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Home My WebLink About2010-01178 - roofing ' CITY OF OR NO PERrn�T No.: 2oio-oil�a ' 2750 KELLEY PA WAY ORONO, MN 55 56- DATE �SSUE�: 12/06/2010 952 249-4600 FAX: 9 2 249-4616 ADDRESS : 4245 BAYSIDE RD PIN : 06-117-23-13-0001 LEGAL DESC : UNPLATTED 06 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATIOIY : $ 18,000.00 APPLICANT PERMIT EE SCHEDULE 309.75 INCLWE ENTERPRISES 1NC STATE S RCHARGE(VALUATION) 9.00 26175 BIRCH BLUFF RD SHOREWOOD, MN 55331 TOTAL 318.75 �612)471-9065 Minnesota State License#: 20168831 OWNER WHITE, GREC & AVIS PO BOX 375 LONG LAKE, MN 55356-0375 AGREEMENT AND SWORN STATEMENT `Che�vork tbr which Uiis permit is issued shall bc perfonned according to the approved plans�nd specifications,applicable Cit��approvals,and the State Building Code. "fhis permit is for only the��ork described and docs not grant pernvssion lor additional or related��ork�vhich requires separatc permits. All provisions of la��s and ordinances governing this type of work shall be compied�vith N�hether or not specified hercin."I�his permit will e�pire and become null and void if construction authorized is not commenced within 180 days ofthe date of issuance,or if construction is suspended for a period of I days at any time after work has commenced. "I'he applicant i responsi e for assuri II required inspections are requested in c nformanc �yith the St e uildin�Code.This permit may be � revoked at a time for d cause. > � ° � � �, �� ( ��'l�l(� t1'� �� _� �� Appl,lcant Pen itee Signaturc Datc Issue I3 Si nature Date � Y g SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. ' City of Or no � Building Permit Applicati n for Internal Work (windows, doors, sidin , re-roof, etc.) Mailing Address: Permit number: O�,�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: � �� , � ��;!a �. Street Address: Received by: �'�,n '� a" �,� 2750 Kelley Parkway Plan review fee: L�kESHOg'� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.o ono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be re urned. (Please print) GENERAL INFORMATION: . ,< -,. Job Site Address: % �;' y, �� .�� - Will this be a Parade of Homes, Remodelers owcase Hom or other Display Home? ❑ Yes ❑ No !f 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 a ailable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��clti � v�.r� �^,�� State License# �c ' �' 3 Expiration Date: �% Phone: s, - 1- � office cell Mailing Address: , �; s� �� Cit : � �;�� ) ZIP: ��-3_3 • Contact Person: ;1( Appli ant is. ConCractor, / Homeowner (Circle One) �.`_,_ --% Email and/or Fax: '-- PROPERTY OWNER INFORMATION: Name: C�,1.�, � h� . Phone (day): � , � _ Address: Cit : 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 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: -�:�,� U� � �l ~r�--- �� . � �c�.�,�..— Estimated Construction Valuation of Project(excluding land) $ l � C,�j APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Buildin Department; • Certifies that the information supplied is true and correct to the bes of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being a are 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 dn thi application is classified by State law as either private or confidential. Private data is information which generally cannqt be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be iven to either the public or the subject of the data. Our purpose and intended use of�his infarmation,�S to annually update our records and records of other governmental agencies re uired b law. If ou refuse t su f ;the inf rmation,th a licati n ma not be issued. t Applicant's Signature: ' �� — Date: �r� —�'l� LastUpdated: 05-04-2009 � � � TE TIME �j" CITY OF ORONO CALLED IN � ��L� INSPECTION NQTIC SCHEDULED z C% YJ PERMIT NO. �-� % 'DII �� COMPLETED ADDRESS �-� � y 5 ��'�� C! Cl� '' q� OWNER TELEPHONE�WO. � �"� ��c C CONTRACTOR �� !i � - �`�f�� " � >; DESCRIPTION �C"�f �'�� `j �P��l ��-� � � ❑ FOOTING ❑ PLUMBWG FINAL ❑ XCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ', ❑ KESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ' ❑ i EE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ', ❑ S i E INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ',❑ P OGRESS � ❑ FINAL ❑ SEWER HOOK-UP ',❑ C MPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. '� FO'LOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC WSTALL 0 HA D COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FO DATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � I � j O � C �iU � s � ' ' 0 '� � (�a�� C LS W � Q z �1 - � �� G W I � � � � d •/ ' W� /�WORK SATISFACTORY:PROCEED ❑ PROJECT COMpLETE�� W ❑CORRECT WORK&PROCEED r- ISSUE CERTIFICIATE O OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMP'ORAR V BEFORECOVERING PERM�4NEN ❑CdRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN I ❑CITATION ISSUED' ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952�''24 �-460� OwnerlContractor on site: Inspector. V Whiie Copyllnspecior's File Canary CopylSite NotiCe I