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Home My WebLink About2010-00199 - roofing CITY OF ORONO PERMIT NO.: 2010-00199 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/07/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 722 TONKAWA RD PIN 05-117-23-34-0001 LEGAL DESC PARTENS POINT 1 ST DIV LOT 009 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION S 1,050.00 APPLICANT PERMIT FEE SCHEDULE 44.50 SANDIFORD,STANLEY STATE SURCHARGE(VALUATION) 0.53 722 TONKAWA RD LONG LAKE,MN 55356 TOTAL 45.03 OWNER SANDIFORD, STANLEY 722 TONKAWA 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 period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requestef ante ith th to Building Code.This permit may be revok an e for a ca Y/�/✓ pplicant Permitee gigAatu/or Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Y City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: a s, Street Address: Received by: GtiiS 2750 Kelley Parkway Plan review fee: l�q H0 Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: e Will this be a Parade of Homes, Remodelers Showcase Kome o other D' play Home? ❑ Yes No ff 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: �n-elf S. S akid44.dt State License# N IAI Expiration Date: Phone: - 7d1 - .s 'f office cell Mailing Address: 7 11 n 1Q.4 City: ZIP: IS 9 S6 Contact Person: Applicant is: Contractor / omeowner (circle one) Email and/or Fax: ��:..stz ? ow+t:�• sw► PROPERTY OWNER INFORMATION: Name: f fan/CV S rJA4 41- / Phone(day): _ 112-- 20/•- 7J V7 Address: E2 2 T#A k.1wi /Za Cityl ani Like ZIP: -C5S?4 Email and/or Fax .,j'h EL /4".Ed. eo;; PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ElDoor(s) ElRemodel ElWater 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.ora Overall Project Description: Rgdf ILCIr dff j,,J rt r/'00 Estimated Construction Valuation of Project(excluding land) $ /DSO. 00 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 the information,the application may not be issued. Applicant's Signature: Date: y -• �^Z� Last Updated: 05-04-2009 KDATE TIME 'CITY OF ORONO ��ALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.,, (_.' -6 ZQr1coMPLETED ADDRESS Z .2 ,2 —To p k ALI OWNER-Aal"1 1 `,f s�o 1 fiEL PHONE NO. CONTRACTOR C L- — -7c e 7 r7��-7 DESCRIPTION ck—P_ G 1 ❑ FOOTING ElPLUMBING FINAL ElEXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O E] 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEIRTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YO U YES_NO COMMENTS: cc W CC C Xof 0 LL W ac Q f2 Z W z W z Z) WI GVORKSATISFACTORY-PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR EJ CITATION ISSUED ❑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