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Home My WebLink About2010 - 00383 - roofing CITY OF ORONO PERMIT NO.: 2010-00383 a" 4 2750 KELLEY PARKWAY ORONO, MN 55356— DATE ISSUED: 05/25/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 40 WEAR LA N PIN : 33-118-23-34-0010 LEGAL DESC : ROLLING MEADOWS 2ND ADDN : LOT 001 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 14,000.00 NOTE: REMOVE AND REPLACE EXISTING ASPHALT SHINGLES APPLICANT PERMIT FEE SCHEDULE 250.75 MASTERPIECE HOMES STATE SURCHARGE(VALUATION) 7.00 127 EAST COUNTY RDC TOTAL 257.75 LITTLE CANADA,MN 55117- (651)484-3244 PAID WITH CC# 1274 Minnesota State License#: 1435 OWNER HOFFMAN,HUGH J 40 WEAR LA N 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 any tim for due cause. � S-/ t 5 / i Applicant Permit�eJ6i nature Date /� ( c `� / g ssue, :y Signature Date SEPARATE PERMITS REQUIRED FOR WORK 0 ' ER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: PO Box 66 O O Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: o � ' ZsHo�`4'a Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.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 INFORMATION: Job Site Address: 40 Wear Lane North Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? n Yes ❑ No If 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: Masterpiece Homes, Inc. State License# 1435 Expiration Date: 3/13/2012 Phone: 651-484-3244 (office) 612-363-3022 (cell) Mailing Address: 127 East County Road C City: Little Canada ZIP: 55117 Contact Person: Howard Vigen Applicant is:c9.2ritractor Homeowner (Circle One) Email and/or Fax: 651-484-7723 PROPERTY OWNER INFORMATION: Name: Hugh Hoffman Phone (day): 612-375-6730 Address: 40 Wear Lane North City: Orono ZIP: 55356 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel 0 Water Damage Minnehaha Creek Watershed District(MCWD) ❑Wndow(s) El Repair 0 Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration El Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ACRe-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Remove and replace existing asphalt shingles Estimated Construction Valuation of Project(excluding land) $ 14,000 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: S 1 z 1 ( o D TIME ti CITY OF ORONO CALLED IN 62: INSPECTION NOTICE SCHEDULED PERMIT NO.02OLD—0a3d3 COMPLETED // ADDRESS A2 V6 - (� Al • OWNER /,, TELEPHO NO.�+el -.3 3 30 a2_ CONTRACTOR � *.a/e!'c / >; DESCRIPTION / i'tt2-E „LJ 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Cl SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ CIDEMO-FINAL CISEPTIC INSTALL CIHARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL g OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W Q. cc O 0 W W W W cc OLu ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE CC0 CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next ins. • tion 24 hours in advance. (952) 249-4600 Owner/Contractor s' e� Inspector. k- White Copy/Inspector's File Canary Copy/Site Notice ATE TIME J CITY OF ORO O ALLED IN - INSPECTION NOTICE /M]� „SCHEDULED / /b 90 0 PERMIT NO. o�J�D'�/v�6LJCOMPLETED ADDRESS 440 OWNER TELEPH , NOc 3:3 CONTRACTOR �c-x-J P/ - DESCRIPTION `•` /Ie Lu ❑ FOOTING ❑ PLUMBING FIN"I ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 14 ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL 0 PLUMBING RI ❑ SEIXFINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU: YES NO o COMMENTS: cc W Q.. cc O CC O W CC W W CC JWORK SATISFACTORY:PROCEED El PROJECT COMPLETE W El CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY C ❑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 e: Inspector. L t. C �� White Copy/Inspector's File Canary Copy/Site Notice