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HomeMy WebLinkAbout2010-00993 - roofing CITY OF ORONO PERMIT NO.: 2010-00993 2750 KELLEY PARKWAY a ORONO,MN 55356- DATE ISSUED: 10/01/2010 (952) 249-4600 FAX: (952) 249-4616 ADD EIl SS 1100 TOWNLINE RD PIN i 30-118-23-32-0007 LEGAL DESC DIESEN DEVELOPMENT LOT 002 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 1,700.00 NOTE: RE-ROOF 1/2 HOUSE& 1/2 BARN APPLICANT PERMIT FEE SCHEDULE 64.00 HOME REPAIR&IMPROVEMENT,LLC 3069 18TH ST NW STATE SURCHARGE(VALUATION) 5.00 NEW BRIGHTON,MN 55112- TOTAL 69.00 (612)751-7876 PAID WITH CC# 5409 OWNER CARTER,EILEEN PO BOX 218 ROSEAU,MN 56751- 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) t Mailing Address: Og,0 PO Box 66 Permit number: 4-11 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: Orono, MN 55356 Total Fee: 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 INFORMATION: Job Site Address: /00 .) Do- Will this be a Parade of Homes, R modelers 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 I FORMATV1.124Jr� : _ Name: d l M12 R&0 1- l l State License# Expiration Date: — zv Phone: 7,5rl- 7 G office cell Mailing Address: / �,' 4- N VJ Ci. "P%��T ZIP: Contact Person: q L, Applicant is:( Contrtor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: �+ Name: Phone (day): - 3 - Address: �l0© ,�iJ� k�oAn City: ,l'I p�.� � r- ZIP, 3L-;'3 Y 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 e-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 the i ormation,the application may not be issued. Applicant's Signature: Date: Last Updated: 05-04-2009 eZ �r"' ` � ATE TIME CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED / /O PERMIT NO.e9+bID COMPLETED ADDRESS //OD OWNER TELEPHONE NO",2- 7-57 79 - CONTRACTOR 3Z DESCRIPTION tWEl FOOTING ❑ PLUMBING FINAL ElEXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ElLAKESHORE/WETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a J O O W W Cc Q 2 W Z W 4' WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CZORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑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 CopylInspector's Fite Canary CopylSlte Notice —O DATE TIME CITY OF ORONO CALLED IN �0 INSPECTION NOTICE SCHEDULED /D-ZI-/D �� PERMIT NO.Q?�4C1 V9g3 COMPLETED ADDRESS //DD `T le(i— p OWNER TELEPH� ONE NO.&1 Z 7,57 70 76 CONTRACTOR { 3Z DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ 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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO vdi COMMENTS: W a J O cc O LL W cc Q f2 2 W Z W d Wrc ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE tU ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑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 sit : , f Inspector. /" White Copyllnspector's File Canary CopylSite Notice