The URL can be used to link to this page

Home My WebLink About2011-00296 - roofing CITY OF ORONO PERMIT NO.: 2011-00296 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 05/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 764 BR[DGEWATER DR PIN : 33-118-23-I1-0110 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT O15 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 8,000.00 APPLICANT PERMIT FEE SCHEDULE 162.25 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 6541 SYCAMORE CT N TOTAL 166.25 MAPC,E GROVE, MN 55369- (763)427-9696 Minnesota State License#: 20637010 OWNER O.T. Develop�nent, LLC � 10300 l OTH AVE N PLYMOUTH, MN 55441- � ACREEMENT AIYD SWORN STATEMENT The work for which this permit is issucd shall bc performed according to the approvcd plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work dcscribed and does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein."I�his permit will expire and become null and void if conslruction 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 confonnance with die State Building Code.This permit may be revoke at any time � r due cause. � / ( /�� l��,��'�' / / A plicant Pennitee Signature Date Issued By S�g ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . �5�3`{ , � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �O� Maill O��. Pertnit number: O O C��Y�MN 55323-0066 Date received: � Street Address: Received by: � 2750 Kelley ParkwaY Plan review fee: �g��' Orono,MN 55356 Total Fee: Main: 952-249-4600 Fax 952-249-4616 www.ci.orono.mn.us This applicadon form must be completed in full and all required information must be submitted. Incompletie applications will be retumed. (Please print) GENERAL INFORMATION: I r'.� ' Job Site Address: ��% � �.�f�U��C', �"��/ Will this be a Parads of Homes, Remodelers Showcass Home or other Display Home? Yes No !f yss,a spede/evar►t pem�it!s�equired wlth Ao/lc�e Depaibnent and Gty Councll epproval 60 days pnor ro the e►rent. Shuttle bus servioe wdl be requlred uMess eppUcant demonsbetes sulflderrt on.slte pe�ldng is aveilable. Non-pe�mitted events will not be albwed. CONTRACTOR/APPUCANT INFORMATION: � Name: /yl��G✓l�� ObF� ,/�� l,✓'�►�O�,.d Ln� State License# ,Z p D/p a 7 7 Expiration Date: �3/3/ � �t a Lead Certfication Number: Expiration Date: (for w�rk on homes tlwt wsre conshuc�s�prlo�to 1978 Phone: 76.3-�il a� 7-9 G9(� (office) �6 3 o�g0- �.3a � (cell) Mailing Address: ,S'/ r-�,f,1r' Cy�' City: QP� �c ziP: S S 3 6 Y Contact Person: �pryn.y �„dP�b••� Applicant is: n or / Homeowner �cMa.o�.� Email and/or Fax: ')63 — y �7— �00� PROPERTY OWNER INFORMATION: Name: Phone(day): Address: �]�, !� �5'/L�F`C. �� City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Pro�ct: Any sarth movemsM may requfre ❑Door(s) ❑Remodel ❑Water Damage MCWD roview 8 psrmits: Minnehaha Creek Watershed DisUict(MCWD) i ❑Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑giding ❑Restoration ❑Other:(specify) Deephaven,MN 55391 Phone: 952�71-0590 (�Re-roof ❑Fire Damage Fax: 952�71-0682 www.minnehahacreek.orq Overall Project Description: Estimated Constructfon Valuation of Project(excluding land) S �`3` APPLICANT ACKNOWLEDGEMENT: Agrees to provide all information required or requested by tlie Building Department; Certifies that the inf�ortnation supplied is true and correct to U�e 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 urnil it is complete; Some or all of the information that you are asked to provide on this application is dassified by State law as either pnvate or confidential. Private data is information which generally cannot be given to the puWic but can be given to the subject of the data. Confidentlal data is infortnaUon which generally cannot be given to either the pubtic or the subject of the data. Our purpose and inbended use of this infortnadon is to annually update our recorcJs and recoMs of other govemmental agencies uired b law. If u refuse to su the ir�formation the a ication ma not be issued. ApplicanYs Signature: Date: 5 'l '"�� t upd�cea: os-o�-20» ATE TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE �J SCHEDULED /�•�� PERMIT NO. ��— ��` � COMPLETED ADDRESS OWNER TELEP NE IV�� ` $ ��a�� CONTRACTOR ��— D� — �- �� : DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL � SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � 1� � � � > 0 , ,. � 0 � W � Q � Z W � W � � GW �WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑C'ORRECT WORK 8�PROCEED /❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: Inspector. �� !.� White Copyllnspector's File Canary CopylSite Notice