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Home My WebLink About2010-00676 - roofing CITY OF ORONO PERMIT NO.: 2010-00676 � � � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 08/09/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2106 SUGARWOOD DR PIN : 34-118-23-21-0023 LEGAL DESC : SUGAR WOODS : LOT 004 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 28,250.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT pERMIT FEE SCHEDULE 456.00 MIDWEST SIDING ROOFING& WINDOWS STATE SURCHARGE(VALUATION) 14.13 6451 SYCAMORE CT N MAPLE GROVE, MN 55369- TOTAL 470.13 Minnesota State License#: 20010277 OWNER SCHOMMER, R& E 2106 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 gran[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 reyuested in conformance with the S[ate Building Code.This permit may be revoke time for due cause. � - � l � l IU Ul / l A icant Permitee Signature Date Issue y Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. '^a"'Rs tl+'a��st.$;. '3." `�_,". {'�'nC K L:,• �. 1 #�,�` •J f � 5 �.. . .S. . .�5 ��. , City of Orono �� s . . ��x,�� Building Permit Application for Internal Work � �� : (windows, doors, siding, re-roof, etc.) � y �� Mailing Address: Permit number: � Y �v�,� PO Box 66 � �` Crystal Bay, MN 55323-0066 Date received: a O/b —(�O � � ��a , � �'�y a �' s�'.;' s, Street Address: Received by: �' � e�� G��' 2750 Kelley Parkway . Plan review fee: � � L�kE3H�4'� Orono, MN 55356 # Total Fee: ,�l`� � � ,� Pf.. 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. :� �t; Incomplete applications will be returned. (Please print) �� ` GENERAL INFORMATION: �� e Job Site Address: ^-� i � �� I r C�I�� ,.`��r �J�'dt � , �'�' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No 6'� If yes, a specia!event permit rs required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be x required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � ` � � 3,, CONTRACTOR/APPLICANT INFORMATION: � Name: �;�:.J r� r r�� " State License# �� Expiration Date: �/z i %, , �� , �:�� « � �= Phone: �� {z. c � �� office cell �� Mailing Address: � C�,�..,,,.� C�. N, Cit : � �:� �� ZIP: S'S � � � Contact Person: ,��. Applicant is: ��ra� / Homeowner (Circle One) �� `�� Email and/or Fax: � ' � #� PROPERTY OWNER INFORMATION: 3�� ' Name: !��c�, �.��t C� L� w� r�, � � �� Phone (day): � - � �� Address: � �,G �,��,,r r�( d� City: �� ZIP: SS� S C � �, Email and/or Fax '" �o � �� PROJECT INFORMATION: � �R Type of Project: Any earth movement may require �� ` MCWD review 8�permits �� $�� ❑ Door(s) ❑ Remodel ❑Water Damage � Minnehaha Creek Watershed District(MCWD) �;� ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � �: �� Deephaven, MN 55391 � �:�;;:; ❑ Siding ❑ Restoration s�4 ❑ Other. (specify) Phone: 952-471-0590 � ' e-roof Fax: 952-471-0682 f ��:,, ❑ Fire Damage � www.minnehahacreek.orp �"�: �r �� Overall Project Description: �� ` Estimated Construction Valuation of Project(excluding land) $ "Z�Q 'ZS'� � � ` � ��= 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 Y� 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 tne 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 to su I the information,the a lication ma not be issued. �' �� ; "' ApplicanYs Signature: �� Date: ` � � '"i :.f:,; ,�, .� �: Last Updated: 05-04-2009 � .. .. { 3 ��t?j� 4 N .'. 0. ks .` � +e .��.`.,_.... ,........ .,...... ...... . ........ ........:. .,..... .. ...�..__..:.�...W�........ ...:,...........,,.. a.....�..��_�:.... ...r r_aa�hN�:i��.+A�`�� ,. :'P;�.a.............,....,.e..,.:=m...t 3.xe� w:t:�...1rs:b.�L:r.�'?:Y�uci-�.:�TL z ��`�'�Q� ATE TIME CITY OF ORONO CALLED IN V INSPECTION NOTIC�E�/�/�� SCHEDULED � - �� PERMIT NO.�D/�!/Y/`�'� � COMPLETED ADDRESS o?�� -�CI��'��`-� 4�C1 OWNER TELEPHONE NO. 7�3 Zg� ��3 CONTRACTOR �� >; DESCRIPTION a�- �j��`` �� L� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O a � O � W � Q ti Z W � W � � � WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice " � � V r�� D E TIME � CITY OF ORONO �J . CALLED IN � � ��L� INSPECTION NOTIC ��SCHEDULED U�7 PERMIT NO. � �-� �'r` COMPLETED ADDRESS � �� ' � �,�C,�t �'' [ � "�!�cI � f � � OWNER TELEPHONE NO. �� ^�� CONTRACTOR /V ` 1 � �` � � � /�� - �: DESCRIPTION , ' �1� � ��'C� � � � FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 � COMMENTS: � W C � � O �. � O � W � Q � 2 W � W � � GW ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE � ❑CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION W�THIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETItRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. � , l� White Copyllnspector's File Canary CopylSite Notice