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Home My WebLink About2010-00860 - roofing f � CITY OF ORONO PERMIT NO.: 2oiaoos6o 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/20/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2104 SUGARWOOD DR PIN : 34-118-23-21-0022 LEGAL DESC : SUGAR WOODS : LOT 003 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 20,000.00 NOTE: TEAR OFF REROOF-CEDAR SI IAKES APPLICANT pERMIT FEE SCHEDULE 339.25 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 10.00 6541 SYCAMORE CT N TOTAL 349.25 MAPLE GROVE,MN 55369- (763)427-9696 Minnesota State License#:20637010 OWNER KOURY,FRED&ANN CHAFOULIAS 2104 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 specifica[ions,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 conswction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 18 days at any time after work has commenced. The ap � � esponsib for assuring all required inspections aze req ted in con ormanc i the State Building Code.This permit may be r oked at any me for u ause. - " / `� / �p 9� 0�0� `� Applic ermitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i �� City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: � O�,D,�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � (� �� I Received by: � ��a,�' a, Street Address: �'.�, '� A" Gti 2750 Kelley Parkway Plan review fee: t`�kEsxo4`'� Orono, MN 55356 Total Fee: �� '1 G�i Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � oJ--� 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: � l� t �� c1J'��, (�✓ Will this be a Parade of Homes, Remodelers S owcase Home or other Display Home? ❑ Yes o If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLIC�►NT INFORM�j TION: Name: ��cE'w�s� K c*-a��--3 State License# �a�( p�.� �7 Expiration Date: 3�3 r //�- Phone: �j� 3 .- �(�'7 - �(�� office) 7(0� --a��--�c' Y� (cell) Mailing Address: i��(S( S• «.,-,-�,e � � Cit : 1'�-t,u ic G�-�ve ZIP: SS �' Contact Person: �/�, ;� S fc;�- Applicant is: ntractor Homeowner (Circle One) Email and/or Fax: _ �(-� �-y,�7-�o� ; PROPERTY OWNER INFOR ATION: Name: v Phone (day): — p - 7 Address: �.t� �( j�ti�ct,-��„ (J�� City: �r�,� ZIP: Email and/or Fax 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 Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: e�v � � � "� � ? c �Y�< <�� L��v ��:��Z Estimated Construction Valuation of Project(excluding land) $ a�,�� 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 re o I the� formation,the a lication ma not be issued. ApplicanYs Signature: Date: (��%�J Last Updated: 05-04-2009 t% _ � DATE TIME 1 / V CIN OF ORONO CALLED IN ��/��o INSPECTION OTICE /�CHEDULED �� / //� PERMIT NO. O-DO C/C pLETED ADDRESS �0 � � ��' OWNER TE NE N0.7�3 r��r�� CONTRACTOR � � DESCRIPTION b �" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/ DI G/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMIETLANDS 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � v I � �� 0 � W � Q � 2 W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WFLL RETURN ❑STO�'ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED �INSPECTiON REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 � OwnedContractor on sit : Inspector. White Copyllnspector's File Canary CopylSfte Notice � `� DAT TIME ✓ CITY OF ORONO CALLED IN �/ �D INSPECTION N�T�,CJE,T_ ,�l(��CHEDULED ==1e�� PERMIT N0. ��U��J UC/25 OMPLETED ADDRESS r, OWNER - EP NE NO. 3� 0�"�73 CONTRACTO �� v >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 J ❑ 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 a � J O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-46�� Owner/Contractor on site: Inspector. � � White Copy/lnspector's File Canary Copy/Site Notice