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Home My WebLink About2010-00957 (Re-roof) ►� CITY OF ORONO PERMIT NO.: 2oiaoo9s� p 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/06/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1261 ARBOR ST PIN : 10-117-23-31-0032 LEGAL DESC : CRYSTAL BAY MINNETONKA : LOT 000 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,750.00 NOTE: TEAR OFF AND REROOF HOUSE ONLY APPLICANT pERMIT FEE SCHEDiJI.E 118.00 WRIGHT HOME IMPROVEMENTS STATE SURCHARGE(VALUATION) 5.00 4735 NORWOOD LANE N TOTAL 123.00 PLYMOUTH,MN 55447- (763)559-4250 Minnesota State License#:20035829 OWNER PETERSON,F&B P.O.BOX 164 CRYSTAL BAY,MN 55323- AGREEMENT AND SWORN STATEMENT The work for which this pertnit 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 aze requested' onform e with the State Building Code.This permit may be revoke time due ca e. / / /(1/ (.A /(.� Applic t Pe i e Signature Date Issue y 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 Boxr66. Permit number: �-- � Q O Crystal Bay,MN 55323-0066 Date received: � � �� a Street Address: Received by: �titi 2750 Kelley Parkway Plan review fee: � '�E�ogw Orono, MN 55356 Total Fee: ��,� 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 retumed. (P/ease print) GENERAL INFORMATION: Job Site Address: c �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a special eve►rt 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 suffi'cient on-site parking is availaBle. Non permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ((�d�dn.y�rfi ��.-t �'vM, " State License# aUv �,��5 Expiration Date: 1 l Phone: J76.� ,�S"�� [�.S�� (office) �l1-� i�'—��i�l (cell) Mailing Address: �'��w�v� rt/ Ci : � ZIP: y � Contact Person: o�., �, �r1o� Applicant is: actor / Homeowner (Cfrcle One) Email and/or Fax: PROPERTY OWNER INFO ATION: Name: len� Q-C ��f f'�n Phone (day): 5,j'l-�'7S"'—� 7d 6 Address: �`� �,�, .-P 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 Waterslied District(MCWD) ❑Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fa�c: 952-471-0682 �Re-roof ❑ Fire Damage www.minnehahacreek.orc� Overall Project Description: f �-' - �d e�� Estimated Construction Valuation of Project(excluding land) $ � 7,y� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and coRect 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 altemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this applicafion 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 re uired b law. If ou refuse to s I the information,the a lication ma not be issued. , �� D 6 v Applicant s Signature: � Date: l LastUpdated: 05-04-2009 � �,� � E TIME � CITY OF ORO O CALLED IN Ia ,�C7 INSPECTION TIC ,�CHEDULED /� //v �• PERMIT NO. d ��S/cOMPLETED G��7L� ADDRESS �� r� �i2� OWNER � ELEPHO E PI0.7�� 559- 7�� CONTRACTO � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS 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 J ❑ PLUMBING RI ❑ SEPTIC FIPIAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a j �O � O � w � Q � z W � W � � ��WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W ❑CORRECT WORK&PRaCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIUNWITHIN HOURS. ppHOTOTAKEN INSPECTOR WFLL RETURPI �STOP ORDER POSTED.CALL IPISPECTOR �CITATION ISSUED �INSPECTIOIJ REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advanc�. (952) 249-4600 OwnerlContractor an site: Inspector. d �1�� White CopyMsp�tor's Flle Cenary CopylSite Notice