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Home My WebLink About2010-00912 - roofing [ CITY OF ORONO PERMIT NO.: 2010-00912 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/28/2010 952 249-4600 FAX: 952 249-4616 ADDRESS 3580 WATERTOWN RD PIN 32-118-23-43-0003 LEGAL DESC UNPLATTED 32 118 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 15,000.00 NOTE: TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 265.50 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 7.50 12366 RIVER RIDGE ROAD BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 (612)861-7000 TOTAL 275.00 Minnesota State License#:20593656 PAID WITH CC# 5206 OWNER COOK,PETER&KARI 3580 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%th the State Building Code.This permit may be revoked at any time for due cause. CG&AL&& l l /o Applicant Pertnitee Signature Date ssu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. " # l3 I I Coo City of Orono Building Permit Application for Internal Work windows, doors, siding, re-roof, etc.) iblall�PO�6� OPermn+b Permit nuer: SOI o- 069/ Crystal Bay.MN 553234066 Date received: � Sheet Address: Received by: G 2750 Kelley Parkway Plan review fee: � Qss' Orono,MN 55356 Main: 952-249-4600 Fax: V52-249-4618 www.morono.mn,us Total Fee: This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION Incomplete applications will be returned. (Please print) Job Site Address: Lklion Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No Ny",a spedal event permit is required with Police Depanowfif and City Coundl approve/60 days prfor to the event. ShWW bus service w9 be required unless applicant demonstrates si liraant on slle peMkV is available, Non-parmftd events Wfil net be aknVed. CONTRACTOR/A LICANT INFORMATION: Name: tt State Lioense# Expiration pate: Phone: - Ot�O ffice cell Mailing Address: CI ZIP: Contact Person: Applicant is: Contractor / Homeowner (c&do am) Email and/or Fax: PROPERTY OWN NFO MATION: .( Name: J . Phone(day): Cksa 165-1 Address: ci zIP: Jr 5 l Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may roquire MCWD review&permits 13Door(s) E3 Rona" ❑Water Damage Minnehahs Creek Watershed District(MCWD) ❑wkx"$) ❑Repair ❑storm Damage 19202 Minnetonka Blvd MN 55391 L]Siding ❑Restoration [I Other(specify) Photo: 952.471-0590 Fax: 952.471-0682 LJJ�R []Fire Damage www.minnehahacreek.orn Overall Project Description: -1T . Estimated Construction Valuation of Pilblect(excluding 1 d) APPLICANT ACKNOWLEOGOMENT: • Agrees to provide all information required or requested by the Building Department • Certifies Out the information supplied Is true and corned 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 Ho Informetlen that you are asked to provide on this application Is classified by Biala low as either private or confidential. Private data is.information which generally cannot be ghren to the public but can be given to the subject of the date. Confidential data Is lidorrnadon which generally cannot be OWM to either the public or fine subject of the data. Our purpose and Intended use of this inWmadon Is th annually update our records and records of other governmental agencies required by law. If you refuse kLsopply the Whanedon.the application may not be issued. Applicant's Signature: Last Updated: 05.04-2009 /�!) ATE TIME V CITY OF ORONO 9XGALL�EDIN �d _ INSPECTION NOTICE� SCHEDULED PERMIT NO OO COMPLETED ADDRESS ?_1670 1.47W OWNEREPHON NO. CONTRACTOR �'� DESCRIPTION UW ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: W 0. O Cc O 0. W Cc Q 2 W z_ W Wf WORK SATISFACTORY:PROCEED El PROJECTCOMPLETE � 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 ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: r t Inspector. White CopylinspectoPs File Canary CopylSite Notice ofd` C� D TIME V CITY OF ORONO CALLED INS INSPECTION NOTICE � SCHEDULED S-3-1 1 PERMIT NO.x010-0 �/� ' 1 � COMPLETED ADDRESS tf 35F'D Gc) 44 OWNER TELEPHONE NO.(01Z-gb 1-7060 CONTRACTOR S Cc��-T a DESCRIPTION '`O e T I no� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/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 OWNER/CONTRACTOR TO MEET YOU:_YES_NO vOi COMMENTS: cc W a O O W W QC Q 2 W Z W k O ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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: - '0 fl�E Inspector T' /15 White CopylInspector's File Canary Copy/Site Notice