HomeMy WebLinkAbout2010-00935 - roofing CITY OF ORONO PERMIT NO.: 2010-00935
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/04/2010
952 249-4600 FAX: 952 249-4616
ADDRESS 975 TONKAWA RD
PIN 08-117-23-21-0015
LEGAL DESC PARWOOD
LOT 001 BLOCK 001
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING-CEDAR
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 35,000.00
NOTE: TEAR OFF REROOF-CEDAR SHAKES
APPLICANT PERMIT FEE SCHEDULE 520.50
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 17.50
5145 INDUSTRIAL ST
SUITE 103 TOTAL 538.00
MAPLE PLAIN,MN 55359
(763)479-8700
Minnesota State License#:20631575
OWNER
LUNDQUIST,DAVID&MERILEE
180 YACHT CLUB#104
HYPOLYXO,FL 33462
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 ap licant is responsible for assuring all required inspections are
reques in c rifelmance with the State Building Code.This permit may be
revo a an ti m f d cause.
/ t(
Ap icant Permitee Signatbre Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono C1 *_,"9�5
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.) p
Mailing Address: Permit number:
O�,O,�O PO Box 66
Crystal Bay, MN 55323-0066 Date received: 10 o
A, Received b I Street Address: by:
��, otiti 2750 Kelley Parkway Plan review fe
�9xESII�4� Orono, MN 55356
Total Fee: �_�o F" C/ V
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. (Please print)
GENERAL INFORMA�
Job Site Address: l
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes -�&No
/f 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 INFORMAT�-`l0
Name: ' l.11 11 Iry , �0
State License # 3 ' Expiration Date:
Phone: "7-,'3 `1? 70 office cell
Mailing Address: ..i�J`"l�.' \ `� City: U��r_ ZIP: S 1S
Contact Person: Applicant is: ontracfo Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWN R INFORMATION:
Name: 1, -i�=t� _.S t
Phone (day): 9 SZ
Address: r� Cit OK--%-Po 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
❑ Si 'ng El Restoration ❑ Other: (specify) Phone. 952-471-0590
Fax: 952-471-0682
-roof ❑ Fire Damage www.minnehahacreek.o
Overall Project Description: kZF7V�cf�
Estimated Construction Valuation of Project(excluding land) $ J
30
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 yqu refuse o/pupplyMe inform ion, the application may not be issued.
Applicant's Signature: Date:
Last Updated: 05-04-2009
DATE TIME V
CITY NO ICALLEDIN
INSPECTION
NOTICE SCHEDULED
PERMIT NOGRD/D-04 f-ZSR COMPLETED
ADDRESS 975
OWNER TELEPHONE No.74:3 51 76�0
CONTRACTOR
3:: DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
H
El FRAMING El 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
OWNERICONTRACTOR TO MEET YOU:_YES_NO
2 COMMENTS:
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WU 11WORK SATISFACTORY:PROCEED 11PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN ❑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.
White Copy/Inspector's File Canary Copy/Site Notice
CITY OF ORONO CALLED IN DATE TIME
INSPECTION NOTICE SCHEDULED
PERMIT NO. 9;b CO " 02 2357 COMPLETED
ADDRESS 76- TOwkQwQ 12D,
OWNER TELEPHONE NO.
CONTRACTOR } «r C°0.14z`.
i DESCRIPTION e-✓m <<wa-,
❑ FOOTING ❑ PLUMBING FINAL ElEXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
C ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
2 ❑ INSULATION Cl WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
I=. OdPWAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. W FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
2 OWNEAICONTRACTOR TO MEET YOU:—YES NO
COMMENTS:
J T �
OO
o
k
W
Q 6(/or t1 �D.O A.
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4j ❑WORK SATISFACTORY:PROCEED ft-oCMao&ercomPLETE
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W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN O 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
OwnedContra on site:
Inspector. M.
White Copyllnspector's File Canary CopylSite Notice