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Home My WebLink About2010-01180 - roofing CITY OF ORONO PERMIT NO.: 2010-01180 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 12/07/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 1300 VINE PL PIN 07-117-23-42-0002 LEGAL DESC REG.LAND SURVEY NO. 0488 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 29,249.00 NOTE: THIS PERMIT INCLUDES TEAR OFF REROOF,NEW GUTTERS AND RESIDE THE CHIMNEY. APPLICANT PERMIT FEE SCHEDULE 466.75 AMEV*CONSTRUCTION STATE SURCHARGE(VALUATION) 14.62 9555 JAMES AVE S#228 TOTAL 481.37 BLOOMINGTON,MN 55431- (952)888-1200 Minnesota State License#: 20164402 OWNER STERLING,RICK&KRISTINE 1300 VINE PL MOUND, MN 55364 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 p iod of 180 days at any time after work has commenced. The applicant is res ible for assuring all required inspections are reque nce . the State Building Code.This permit may be ked a '�J �) //0— / Applicant Permitee Signature to 41dNBySignature 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.) / 0,�, Marl rPO Box 66 Permit number: c>ng Address: /D'C7Il 0 O Crystal Bay, MN 55323-0066 Date received: Z (� Street Address: Received by: �n Gti� 2750 Kelley Parkway Plan review fee: tES80�� 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. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: 1?)cc V, VAD— P[a3 C n. WII this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El Yes DNo tf 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: I IYVI '+� L�V15tY LiC�t�lil State License# 44 D2 Expiration Date: D3 13 1 / 2011 Phone: office cell Mailing Address: Ci :0LY)IV1ZIP: 35451 Contact Person: Applicant is: on ra or / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: I no Phone (day): Address: j ODD V,-V\-(L AiaLL City: ZIP: J-7JLk 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 WRe-roof ❑ Fire Damage www.minnehahacreek.org Overall Project Description: I'lE'Ltd Li{"1eVS Estimated Construction Valuation of Project(excluding land) $ 201. 244 03 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: k Lu D_t Date: /I U Last Updated: 05-04-2009 resJ4d._2 / �DAT�E TIME CITY OF ORONO CALLED IN INSPECTION-NOTICESCHEDULED I a7:3p PERMIT NO. /O d/Z/1p() COMPLETED ADDRESS 1300 017e p/ OWNER TELEPHONE NO.� 13 - Y/ 7- S/,?q CONTRACTOR AMeC- DESCRIPTION R004 -)C7 na/- tW ❑ FOOTING ❑ PLUMBING FINAL ElEXCAV/GRADING/FILLING Q ❑ POURED WALL Cl MECHANICAL RI ❑ LAKESHORE/WETLANDS to ❑ FRAMING ❑ MECHANICAL FINAL Q El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ElDEMO-SITE ElSEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO v) COMMENTS: W C J O a O W W cc Q 2 W W cc ❑WORK SATISFACTORY:PROCEEDKCEIPISUE OJECT COMPLETE rc W ❑CORRECT WORK&PROCEED CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING 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 inspecti n 24 hours in advance. (952) 249-4600 Owner/Contractor site: Inspector. White Copyllnspector's File Canary Copy/Site Notice