HomeMy WebLinkAbout2010 - 00884 - roofing CITY OF ORONO PERMIT NO.: 2010-00884
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/27/2010
•
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 900 WILLOW DR N
PIN : 27-118-23-33-0020
LEGAL DESC : WOLFS RUN
: LOT 001 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 2,870.00
APPLICANT PERMIT FEE SCHEDULE 88.50
AMERICAN BUILDING CONTRACTORS STATE SURCHARGE(VALUATION) 5.00
2960 JUDICIAL RD#100
BURNSVILLE, MN 55337 MISC FEE 0.00
(952)707-6959 TOTAL 93.50
Minnesota State License#: 20169383
OWNER
MYHRAN,ERICK&TERI
900 WILLOW DRIVE 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 peri. of 180.ays at any time after work has commenced.
The applicant is r•.fonsibl 6r assuring all required inspections are
requested in oj�rmanc=fth the State Building Code.This permit may be
revoke. ,J - c.
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Applicant Permitee Signature Date 1
Issued By Signatufe Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Sep-22-2010 01.22 PM American Building Contractors 952-707-9925 1/1
-13300 s
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City of Orono I
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Building Permit Application
Melling Address: Permit number. Maio — FS
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(73,0:4'c).• PO Box 88
Crystal Bay, MN 56323-0066 Date received: '?4/a/3)//7
���"" Received by:
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Street Address:
''I J��' r``'' 2750 KelleyParkway�, , � �. � Plan review fee.
_: -4 • Orono,MN 55358
Total Fee: /�i� j 1f%/►/(� 9 % ,
Mein: 852-249-4500 Fax: 952-248-4616 www.ci.orono.mn.uL
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATN:
Job Site Address: on Lk.), ,\E1%).3' it () Or0{1.O �N S�3 SZc
Will this be a Parade of omes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
If yes,a special event permit is required with Police Department end City Council approval B0 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/APL�INFORM ION:
�,c+.,�., jv.�
Name: .v`_ C -•4.4.
State license# 2"4) llaqIra Expiration Date:
Phone: 9v. 7a-1- 9 ri (office) (cell)
Mailing Address: z-4 0 �,t .k,r:.r� Y'LC) I 0 0 CI t�+fwt1. r 1 t—
ZIP: 5 35 7
-
Contact Person: Applicant Is: ontracto / Homeowner prolong)
Email and/or Fax: C\6)-1 6. A .1L -MN • C 0 re--
PROPERTY
rPROPERTY OWNS FORMATION:
Name: Q.�\t, IV\ A 16.1
Phone(day): (a k/ —K\4 - -- 1`'%
Address: Q L'30 )• \Q,,J Or r City: C'D•lt Q ZIP: 53 3 5—r•=,
Email and/or Fax
PROJECT INFORMATION:
Type of Protect: Any earth movement may require
MCWD review&permits
❑ Door(s) ❑ Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
U Windows) cp.Repair {Storm Damage 18202 Minnetonka Blvd
Deephaven, MN 56391
®Siding in Restoration . 0 Other:(specify) Phone: 952.471-0580
Fax: 952-471-0882
'Re-roof In Fire Damage www.minnehahacreek.org
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ 7-5f06.2-1
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 V"
but to reject it until it Is complete; C*' (A1
• Some or all of the information that you are asked to provide on this application Is classified by State law as either private or ' Z�
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: l rf-\0
N ' Ragcr� m' , i1
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`%/���� T�n TIME
CITY OF ORONO U CALLED IN ��i' U
INSPECTIONMIC6 —�ggCHEDULED /0
PERMIT NO. COMPLETED-:
ADDRESS 9:60 Z0/7(6
OWNER T HO • NI / /
CONTRACTOR411r6( / , -
DESCRIPTION
W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
W• Cl POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
0 FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
• ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL
✓ ❑ PLUMBINGEI 0 SEP.T e FINAL El FOUNDATION/REMOVAL
- OWNE ONTRACTOR Til EET YOU:, YES_NO
cn COMMENTS:
CC
1.11CC
OG.-51/\ Q fri.)
cc
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W
W
cc
W
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cc
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W El WORK SATISFACTORY:PROCEED ROJECT COMPLETE
CC ❑CORRECT WORK&PROCEED ❑ I E CERTIFICATE OF OCCUPANCY
C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U 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 sit
t_,4,7 )
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice