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HomeMy WebLinkAbout2010-01002 - roofing 1 CITY OF ORONO PERMIT NO.: 2010-01002 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/14/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 340 TURNHAM RD PIN 31-118-23-42-0007 LEGAL DESC UNPLATTED 31 118 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 3,500.00 APPLICANT PERMIT FEE SCHEDULE 103.25 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 5.00 6541 SYCAMORE CT N MAPLE GROVE,MN 55369- MISC FEE 0.00 (763)427-9696 TOTAL 108.25 Minnesota State License#:20637010 OWNER Little Big Rock,LLC 4360 CHIPPEWA LA MAPLE PLAIN,MN 55359- 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 fora eriod of 180 days at any time after work has commenced. The app' 't is re onsible for as ring all required inspections are re ted in confo ance wi a State Building Code.This permit may be yoked at any ti a ford use. /D / Iq �p Applic Permitee Signature Date Issue y Si ure Date SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED ABOV �. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: OPO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: essogry 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: 3 7 r� U �a P,^ a e,;) 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 11 b required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION' Name: w i— State License# �2_0m,I C_,7 :�2 Expiration Date: 31-?411 Phone: 3 _14a - office cell Mailing Address: 5- /\/ City: ZIP: Contact Person: Tov Applicant is: on ra / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: -e Phone (day): Address: '' City: 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 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Lo, e-roof ❑ Fire Damage www.minnehahacreek.o Overall Project Description: 7ee-tK Estimated Construction Valuation of Project(excluding land) $ 3S� 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 infarmation which generally cannot be given to either the public or the subject of the data. Our purpose and intended use f this information is to annually update our records and records of other governmental agencies required b law. If ou re se to suppMthe information,the application may not be issued. Applicant's Signature: Date: �ylzle Last Updated: 05-04-2009 / D TETIME CITY OF ORONO CALLED IN to 1/1Q INSPECTION NOTICE SCHEDULED ' PERMIT NO. ©/4— CIL COMPLETED �,�/ ADDRESS&1??TD�� TGC/"n hal X-c OWNER TELLEPHO NO.�� CONTRACTOR _/&10�]� le-0 D- a DESCRIPTION ea-,- I-. ❑ 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 OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a O cc O 1 W W W Q 2 W Z W Z) � �7 WORK SATISFACTORY:PROCEED El PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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 site: I Inspector. White CopylInspector's File Canary Copy/Site Notice / ATE TIME � 5CITY OF ORONO CALLED IN !Q zlD �� INSPECTION NOTICE SCHEDULED a 7 T}2 PERMIT NO. -0D/0"0/Ot)Z COMPLETED 7� ADDRESS D _�Lrn G,, t)� �s.�L OWNER TELEPHONE NO.-26'3 CONTRACTOR DESCRIPTION � 1 � ❑ FOOTING El PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ❑ SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:—) NO COMMENTS: W a J O cc O U_ W cc Q Z W z W CC W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 El CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO 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