The URL can be used to link to this page

Home My WebLink About2010 - 00960 - roofing CITY OF ORONO PERMIT NO.: 2010-00960 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/07/2010 (952)249-4600 FAX: (952) 249-4616 ADDRESS : 985 WILLOW VIEW DR PIN : 28-118-23-44-0011 LEGAL DESC : WILLOW VIEW : LOT 010 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: TEAR OFF REROOF-ASPHALT APPLICANT PERMIT FEE SCHEDULE 191.75 THOMAS BREN HOMES STATE SURCHARGE(VALUATION) 5.00 2073 WAYZATA BLVD. W.#50 TOTAL 196.75 WAYZATA,MN 55391 (952)475-6777 Minnesota State License#: 20128144 OWNER BROCKMAN,JENNY&GERRY 985 WILLOW VIEW DR 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 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any tim or due c use. /41 / -7 671/tJZ,A) /6 7 / Applicant Per ' e Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono 24. -- /,S1‘25--- I Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) QQ 91C) Mailing Address: Permit number: -1.0 r 0'r�/�� 11)C). ,�,� PO Box 66 �b 44 Crystal Bay, MN 55323-0066 Date received: /0/7/0 Received by: i �,r;, ti Street Address: �c, ti 2750 Kelley Parkway Plan review fee: f,•a�I,, ��G Orono, MN 55356 t`4EsHo0 Total Fee: /96, / 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: `-1 5 G✓/z-e-eGJ (///) ze Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 7 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/APPLICANT INFORMATION: Name: 7-761014-7.4-1Z:,v4:) ,4'si //vc_ . State License# �p,-.2Y-/q1 Expiration Date: Phone: 9S2 - 0 -67 7) office) (o<Z 75-9- Spiv (cell) Mailing Address: 2673 t,.r. e',/„4-y2,¢7W £Ls-/j, -;--o City: .n!' ,,gx.,ff ZIP: --6 JS , Contact Person: -739j S72-/Eyt Applicant is: con racto / Homeowner (Circle One) Email and/or Fax: z�/2?,-: c- -,-*,�,-6 .,,,.,2_ j- ! L,o;,,._ PROPERTY OWNER INFORMATION: Name: , i2_UC X4,4-cd d TfzNe iL>4/ Phone (day): Address: _S;4--1-1-7, City: 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 Fax: 952-471-0682 We-roof E Fire Damage www.minnehahacreek.orq Overall Project Description: 7-4-Aix ULA 5i , _/zJdr - 23 Estimated Construction Valuation of Project(excluding land) $ /o - 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: <� Date: /v 7 /v /9 Last Updated: 05-04-2009 I .��j •• TIME ITY OF ORONO CALLED IN `� ' i I/ ‘/ INSPECTION N•TICE SCHEDULED /r / : D PERMIT NO ...Air /-p/0'�40 CO/MP/ D ADDRESS tea. 1 f ,ui L Q .(At OWNER TEL )H•NE NO952) --"-5-4,777 CONTRACTOR _JJ. _I R __/ ea,- / / >".: DESCRIPTION _ / 75, 500 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING 4. Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNER/CONTRA RTO MEET YOU: 2 S_ COM ENTS'+ r).n�L 1 u ,S V1(oI G " 1 ` V s0 la- ' --r_ % ! l-I - cc 0 a cc 0 U. W cc Q W z W cc LU ❑WORK SATISFACTORY:PROCEED T PROJECT COMPLETE W LICORRECT WORK&PROCEED ❑"ISSUE CERTIFICATE OF OCCUPANCY CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: 7 r Inspector. L.-i.' I:'- f j) t,' White Copy/Inspector's File Canary Copy/Site Notice TIME V CITY OF ORONO r CALLED IN ` i INSPECTION / CHEDULED PERMIT NO. / OMPLETE - 10 ADDRESS /1/072�� OWNER TELEP,• ONE NO. _ , - 5- -U CONTRACTO' L_I1. A1 ` / _ DESCRIPTION Lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS Ci) ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W ec 0 ec 0 W cc Q W W d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 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