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Home My WebLink About2010-00746 - roofing � �' CITY OF ORONO PERMIT NO.: 2010-00746 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 08/23/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 21]0 SUGARWOOD DR PIN : 34-118-23-21-0025 LEGAL DESC : SUGAR WOODS : LOT 006 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG-CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 34,500.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 520.50 ALL SEASON REMODELiNG & EXTERIORS STATE SURCHARGE(VALUAT[ON) 17.25 17344 PUMA ST.NW TOTAL 537.75 RAMSEY, MN 55303 (612)221-3318 Minnesota State License#: 2038831 1 OWNER MILEUSNIC, GEORGE& MARILYN 21 10 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 permi[s. All provisions of laws and ordinances goveming this type of work shail be compied with whether or not specified herein.This permit will expire and become null and void if cons[ruction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time atter work has commenced. 1'he applicant is responsible for assuring all required inspections are requested in conformance with the State E3uilding Code.This permit may be revoked�k any time for d ause. �'G�'� �__f` l l �i /� 3/ /O Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. "s � � �� _ � : t� � ' ' City of Orono � �: � �: Building Permit Application for Internal Work `` t,r� �� (windows, doors, siding, re-roof, etc.) ;� � Mailing Address: U � �" �,L,�,� PO Box 66 Permit number: a !U - 007 ,� � Q r\ Q � Crystal Bay, MN 55323-0066 Date received: $ a � b il� I ' a �' � �" �, Street Address: Received by: '` �'� , � s-_-� �,� �` �'� �A� Gti 2750 Kelley Parkway Plan review ee: ' �.. '�9.kESHo4� Orono, MN 55356 � � Total Fee. �° Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us S��• � �,� �� 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: �/17 S� �r.�advc�S cfd" � �a Will this be a Parade of Homes, Remod ers 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 will be T� �: �}_� required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �- CONTRACTOR/APPt�I ANT INFORM TION: � �� Name: v't I 5�soa �«,oc(Q.lrn9 r1- S.��u-,�rs ��c �A: State License# d��q3�� Expiration Date: aor/ `� �� Phone: 6� office cell �� Mailing Address 7 y �,k t ,Uw Cit : ,.. � ZIP: �ty �n�y Contact Person: /' �" A licant is: ontractor Homeowner y, �vyL �jc�l�C p�e/" pp (Circle One) �;; Email and/or Fax: �,(J4llse4so�� co�cos��,v� 'f" �,� ,r�= �,~;; PROPERTY OWNER INFORMATION: `� � , A� ��:. Name: (1-e.o�q e /i'l� �eU hrP ;: ;� �'_� Phone (day): q5 a 4�6 c�SSy � � i. Address: o�./�c� Sv., ,-�a�s d'� Cit � d,2.o ZIP� ��: Email and/or Fax �� .j k '� 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 � e-roof ❑ Fire Damage www.minnehahacreek.orq ��` Overall Project Description: i'� �; Estimated Construction Valuation of Project(excluding land) $ y ��x� ,� �"; '�� APPLICANT ACKNOWLEDGEMENT: �.: g ., • Agrees to provide all information required or requested by the Building Department; S�' x,. � ` ; • 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 informatio ,the a lication ma not be issued. �; � ' Applicant's Signature: Date: g�3"`/C� ; ''; _ i'� Last Updated: 05-04-2009 '�: � r . ��y .r, � ._�_ . ,.�.� . , v. _, cm.. �.F� ...r,: ,..��ia.u-r � . , , �b, _ . .�_..i� _ ._,.��.. a ,. ,�`� �V t ` E TIME " CITY OF ORONO �CALLED IN �� INSPECTION NOTICE ,1/t+�[�SCHEDULED v � PERMIT NOG�O/O -«� C MPLETED � ADDRESS OWNER EPHONE NO ��Z� CONTRACTO � DESCRIPTION � ' �• � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV RADING/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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W C � � O a � O � W � Q � Z W � W � � ORK SATISFACTORY:PROCEED ❑ PRW ECT COMPLEfE W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR RE�NSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN iNSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on si e: Inspector._��S �� a White Copyllnspector's File Canary CopylSite Notice � � ,a ATE TIME " CITY OF ORONO CALLED IN 9` �D INSPECTION NOTIC /�`� �jSCHEDULED PERMIT N0��7�`�`�/ �/ COMPLETED ADDRESS � l� OWNER LEPHONE NO. � -9 �� CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W 0. � � O � � O � W � Q � 2 W � w � � � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. (�o S White Copyllnspector's File Canary CopylSite Notice