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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. �//-,) /(i--> GL.GI/ �i /7 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 ❑ FOOTING ❑ PLUMBING FINAL EXCAWGRADING/FILLING Q 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: cc W a O cc O W W CC Q ti Z W W CC Z, WRK SATISFACTORY:PROCEED 11PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑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 oD7� PERMIT NO.aOZO / COMPLETED ADDRESS I S60 p p OWNER TELEPHONE NO.IIZ 760 CONTRACTOR �-� se4 StJY10 DESCRIPTION tW ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ElPOURED 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 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: az W C cc J O cc O UL W Q ti Z W W d � 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