HomeMy WebLinkAbout2010-00923 - roofing CITY OF ORONO PERMIT NO.: 2010-00923
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/30/2010
952 249-4600 FAX: 952 249-4616
ADDRESS 3980 WATERTOWN RD
PIN 32-118-23-32-0002
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 : $ 7,500.00
NOTE: TEAR OFF REROOF
APPLICANT PERMIT FEE SCHEDULE 162.25
PRO CUSTOM BUILDERS STATE SURCHARGE(VALUATION) 5.00
16231 S.HILLCREST CT TOTAL 167.25
EDEN PRAIRIE,MN 55346-
(952)949-8692
Minnesota State License#:20593782
OWNER
SCHMIDT,RICHARD&ROBERTA
3980 WATERTOWN RD
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 for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested ijc 'formance with the State Building Code.This permit may be
revo at me due use.
9130/ ID
App 'ApyMiT Permitee Signature Date Issued6ly Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Sep 30 10 09:34a Pro Custom Builders 952-949-8692 p•1
AvQ-0510 10:49am From-CITY OF ORONO 49522494616 7-390 P.001/001 F-449
Or City of Orono
Building permit Application for!Internal Work
(windows, doors, siding, re-roof, etc.)
O
y Mailing Address:
V `i` PO Box 66 I Permit number: �C�l
Crystal BDate received:
2750
7 ddress: Received by.
50 Kelley Parkway -Plan review fee:
Orono,MN 55356
Main: 452-249.4600 Fox, 9522-249-46115 X. M.ci.orono.mmus, Total Fee:
�Y Ol •,�
This application form must be completed in full and all required information must be submitted.
GENERAL INFORMATION: Incomplete applications will be returned. (Please print)
_T
Job Site Address:
Will this be a Parade of Homes, Remodelers Showcase Home or other Display H ie? Yes C9 No
fryes,a special event gamin is requli d v4M Polka Depart/nenl and Cio Counaiapproval¢o days prior loft event Shuffle bus servlce will be
rsauimd unless amikent demonstrates sufficlent on-sl(rp{t?*Jrn Jc igygd b*.
- •r-••• uwi YV VNV./Oy.
CONTRACTOR 1 ATPLICANT INFO ATI
Name: o C Sto C^ Q0 - d
State license# 2 b 6* Expiration Date: _ O
Phone: Jr office
(cell)
Mailing Address: 6 G Cit p ZIP: j~ c
,�,:rlioant is: :Gi i,'8�tri r' riurnvuwaar (crrsie one)
Email and/or Fax:r
PROPERTY OWNR INFORMATIO
Name:
Phone(day): ` — Rf
Address: O Zlp: S "
Email and/or Fax
PROJECT INFORMATION;
Type ofProject: Any earth movement may require
[3Door(s) ❑Remodel mcwb review&permits
O'Water Damage
I
Minnehaha Creak Watershed District(MCWD)❑Windowfa% 6" Repaif 6"1
Storm uaffiloac ifuu[IVlinnelOnlcJ Blvd
Siding I n onto;;t;,... I n., .1 . Deephavan,MN 55391 f
SI " , ..thar. (spec„rr Purr*: 952-471-0590
Fax: 952-471-0682
Re-roof Q Fire Damage �new.rninnehahacreek.om
Overall Project Deeeri"llon:
Eo irtatow Construction Vaiuedurt of Project(excludhig land)
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 I
8fa solely raspbosiwe for submltdng a complete appilcation being aware that upon failure to do so.the staff has no altemative I
but to reject 11 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 inforrnadon 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 vo gmmenta: sgenc;as f
t required by law. If you refuse to supply the Information,the application may not be issued.
Applicant's Signature: Date:
Last Update:: _IS-04-2605
11
4_11)3 D E J� TIME V
CITY OF ORONO LEDNl �5 1 /O
INSPECTION NOTICE SCHEDULED f
PERMIT NO. a4l n_-CQg23 COMPLETED
ADDRESS '�?M4-721-1.
OWNER TE PHON 10. ` _a -9yq
CONTRACTOR
DESCRIPTION �c�
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
ti ❑ 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
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINA ElFOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES&NO
COMMENTS:
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W
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QC
tij ❑WORK SATISFACTORY:PROCEEDcc <ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY
❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
BEFORE COVERING 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:
Inspector.
White Copylinspector's File Canary Copy/Site Notice