HomeMy WebLinkAbout2010-00851 - roofing - CITY OF ORONO PERMIT NO.: 2010-00851
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/22/2010
952 249-4600 FAX: 952 249-4616
ADDRESS 102 CHEVY CHASE DR
PIN 36-118-23-41-0031
LEGAL DESC HILL O'WAY MANOR
LOT 026 BLOCK 001
PERMIT TYPE MINOR ALTERATIONS
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ROOFING -ASPHALT
ACTIVITY O/S BUILDING-UNDEFINED
VALUATION $ 7,440.00
APPLICANT PERMIT FEE SCHEDULE 162.25
TRINITY EXTERIORS, INC. STATE SURCHARGE(VALUATION) 5.00
4204 PARK GLEN RD
ST LOUIS PARK, MN 55416- MISC FEE 0.00
(763)473-8200 TOTAL 167.25
Minnesota State License#: 20629997
OWNER
YOKIEL, SCOTT&JENNIFER
102 CHEVY CHASE DR
WAYZATA,MN 55391-
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 nstruction authorized is not
commenced within 180 days of th date of issuance,or if construction is
suspended for a period of 180 d s at a time after work has commenced.
The applican resp sible f ring Il required inspections are
reque contor cc w' he Sta Building Code.This permit may be
rev ti e or d aus
scant Permitee Signature Date /
AIssuBy 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.)
O MailiPO sox 66 Permit number: caole—66 005/
0 0 Crystal Bay,MN 55323-0066 Date received: 9�/7 /10
a a Straet Adgrass: Received by: 6411
2750 Kelley Parkway Plan review fee:
�sSo4`� Orono.MN 55356
Main: 952-249-4600 Fax: 952'-24911616 www.ci.orono.mn,us Total Fee: 16 7, ZS^
This application formmust be completed in full and all required information must be submitted.
Incomplete adplications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: fpr, C�,e, !C�re�S. �r I le-
Will this be a Parade of Homes, Remod 4s;Showcase Home or other Display Home? LJ Yes allo
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-sine parking is available. Non-permitted events will not be allowed,
CONTRACTOR/AP LICANT INFORMATION:
Name: '
State License# 0(36Expiration Date:
Phone: t office cell
Mailing Address: lg4Or .r-(c, ,,A 4 zip:
Contact Person: p�, Applicant is: ontrac T6 Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name:
Phone(day):
Address: I07a c- f, a2 U City: Wg.0Z--4-,- ZIP: 5.5,3 4
Email and/or Fax T
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
e-roof ❑Fire Damage www,minnehehacr ok.org
Overall Project Description: tN '" t �.
Estimated Construction Valuation of Project(gxc udin land) $ 7
1490
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required o 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 govemmental agencies
required by law. If you refuse to supply the.information,the application may not be issued.
Applicant's Signature: Date: q 17/ 21-0 10 _
Last Updated: 05-04-2009
D TIME
CITY OF ORONO CALLED IN
INSPECTION OTICSCHEDULED
PERMIT NO. $dg�si COMPLETED
ADDRESS 60
OWNER E_EPHONENO. 95'2_920 /5�
CONTRACTOR l/'Yh /T�l "f'
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
h ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J ❑ DEMO-SITE ❑ 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
COMMENTS:
W
O
cc
O
W
Q
10-
;z Z
W
W
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W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
CJ BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR _1 CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (J52) 249-4600
Owner/Contractor on site:
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
TIME
CITY OF ORONO CA LED IN Gy !
INSPECTION NOTICE SCHEDULED / Z Z—
PERMIT NO. -;7-yW COMPLETED
ADDRESS � , ` /
OWNER E HONE NO. -7(Z773
CONTRACTOR
DESCRIPTION
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI El LAKESHORE/WETLANDS
ti ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ 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
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNER/CONTRACTOR TO MEET YOU:_YES_NO
in COMMENTS:
CC
LU
CL
cc
J
O
a
cc
O
W
CC
Q
Z
W
Z
W
CC
GWWORK SATISFACTORY:PROCEED CI PROJECT COMPLETE
W° ❑ RRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY
O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
-1 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 CopylInspector's File Canary Copy/Site Notice