HomeMy WebLinkAbout2010-00885 - roofing c ��� CITY OF ORONO PERMIT NO.: 2010-00885
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/23/2010
• 952 249-4600 FAX: 952 249-4616
ADDRESS : 2109 SUGARWOOD DR
PIN : 34-118-23-21-0015
LEGAL DESC : SUGAR WOODS
: LOT 001 BLOCK 003
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING -UNDEFINED
VALUATION : $ 24,360.00
NOTE: TEAR OFF REROOF-CEDAR SHAKES
APPLICANT PERMIT FEE SCHEDULE 413.00
KUHL DESIGN & BUILD, LLC STATE SURCHARGE(VALUATION) 12.18
1515 STH STREET SOUTH TOTAL 425.18
HOPKINS, MN 55343-
(952)935-9469 PAID WITH CC# 7335
Minnesota State License#: 20195769
OWNER
AHLERS, DAVID& DIANE
2109 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 sepazate
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 l80 days of the da[e 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
revoked at any time for due cause.
/��L�'Z�--C� �l�J'� l/C� / ��
�cant Permitee Signature Date Iss By Signature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
- _� MailingAddress: Permit number: OVJ�b—�
.¢,�,�. PO Box 66 �,.., /O
O ,�\ O Crystal Bay, MN 55323-0066 Date received: Z.�J
$.°� Received by:
� r � �, Street Address:
`�,�, ' �>� �r;�� �ti 2750 Kelley Parkway Plan review fee:
L,9kESHOg,� Orono,MN 55356
---- Total Fee: ��5� � g
, 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:
Job Site Address:
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 approval 60 days prior to the event. Shuttle bus service ill
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: ��ti 1 'S �'���-r-Y;.�-4-�'nc T��
State License# _2 �;( q 5 ��`�� J Expiration Date: � z��/`c; I
Phone: ySZ - 9 35- %�lG,�� (office) (�12 -Z.7 Z- �3 s'x' �s ,;. � (cell)
Mailing Address: 1 - ''''� - Cit : /� �� ZIP: M�) .S'S-3�!
Contact Person: S-}e`e 1��'r t Applicant is: ontrac o� / Homeowner (CircleOne)
Email and/or Fax: `� F�c�,v�t c��� �c�=�c � I�l , c c�v�
PROPERTY OWNER INFORMATION:
Name: I� � ' cl /-� L� = 1s
Phone (day):
Address: i G�i `j� � ��� ��s Dr���. City: �f,��� 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: a� _,--t;��
Estimated Construction Valuation of Project(excluding land) $ ��/ ���C� , t>c�
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 refuse to su I the information,the a lication ma not be issued.
ApplicanYs Signature: `�L�—�-�.�,0 ��� Date: �5- Z Z -/U
Last Updated: OS-04-2009
� �� �` " ' � ' DATE TIME �
�ITY 0$ORONO CALLED IN -��
INSPECTION NOTICE �s CHEDULED ��G1���� �r� J
PERMIT NO. � ����connP ED U
ADDRESS
OWNER TELE NE NOL���7.�53��
CONTRACTOR
� DESCRIPTION —
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� ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRAD�NG/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
� ❑ 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
v�, COMMENTS:
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� �'O�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETURN
�STOP ORDER POSTEO.CALL INSPECTOR ❑CITATION ISSUED
O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952) 249-4600
OwnedContra r s'
Inspector.
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