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Home My WebLink About2010-01085 - roofing '- CITY OF ORONO PERMIT NO.: 2010-01085 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11/03/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 3520 WATERTOWN RD PIN 32-118-23-43-0014 LEGAL DESC N/A LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 9,877.00 NOTE: TEAR OFF REROOF HOUSE AND GARAGE APPLICANT PERMIT FEE SCHEDULE 191.75 PARSLEY BUILDERS INC STATE SURCHARGE(VALUATION) 5.00 2409 WEST 66 STREET TOTAL 196.75 RICHFIELD,MN 55423- (612)869-9100 PAID WITH CASH 196.75 Minnesota State License#:20375730 OWNER SCHULENBERG,THOMAS&JENNIFER 3520 WATERTOWN RD 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 applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at an e. App scant Permitee Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 _ City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: C;:,20Q 1 0 PO Box 66 Permit number: Q ` O Crystal Bay, MN 55323-0066 Date received: i b Street Address: Receivedy' 2750 Kelley Parkway Plan review fee: ��kESH�4� 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. (Please print) GENERAL INFORMATION:_ Job Site Address: �S_?d ['.i,� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes UNo /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 INFORMATION: Name: -P( SSC, &_%I a�,/zS State License# ;�2� 3 � - 7.3 U Expiration Date: Phone: Z 6-� -C=,/a c (office) (cell) Mailing Address: L 6 ` s City: ZIP: 5=s 2 Contact Person: s Q✓ Applicant is: Oontractop> / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: 2C),--N Phone (day): Address: �� ; �A �� 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 Re-roof ❑ Fire Damage www.minnehahacreek.org Overall Project Description: `fel- ak 'r (4,N % 6,,4 - Z_ Estimated Construction Valuation of Project (excluding land) $ q,��>. lti 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: ----- Date: Last Updated: 05-04-2009 �� DA TIME CITY OF ORONO CALLED IN J/ INSPECTION ROTI SCHEDULED PERMITNO.o�/f'a/agCo LET D ADDRESS 05,20 �� f"_ OWNER Mo&e4li TCr11 CmMONENO. CONTRACTOR DESCRIPTION tm ❑ FOOTING ❑ PLUMBING FINAL ElEXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS H ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO in COMMENTS: cc W a cc O Cr O LL W cc Q f2 2 W Z W cc Z) WXWORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 1:1 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 Copylinspectoes File Canary Copy/Site Notice