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HomeMy WebLinkAbout2010-00714 - roofing � �-• CITY OF ORONO PERMIT NO.: 2oiaoona 2750 KELLEY PARKWAY ORONO,MN 55356- DATE Iss[1En: 08/16/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2011 SUGARWOOD DR PIN : 34-118-23-21-0014 LEGAL DESC : SUGAR WOODS : LOT 006 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 45,950.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT pERMIT FEE SCHEDULE 638J5 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 22.98 695 SYCAMORE CT N MAPLE GROVE,MN 55311- TOTAL 661.73 (763)427-9696 Minnesota State License#: 20637010 OWNER KING, ROGER&JEAN 2011 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 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 applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revo y time fo u cause. d' l G l � b U / �,6 / icant Permitee Signature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � `P' � � '� , �+:`. �• } '� � � City of Orono � �� � ��_r , : Building Permit Application for Internal Work .� (windows, doors, siding, re-roof, etc.) � � _� Mailing Address: �, �,L,�,� PO Box 66 Permit number: D/(�- ab7/ � Crystal Bay, MN 55323-0066 Date received: � /D w, � � Q � ,� �'�a�-��" s. I StreetAddress: Received by: °r. G .,� I �' � '� s� G� 2750 Kelley Parkway Plan review fee: '� �t9'kESH04'� Orono, MN 55356 �' Total Fee: (D�l �� �; Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us T � � .: This application form must be completed in full and all required information must be submitted. � � ` Incomplete applications will be returned. (Please print) � `z GENERAL INFORMATION: � �` � Job Site Address: Z � � � ��-� c�_� ��'�. `� � �..��c c� �� ;, ' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No ;� S.. 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. Yx � CONTRACTOR/APPLICANT INFORMATION: ;� Name: �'1 ��..�c, � �o F`.il< ; " State License# �� �. Expiration Date: 3 / � � � ,� Phone: �� �z 7 y y'� office) cell �� MailingAddress: � � ( �u�� „�,�< <f �f/. Cit : �,��J� r��� ZIP: S-�G � �� ��. Contact Person: Applicant is: <<•�ar.tn�; Homeowner (Circle One) -� t� �' Email and/or Fax: _ �� 6. PROPERTY OWNER INFORMATION: �`� �, , �� �;� Name: lc�.� �, -t � c;n � � ` Phone (day): 'S � � �•� Address: �_� l l wS�� � `���ot� City: �'�^ u •�v ZIP: �S�l�� � ��� Email and/or Fax `^'� �;., ;;J p; �: �� c::�:. �,,. � , PROJECT INFORMATION: � Type of Project: Any earth movement may require �:,`-' MCWD review&permits �`�� ❑ Door(s) ❑ Remodel ❑Water Damage � Minnehaha Creek Watershed District(MCWD) tr ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd 'f'� 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: r —,-�� ,� � �� Estimated Construction Valuation of Project(excluding land) $ S C.�, o� �'� 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 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 � 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 �4�; 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. �:` �. . L � � /� � `/ t0 � Applicant's Signature: a.�' �� Date: ,E �.;. �-; Last Updated: 05-04-2009 . � , � _., .� _�., �._ , , _. . � �� .». .k., �..._ a� �. _. .n� u� ._. .e. �-� - I� F �`� r � �D?3-IID TIME C O ORONO / CALLED IN INSPECTION NOTICE //_ SCHEDULED v � �C�' PERMIT NO���'��7��� COMPLETED ADDRESS �011 � OWNER • LEPHONE NO. ���d7� CONTRACTOR t � DESCRIPTION ��Qh- a"1����� ��� 1'T � ❑ FOOTING ❑ PLUMBING FINAL ❑ EX V/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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W C � J O � � O � W � Q � Z W � W � � � �ORKSATISFACTORY:PROGEED ❑PROJECTCOMPLEfE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 0 CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDlTIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. /l ___ _ _ White Copyllnspector's File Canary CopylSite Notice �-� �� l( /���, DATE TIME � CITY OF ORONO `� CALLED IN + �G INSPECTION OTICE . SCHEDULED -�����'_t+" PERMIT N0. ��V� ���� COMPLETED _-�� ADDRESS ���,// ��Z< �'-�X/�...(�( �D ,�� OWNER TELEPHONE NO.���J-����%",� CONTRACTOR � /�L���� J' L� >: DESCRIPTION /— /�C� / ���1 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED G SSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWfTHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR -' CITATION ISSUED ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on sit : Inspector. � r ' � White Copyllnspector's File Canary CopylSite Notice