minnehahacreek.or '" Overall Pro ect Descri tion: � � � � ��,� 1 p i �<<� �.�{ «�r �� -r�� .,S e T��:y � � -� c��t G� `�'-�' Estimated Construction Valuation of Project (excluding land) $ �� -� �,,�.. ��,:; 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 t 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 enerall cannot be iven to either the ublic or the sub ect of the data. Our �' ,�` 9 Y 9� P 1 �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 refus�to-su I the information, the a lication ma not be issued. �.... �.�,:- /; � g " / 1 / _ : ApplicanYs Signature: �--- - L----- Date: ��3��j U ti;,�:;. -�.—, �;�<': �f Last Updated: 05-04-2009 � ,�� a �, �' .�" �i� � .; �� ''� �� '�v�."� �.�,....,.,�:�n.,...r _ : ,,,�..',.w.�.�`_ .�y.,..r'.�,k',,e,r.3��"�`��dk'..��5� :.a:�:�e��„1 Y.� 1a�#,..,_�, � �� j� T TIME � CITY OF ORONO �J��l CALLED IN `-� �� /� INSPECTION NOTICE SCHEDULED PERMITNO.�� a77 � COMPLETED ADDRESS OWNER � jELEP NE NO. � `�� CONTRACTOR � �; DESCRIPTION /C' �� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � d W� RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cat1 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � Z G� . DATE TIME 'V / t CITY OF ORONO CALLED IN �� /�' � INSPECTION NOTICE ,�n �CHEDULED ��—.��v PERMIT NO.�[�/'D�w� "' COMPLETED ---,� ADDRESS �� l � L)Z��G�� WDC�� ¢� OWNER T�P�iONE NO. � � 3�� d�� CONTRACTOR �c (�� : DESCRIPTION �/ � n� ( L'�7 � � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ � DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FIN�� ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES,�NO ,/l � COMMENTS: � W � � � O a � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �JECTCOMPLEfE W ❑CORRECT WORK&PROCEED r� ISS E CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: Inspector. �' � White Copyllnspector's File Canary CopylSite Notice