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Home My WebLink About2010-01001 - roofing CITY OF ORONO PERMIT NO.: 2010-01001 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/14/2010 (952) 249-4600 FAX: (952)249-4616 ADDRESS 40 TRUFFULA TR PIN 33-118-23-44-0035 LEGAL DESC MEADOW WOOD POND LOT 001 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 9,000.00 APPLICANT PERMIT FEE SCHEDULE 177.00 MIDWEST ROOFING 6541 SYCAMORE CT N STATE SURCHARGE(VALUATION) 5.00 MAPLE GROVE,MN 55369- MISC FEE 0.00 (763)427-9696 TOTAL 182.00 Minnesota State License#:20637010 OWNER ACOSTA,LUIS&VERONICA 40 TRUFFULA TR 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 appy �s ponsible for assuring all required inspections are reque ed in confo ance with the State Building Code.This permit may be rev ed at any ti for due cause. tc--" / /` l D- - l l Applicant rmitee Signature Date Issued By Signa re D to SEPARATE PERMITS REQUIRED FOR WORK OTHER THWN DESCRIBED A O . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�,00 PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: Ilk o` 2750 Kelley Parkway Plan review fee: t`�kEsso4`� 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:� 1 � Job Site Address: -7 C l r u c., /e� / v. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No 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 INFORMATIQ-N- r` Name: kJ' u,)� c�"�t State License# Expiration Date: 3/ Phone: F7 (,� 3 -�� 7-`� (office) cell Mailing Address: 4,5-1 ca e N City: ZIP: S 6, Contact Person: ��„; .�` Applicant is: ontract r / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: L Name: Lc;-u Phone (day): b ( a l (o / Address: 4C 'T✓c c u (c, 1 City: ZIP: Email and/or Fax rl cY� 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.orq Overall Project Description: —Fe-C, o ✓e - GAS -Z. It 62 clel Estimated Construction Valuation of Project(excluding land) $ CZsb 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 Phis I rmation is to annually update our records and records of other governmental agencies required b law. If our ufu e to su I he information, the application may not be issued. Applicant's Signature: Date: /O Last Updated: 05-04-2009 lDDA��j CITY OF ORONO CALLED IN TIME INSPECTION NOTICE SCHEDULED /D PERMIT NO. e l)1D_ IM I COMPLETED ADDRESS L10 T"fICLt-1 a T( OWNER TELEPHONE NO. 70 CONTRACTOR DESCRIPTION -04 _OIJI � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ElPOURED WALL ElMECHANICAL RI El LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO vOi COMMENTS: W a J O O W W Cc Q Z W Z W Cc WORK SATISFACTORY:PROCEED ElPROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site 09 Inspector. ~ White CopylInspector's File Canary Copy/Site Notice v e-v— D TIME` CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NOPA' 0 AV/ COMPLETED �--� ADDRESS 16 OWNER ,tel� / TELEPHONE No.7463 �6 64)K_3_3 / CONTRACTOR l DESCRIPTION FI'` ,t 1 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q [:1 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 COMMENTS: W 0. j O cc O W W QC Q Z W Z W UjC3WORK SATISFACTORY:PROCEED ROJECTCOMPLETE W ❑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 ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: �v Inspector. —,/ + �� White CopylInspector's File Canary Copy/Site Notice