HomeMy WebLinkAbout2010-00719 - roofing # CITY OF ORONO PERMIT NO.: 2010-00719
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/17/2010
952 249-4600 FAX: 952 249-4616
ADDRESS 1560 TANGLEWOOD RD
PIN : 26-118-23-32-0012
LEGAL DESC TANGLEWOOD
LOT 003 BLOCK 001
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-CEDAR
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION : $ 31,500.00
NOTE:
TEAR OFF REROOF WITH CEDAR SHINGLES
APPLICANT PERMIT FEE SCHEDULE 488.25
ALL SEASON REMODELING&EXTERIORS STATE SURCHARGE(VALUATION) 15.75
17344 PUMA ST.NW TOTAL 504.00
RAMSEY,MN 55303
(612)221-3318
Minnesota State License#: 20388311
OWNER
BOLGAR, DANIEL&REBECCA
1560 TANGLEWOOD RD
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 peri d of 180 days at any time after work has commenced.
The applicant is re onsible for as ring all required inspections are
requested i on e w t State Building Code.This permit may be
revoked ny a for due ca e.
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A licant rmitee Signature Date lssqu7Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono �/0
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: O20/0 71
PO Box 66 / O
O 0 Crystal Bay, MN 55323-0066 Date received: 7 /
Received b
Street Address: y
2750 Kelley Parkway Plan review fee:
r9kEsH0 Orono, MN 55356
Total Fee.
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us . Vv
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: Z5-12c- T4,5,- Le o J Q/r
Will this be a Parade of Homes, Remodelers owcase Home or other Display Home? ❑ Yes EINo
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
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: �}�� SectSc>� i�e/Ltoag�rcrg f� �?c�eriorT LLC
State License# Expiration Date: ao//
Phone: / 9W/ F6111 (office) cell
Mailing Address: 73yy PU^1 City:1(qO-v5e7 ZIP: 53-30
Contact Person: ,y,J,ce Scl� ar Applicant is: n racto / Homeowner (circle one)
Email and/or Fax: w�ldG//5��s�h �C�Mc4sf•.Ue�-
PROPERTY OWNER INFORMATION:
Name: bah 1200 9cr
Phone (day): 9Sa asl° - X70
Address: 15760 7-id41,-4 �od de City: ZIP: 6_�_3SS-6
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
P Re-roof ❑ Fire Damage www.minnehahacreek.org
Overall Project Description:
Estimated Construction Valuation of Project (excluding land) $
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
required by law. If you refuse to supply thoinformatioqothe application may not be issued.
Applicant's Signature: z9 Date:
Last Updated: 05-04-2009
'D TIME
CITY OF ORONO CALLED IN /o
INSPECTION NOTICE SCHEDULED Ryao
PERMIT NO. c20/0' /1 OMPLET
ADDRESS S /
OWNER EPHONE NO(04� �� l�
CONTRACTO
>; DESCRIPTION
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El POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ti ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
[IFINAL ElSEWER HOOK-UP El COMPLAINT
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
Oi BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El CITATION ISSUED
ElSTOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site:
Inspector. 1
White Copy/Inspector's File Canary Copy/Site Notice
P�}V �D TIME
CITY OF ORONO CALLED IN vJ
INSPECTION NOTICE Q SCHEDULED
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PERMIT NO.aOZO / COMPLETED
ADDRESS I S60 p p
OWNER TELEPHONE NO.IIZ 760
CONTRACTOR �-� se4 StJY10
DESCRIPTION
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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
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
COMMENTS:
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El WORK SATISFACTORY:PROCEED Q PROJECT COMPLETE
W ❑CORRECT WORK i£PROCEED O"ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN El CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice