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
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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:
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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:
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GW '1WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
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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