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Home My WebLink About2010-00856 - new cedar shingle roof � �. CITY OF ORONO PERMIT IYO.: 2010-00856 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/20/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 325 BROWN RD S PIN : 03-117-23-24-0011 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING - UNDEF[NED VALUATION : $ 29,421.00 NOTE: "I'GAR OFF AND INSTALL NEW CEDAR SI IINGLE ROOF APPLICANT PERMIT FEE SCHEDULE 466.75 ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 14.71 5565 QUAM AVE NE ST MICHAEL, MN 55376- TOTAL 481.46 (763)550-0444 Minnesota State License#: 20172153 OWNER WILSON, STEVEN& SUSAN 325 BROWN RD S CRYSTAL BAY, MN 55323- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performcd according to thc approved plans and specifications,applic ble City approvals,and the State Building Code. 7�his permit is for onl�he work described and does not grant pennission 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 I 80 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. '1'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may bc revoked at an i� or ue ca se. � � Z!G!✓G� � Z�' l Zc/C� �� oZQ� L(J Ap� 'cant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t � ti City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: �,�,�. PO Box 66 Permit number: p��0" � 0 Crystal Bay, MN 55323-0066 Date received: —�� a �t�� , Street Address: Received by: �'�,c,L '� �v� ��ti 2750 Kelley Parkway Plan review fee: �kESH��`' 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 returned. (Please print) GENERAL INFORMATION: / Job Site Address: 3Z� �v � /�d� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No lf 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 available. Non-permitted events will not be allowed. CONTRACTOR/AP LI NT INFORMATION: Name: � �� r�1,C', State License# Z ' Expiration Date: zo�� Phone: -5'S o •- office cell Mailing Address: - Cit : i� z�ze ZIP: S' 7 Contact Person: �o n �" Applicant is: Contractor Homeowner (CircleOne) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: .Sr�E✓e�z �' -Svsv�, Glli�S�vt Phone (day): �' - - Address: ��S �. .�,3�o,,u�, � City: �i�s�p ZIP: S`S'3S(�� 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.or verall Project Description: � �_ � r� / �F � �''PL v- �j,n .�o� Estimated Construction Valuation of Project(excluding land) $ Zq �/,p p APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or 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 t 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 governmental agencies re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: � Date: /��O Last Updated: 05-04-2009 �_ � � � DATE TIME, / CITY OF ORONO ��L��E�iN /� �,�,�� INSPECTION NOTICE SCHEDULED =��:� PERMIT NO. �a d�� COMPLETED ADDRESS -S OWNER TELEPHONE NO.�� 5'S��'�rT CONTRACTOR >; DESCRIPTION v L��-� � G � ly� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING ILL G � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w e o �� '� �� S' � � 0 � W � Q � Z W � W � � GW`�IWORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � l rC�ORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W � q CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN 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. (J52� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � � C� �j�F//71 TIME V CITY OF ORONO CALLED IN / ��v INSPECTION TIC� SCHEDULED �� PERMIT NO. 1 co�LETE ADDRESS � J ' OWNER J TE PHONE NO. �d�� CONTRACTOR >; DESCRIPTION �� ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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. ❑ FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q ti Z W � W � � GW ❑WORK SATISFACTORY:PROCEED i , PROJECT COMPLETE � ❑CORRECT WORK&PROCEED W � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-460� OwnerlContractor o site: Inspector. �C/� White Copyllnspector's File Canary CopylSite Notice