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Home My WebLink About2010 - 00950 - roofing 6 CITY OF ORONO PERMIT NO.: 2010-00950 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/05/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 975 WILDHURST TR PIN : 07-117-23-12-0002 LEGAL DESC : UNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: TEAR OFF REROOF-TREE DAMAGE APPLICANT PERMIT FEE SCHEDULE 191.75 STATEWIDE CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 5.00 4235 SPRUCE ROAD ST BONIFACIUS,MN 55375- TOTAL 196.75 (612)590-2938 Minnesota State License#: 20447170 OWNER SODERMAN,ANTHONY 975 WILDHURST TR MOUND, MN 55364 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'n conformance with the State Building Code.This permit may be revoked . any time for due cause. l4 / / /J (21 631A-00---11J /vi 6" I/0� Applicant '- t e ature Date Issues(' Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. c4 City of Orono 37 / Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: �,°.11'.-- PO Box 66 Permit number: c./10/40—' 50UUl Crystal Bay, MN 55323-0066 Date received: /4/s/0 �`�"' Received by: I>t.z �, Street Address: � y y;^SI `.4,0�i5 2750 Kelley Parkway Plan review fee: 9kESHOgOrono, MN 55356 Total Fee: /.' (". 7S 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 INFO RMATIONY7S - \` �� ` �cQ,`\ 6`-t _ S S-3/ y Job Site Address: 77 (N ci� to 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 service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP ICA T INF RMATION: Name: .,Skcc € �%�5. `_��c., State License# 'L c20 'y7/ 70 Expiration Date: o,.2p/2_ Phone: (p 12 -S'S i -Q 5 4e5)-• (office) 75-a-- VV -17 t 9 (cell) Mailing Address: e-72-3_5- tee.5teC . City: /s-,S'o,,-,-. .-s ZIP: s-5-.§71— Contact Person: G5 es .e- S Applicantf c�S S Ais: Contractor / Homeowner (circle One) Email and/or Fax: PROPERTY OWNEFNF MATION: Name: Ph >q_ S 2a .nr Phone (day): Address: F? inn--i - - -4\ City: mot,. - % ZIP: S'-s-- Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) El Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) r- epairToee �❑ Storm Damage 18202 Minnetonka Blvd V Deephaven, MN 55391 ❑ Siding El Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Z'Re-roof El Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ /6d.." 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: _ , 4 ,,,- Date: �tl) , '�� Last Updated: 05-04-2009 7 DAT _ TIME CITY OF ORONO CALLED IN /o ` INSPECTION NOTICESCHEDULED /O (-!D - lJ PERMIT NO. •26/0-6,,--'7 -' COMPLETED ADDRESS 975 tJ-" /o/AUf5Y- %'-- OWNER TELEPJ NE NO.(a/a7 -59o-67793g CONTRACTOR Si- tL d-6 ( �7 3- DESCRIPTION LL. LI 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 Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP _ 0 DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: ec W C J o f tJ d� �•Ve p., S -4� A.10 cc 0 W z W cr d ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC ❑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 ❑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. White Copy/Inspector's File Canary Copy/Site Notice