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Home My WebLink About2010-00938 - roofing CITY OF ORONO PERMIT NO.: 2010-00938 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/05/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4520 WATERTOWN RD PIN : 31-118-23-21-0002 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 18,250.00 NOTE: TEAR OFF REROOF-ASPHALT SHINGLES APPLICANT PERMIT FEE SCHEDULE 324.50 AMERICAN BUILDING CONTRACTORS STATE SURCHARGE(VALUATION) 9.13 2960 JUDICIAL RD#100 BURNSVILLE, MN 55337 TOTAL 333.63 (952)707-6959 Minnesota State License#: 20169383 OWNER EPPARD, ROBERT D& SARAH M 4520 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 i,/onformance h the State Building Code.This permit may be revok•... any time ford ause. Al%icant Per itee ignature Date Issue. Cy Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ri Oct-04-2010 02:01 PM American Building Contractors 952-707-9925 �.,� / vi 'y / 1/1 k IVB"/ .r� 4A 13 3 1 2 City of Orono I Building Permit Application Mailing Address: Permit number. C73o/6—i3 g / •,0 Ai,. PO Box 68 0 Crystal Bey,MN 55323-0066 Date received: /0/L/ /LQ `,t1. Received by: ` G `i,► :. Street Address II J,, a A, o 2750 Kelley Parkway Plan review fee: z Orono,MN 55356 Total Fee; A 3 3 , Main: 952-249-4600 Fax: 962-249.4616 www,cl,crono,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 ress:INFORMATION: `7 5 0 ,�vtie- Od1Y) ,p 1 0 Job Slte Address: pL�-/ I� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No 0111 If yea,s spacial event permit Is required with Police Department and City Council approval 80 days prior to the event. Shuttle bus service ba required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP ICANT INFORMATIO`' '9,,—.21—7„, 7 r�' Name: ' , rc c sLmiric 1 C4`01-Wet eta irS -ii`-l_. State License# . W ,. Expiration Date: Le.,[—/r Phone: 'S';1,-• . ( -St (office)_ (cell) Mailing Address: 'a,9'60 'mote i et(L fab(. Cl . i {ri'//dr ZIP:55g3 7 Contact Perso • 4„A LJ:c Applicant Is: on rac o / Homeowner (owe ono Email andlo&FPi 95a--707. ,491"'Y PROPERTY OWNEA. INFORMATION: Name: loar-�- �� Phone(day); Address: t�Ja�er City: Q rip r‘o ZIP:55 3s1 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 0 Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55381 ®Siding IM Restoration ['Other: (specify) Phone: 052-471-0590 Fax: 952-471-0882 Re-roof ❑Fire Damage www.minnehahecreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ j , a„$© �� AJA/ APPLICANT ACKNOWLEDGEMENT: • Agrees to provide ell information required or requested by the Building Deportment; • 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: 4i. Date: 0'-e("rU _ r:, ,;,,. FoTetrm : TIME CITY OF ORONO CALLED IN /466;e1/11:2_ INSPECTION NO)'c _G� 3B SCHEDULED //e--) 1 d` PERMIT NO. COMPLETED ADDRESS OWNER /�ELEfiI O E N• /- jZ f�/`�' �/ CONTRACTOR /ie-A a DESCRIPTION i- ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 o COMMENTS: cc W CC O CC O W W W CC O r LU WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 00 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 17 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: + n Inspector. White Copy/Inspector's File Canary Copy/Site Notice /�j AT' TIME CITY OF ORONO ALLED IN /r INSPECTION OTIC ("SCHEDULED /0 .10 PERMIT NO. ��'� 3d COMPL ED ADDRESS OWNER 'Jiff ELEP a NE N• AV. - AI° a 627 CONTRACT() - fir , DESCRIPTION I Lu ❑ FOOTING ❑ PLUMBING FINAL I. EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: c W O O W W W CC O LU ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ElSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY • BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN LI 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: Inspector. L}( 7)3 'J White Copy/Inspector's File Canary Copy/Site Notice