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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 O d 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