HomeMy WebLinkAbout2010-00557 - roofing R 1
CITY OF ORONO PERMIT NO.: 2010-00557
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISSUED: 07/06/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2800 CASCO POINT RD
PIN : 20-117-23-32-0016
LEGAL DESC : CASCO HEIGHTS
: LOT 000 BLOCK 004
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING -LJNDEFINED
VALUATION : $ 5,900.00
NOTE:
TEAR OFF REROOF HOUSE AND GARAGE
APPLICANT PERMIT FEE SCHEDULE 132.75
UNITED CONTRACTORS INC STATE SURCHARGE(VALUATION) 5.00
2343 STATION PARKWAY
ANDOVER,MN 55304- TOTAL 137.75
(763)757-6968 PAID WITH CC# 5015
Minnesota State License#: 20630400
OWNER
KING, THOMAS&SHARON
2800 CASCO PT RD
WAYZATA, MN 55391-
AGREEMENT A1vD SWORN STATEMENT
The work for which this permi[is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permi[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 are
request in conformance with the State Building Code.This permit may be
revoKed any time for due ca se.
� � � � � � ' �� 7 �/ /O
Ap icant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
r R
City of arnno
Buiiding Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailin Address: ' ' ' ,,' �
g,�j� PO Box 66 Pemilt numbe'r:� ����� �.�J�
� 0 Crystal Bay,MN 55323-0066 Date received;;;� � ` � ��i.°:
a 5treet Address: Received by,.':.:�'.�;.: - �
� � 275o Kelley Parkway Plan revlew fe�! . '
�"g�ax�$ Orono, MN 55356 ,. " :
Total Fee�.:.��: *� �.��: ..
Main: 952-249-4600 Pax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all requlred fnform
ation must b�submitted.
Incomplete applications will be returned. (P/ease print)
GENERAL INFORMATIO �
JOb Slte AddfeSS: .g4� �S c_-c� Cji n�'C� c�.�
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home7 ❑Yes No
If ycs,a special evant permit is required wrlh Police Department and City Council apprwal 60 days prior to U�e event. Shuftic 6us so�vlm lll e
required unless applicant demons(rafes sufficienf on-site perking is Availeble. Non permitted events wil!not be allowed.
CONTRACTOR/APPLI�ANT IN ORMATIO :
Name: (��:n r�P � C O✓��'"C� G�(9•%S Z�r�G.
State License# � Explratlon Date: � - ? / - 2.0 � 2
Phone: � office cell
Mailing Address: � S I h � Ci : dv Z�p' 3 0
Contact Person: 7�� Applicant is: actor / Homeowner �a��ia o�a�
Emai!andlor Fax: __��, ? 7/„7 .- �� �
PROPERTY OWNER INFORMATION:
Name:
Phone(day):
Add�ess: ��_Q c� c�.s c o A�,��-e��O�� c�hr; �rc��, o. z�P: �".�3 3 /
Email and/o�Fax
PR�JECT INFORMATION:
Typ�of Projoct: My earth movement may requlre
MCWD revlew&permlts
❑Door(s) ❑Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWO)
❑Wlndow(s) � Ftepair ❑Storm Damage 18202 Minnetonka BNd
Deephaven,MN 55391
❑Siding ❑ Rostoration ❑Dther.(specity) Phone: 952-471-0580
Fax: 952-471-0682
R�roof ❑ Fre Damage www.mirtnahahacreek.ora
Overall Project Description: � Pd __ �-fou S� � �.
Estimated Construction Valuation of Project(excluding land) $ � pp '
APPLICANT ACKNOWLEDGEMENT:
■ Agrees to provide all irr�orrnation required or requested by the Building Departmen�
• Cerlifies that the information supplied is true and oarrect to the best of his/her knowledge. The epplicartt recognizes that they
are solely responslble for submitting a complete application being aware that upon failure to do so, the staff has no altemative
but to reject it until 1t is complete;
• Some or alI af the irdormation that you are asked to provide on thls appllcatlon Is classfied by State law as either p�ivate or
confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the
data_ Confide�tial dats is information whlch generally cannot bei glven to either the public or the subject of the data. Our
purpose and intended use of this informatlon is to annually update our records and reoords of othor govemmontal agencies
re uired b law. If u refuse to su I the informatlon,the a lication ma not be issued.
ApplicanYs Signature: � 'v"-� Date: � v � ` �O
Last Updated; 05-0a20D9
ie�i0•d zs:0i 0S0z-90—�flf
� " pAT TIME v
�/ CITY OF ORONO � '.'1 l�l�� 1 �
INSPECTION NOTICE SCHEDULED � �
PERMIT NO. Z��V����COMPLETED
ADDRESS �g�b �S Cn �+- ��
OWNER TELEPHONE NO. � lZ-F��3'3�-3
CONTRACTOR �-� �fied C O�IrC�''-(-pY-S
>: DESCRIPTION ���` �� �a �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ 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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
�
W
a
j �
� � -�- Q � ^-
�
� � �/'flec' -rc� �c� ��� � 1�
Q Q��� r� �Z��o � �
�
z
W
�
W
�
�
� ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE
W ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY
� ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W4LL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on te:
Inspector. ,C f v,
White Copyllnspector's File Canary CopylSite Notice
� � �7 D E TIME v
CITY OF ORONO CALLED IN 7� �
INSPECTION N,OTICE �CHEDULED ��
PERMIT NO. «�!�'�D��� (%OMPLETED
ADDRESS �S�� �.�1—� �
OWNER TELEPHONE NO.�I�-7�
CONTRACTOR l/f�I l L%�7Y� �" tJ/`C..�
>; DESCRIPTION ��a� ` ��`'��� �/�2�" `� —
ll� ❑ FOOTING ❑ PLUMBING INAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS
y
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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVALI
� Q1AF /CONTRACTOR TO YOU:�YE _NO �
�_. �� � I
� COMMENTS:
�
W
a
�
J
O
�.
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑ RRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 tor the next inspection 24 hours in advance. (J52� 249-4600
Owner/Contractor on site
Inspector. � n
White Copyllnspector's File Canary CopylSite Notice