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Home My WebLink About2010 - 00963 - roofing • " CITY OF ORONO PERMIT NO.: 2010-00963 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/07/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1889 WEST FARM RD PIN : 27-118-23-43-0015 LEGAL DESC : THE FARM AT LONG LAKE : LOT 013 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 9,400.00 NOTE: TEAR OFF AND REROOF-HOUSE AND GARAGE APPLICANT PERMIT FEE SCHEDULE 191.75 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 5.00 6541 SYCAMORE CT N MAPLE GROVE,MN 55369- TOTAL 196.75 (763)427-9696 Minnesota State License#:20637010 OWNER SCHINKE,TIMOTHY 1889 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 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 dys at any time after work has commenced. The a cant is ponsible :assuring all required inspections are re ested in confo ance tti the State Building Code.This permit may be yoked at any ti e ford cause. 701 ,( AO7 / se Applic ermitee Signature Date Issue y 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: ow e-1)094_3 PO Box 66 ‘Iv Crystal Bay, MN 55323-0066 Date received: /07740 Received by: � „,�p,, Street Address: l) :'I=t� o, 2750 Kelley Parkway Plan review fee: �'togs' Orono, MN 55356 xEsso Total Fee: 75 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. 4/7 Incomplete applications will be returned. (Please print) GENERAL INFORMATION: pp��--�� Job Site Address: gS 7 GJ Ja v,� tr v Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 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 servic ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPRACA T INFORMAT N: Name: ! L)2S State License# oZ 6b l 6l-7 Expiration Date: -3/`3 l azo/z Phone: "Ilv 3 - Ya-� y6�(, (office) (cell) Mailing Address: S c - C Cit : a (.e. GZIP: S Contact Person: t`e:c^ Applicant is: oiitraC o Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Tw ? vty1� Ch}e.. - Phone (day): tc /3 -ec -/4/0 f n Address: /687 LJ F��vice, rx City: L.oh7 LT fie_ ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) 0 Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) 0 Repair 0 Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding 0 Restoration 0 Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 iSfRe-roof ❑ Fire Damage www.minnehahacreek.orq (((Overall Project Description: -t-e uv o a, ve V oa VA07tS2 oc -c(7 Estimated Construction Valuation of Project(excluding land) $ (i4/ 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 re.uired b law. If ou refuse"to su•;I the information,the a••lication ma not be issued. Air Applicant's Signature: ,.. Date: /0/-7//0 Last Updated: 05-04-2009 ' C _ DATE TIME ‘,/ �ITY OF ORONO CALLED IN E/ / 1/ / C INSPECTION NOTICE SCHEDULED /t.. h cV/ Z ^ PERMIT NOdO - Q(j9(j, �( COMPLETED ADDRESS /SSC?C? I '. h tri OWNER TELEPHONE NO. -2&3,,),()'&,-4v-tin CONTRACTOR /r;�[ '�� DESCRIPTION /7;ria ( e 763 � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS ' ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL ▪ OWNER/CONTRACTOR TO MEET YOU: YES NO o COMMENTS: cc W Q. CC ccu W W cc d IQ CI WORK SATISFACTORY:PROCEED AROJECTCOMPLETE CC W DiCORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑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 s' -: Inspector. - S White Copy/Inspector's File Canary Copy/Site Notice