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Home My WebLink About2010-00639 - roofing .t CITY OF ORONO PERMIT NO.: 2010-00639 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE [ssuED: 07/29/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2114 SUGARWOOD DR PIN : 34-118-23-21-0027 LEGAL DESC : SUGAR WOODS : LOT 008 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 30,700.00 NOTE: REROOF-CEDARSHAKES APPLICANT pERMIT FEE SCHEDULE 477.50 MIDWEST SID[NG ROOFING& WINDOWS STATE SURCHARGE(VALUATION) 1535 6451 SYCAMORE CT N MAPLE GROVE,MN 55369- TOTAL 492.85 Minnesota State License#:20010277 OWNER SYMINGTON, GAREY&GINGER 2114 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[ime after work has commenced. The applicant is responsible for assuring all required inspections aze cequested in conformance with the State Building Code.This permit may be revoked any ime for due cause. — !lL lZetv l l Ap ant Permitee Signature Date lssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r:��` v� �C s1 ,�.,�� ,� �";� � "�t�'' ` ?', . � +r ,k `a A- ', - � - i `'��. ,v.. _ ��s�R a�'� ,,�� i`N�' . � �':` F.-�• .. k..� S "�.'� � �• City of Orono ��t , Building Permit Application for Internal Work � � (windows, doors, siding, re-roof, etc.) � �: ,�.. : Mailing Address: � 1� O�v�,� PO Box 66 Permit number: C,/6- � 0 Crystal Bay, MN 55323-0066 Date received: Z, � `' �`, "` ' a �`��,�� a Street Address: Received by: � ��4 �'��9 �� 2750 Kelley Parkway '� Plan review fee: �,� kESSO4' Orono, MN 55356 �,=F; — Total Fee: � �'f ` �� a;..�. 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. (P/ease print) �{v GENERAL INFORMATION: � ��' Job Site Address: 2( �N Suq a� �„�000qS ��. �� 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 will be F . . A;; required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �:, �., ' CONTRACTOR/APPLICANT INF RMATION: �` ��' �, Name: N1�d��S� o �1 � S' d�(�r, ��. ��` State License# �� r va a 27 Expiration Date: Z ' �, ° Phone: � z. 7 � 5 office cell ` � Mailing Address: u s GG o�c G� • Cit : ( , IP: SS' a �,:: Contact Person: Applicant is: ntrac / Homeowner (Circle One) � i Email and/or Fax: � �u. �; PROPERTY OWNER INFORMATION: � �`� Name: (,�r 5 n' �o�n �.1 Phone (day): � � 2, �'" Address: � i vv�, �S O r Cit : 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 ' �' ' ❑ Sidin g ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 ' �`'' Fax: 952-471-0682 '#' - of ��,r ❑ Fire Damage www.minnehahacreek.orq � Overall Project Description: ' � ; _Estimated Construction Valuation of Project(excluding land) $ - (�! �p d, D d � � ��; APPLICANT ACKNOWLEDGEMENT: � ��` • Agrees to provide all information required or requested by the Building Department; xa �� • 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 ;;� �k° 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. � �_:. � �` f ` ApplicanYs Signature: '��/ �`- Date: � F z�o ,��' � --� � � /. . ,� �, Last Updated: 05-04-2009 � ,, �,. ,�� Y�, � � ., . �. �Y �.. �. ..y 4_ � .. � �. : . .. . , .i'::oas;a�Gt ,:-. ..s.xri�'. . ... . . . . � ... a.:"RLm, w ....u.,w...�a�a �nc_.......is�-,�.�e�_s,...u,_,�.....-.wa- .,....<. .,.,s .r.;`Ri" � � � M ✓ �� D �D TIME CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED O PERMIT NO. O ��a MPLETED ADDRESS a ` � . OWNER EP�,iON�NO. - �b'Gd C�NTRACT�R �� DESCRIPTION � �"'�"`-'��1 � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLI Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � � O � � O � W � Q � Z W � W � � ��'O`IAjORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on si : � Inspector. White Copylinspector's File Canary CopylSite Notice �� Q� E TIME �/ CITY OF ORONO cA" ��Eo iN 0 � INSPECTION NOTICE SCHEDULED �Q � PERMITNO. D —Q��3� COMPLETED ADDRESS `� OWNER TELEPHONE NO. 7�0-3 Z�p ��-3 CONTRACTOR �C-��G�/��'�� DESCRIPTION �`� /��/� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ IIVSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � . rt�� White Copyllnspector's File Canary CopylSite Notice