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HomeMy WebLinkAbout2010 - 00710 - roofing 1F• CITY OF ORONO PERMIT NO.: 2010-00710 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/16/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1801 WEST FARM RD PIN : 27-118-23-44-0019 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 30,000.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 466.75 TIMBERLINE ROOFING& SIDING STATE SURCHARGE(VALUATION) 15.00 5051 HIGHWAY SEVEN SUITE 270 TOTAL 481.75 MINNEAPOLIS,MN 55416- (612)363-6158 OWNER MULDOON, PAUL 1 80 1 WEST FARM 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. of s.-cified herein.This permit will expire and become null and .id if con...truction authorized is not commenced within 180 e s. •_ .. . ' uance,or if construction is suspended for ape •,.n 180 day .t any tithe after work has commenced. The applican • res..nsible fo .Surifig all required inspections are requested• confo ance e State Building Code.This permit may be revoked. any ti. e fo .'e caul - it,1914/La.-A- ) ,./ /0 Applic. Pers.' ee Signature Date Issu d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: p20/Z)—ZZ) 7/0 Cr Box 66 3/'/ /� O Crystal Bay, MN 55323-0066 Date received: / Received by: I/(t � z ti Street Address: 1 ,4: �r,���;. 4,Gti 2750 Kelley Parkway Plan review fee: -kEsacie Orono, MN 55356 �] Total Fee: `/-,R17. /5— 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: ( Gies Fo d060 a' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? fl Yes ,1 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/AP IC NT INF RMATIO.N.— Name: ` (/MZ2P✓/fine f r` SIC,Ot State License# Zo(pJ /ZG/4/ Expiration Date: ,T-,j/ /7 Phone: I3 2 9 Z 6 /9/6 (office) (cell) Mailing Address: 3-05/ /794„ay 7 se",{e. 2 7 City:J ip c c ZIP:$Sfj/i Contact Person: Gc r Q y £ l Z 1365 6/5-? Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: 93-2 - 426 - /sib - 6onio /kW, cam, PROPERTY OWNER INFORMATION: Name: ,a,,, / /1/'ladaor► Phone (day): tf5/Z - 3.9/ - 370 o Address: /,go/ Gf rc./, City:O'-z' -i 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 Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 30,ood 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 jojcZvide 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 inform. •+ • - nually update our records and records of other governmental agencies re.uired b law. If ou refus= • u•.1 th- forma -,the a..lication ma not be issued. Applicant's Signature: 4110- Date: = `6 Last Updated: 05-04-2009 ATE TIME CITY OF ORONO CALLED IN \.) INSPECTION NOTICE SCHEDULED _ PERMIT NO. o-tOP,- 4,67t0 COMPLETED 7"icf ADDRESS I if()/ lam- F4r-MIL OWNER TELEPHONE NO. CONTRACTOR nIL4 ei el-/,bm, /20.=1- 1,5. fir- s .. • DESCRIPTION 2e- ✓`L7df- 6'r) LJ ❑ FOOTING ❑ PLUMBING FINAL I] EXCAV/GRADING/FILLINC ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDSLl Q ElFRAMING L17MECHANICAL FINAL LiTREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS JI., .4NAL ❑ SEWER HOOK-UP El COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J CI PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU: YES_NO COMMENTS: cc Let' OS r pt - 40l nqL >015f9ec._eeo.t r7 LG45` cc x/1(0 -feet 6-Ltti�'� /sz rcco_ cr -4O L --- d 7f. /75Q - ✓'eCp.cQQ� o - Lu _- C i►.drle a4e4i5 (2),fry.4-7(e___ W �+ W Qe/ t_2` 'rt. AV cc d LU ❑WORK SATISFACTORY:PROCEED -C.BO' 1EET COMPLETE cC W CICORRECT WORK&PROCEED C1ISSUE CERTIFICATE OF OCCUPANCY 0 ID CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C, BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR G 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. ( 1 — ' White Copy/Inspector's File Canary Copy/Site Notice 0- /P* e d DAT TIME \/ CITY OF ORONO CALLED IN � D A INSPECTION NOTICE SCHEDULED j d ,4/y, PERMIT NO.a/a!O-40 7/0J COMPLET L ADDRESS 674" / �l , L OWNER �. TEL•EPHO NOI"�a-3403-6(5g CONTRACTOR 7Mt alai DESCRIPTION 5 ala • ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q• ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE 0 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: LU Q. CC O CC O W CC Q W LU CC S GW '1WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW El CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR CI 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