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Home My WebLink About2010-00768 - roofing , �, CITY OF ORONO PERMIT NO.: 2010-00768 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 08/27/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2948 CASCO POINT RD PIN : 20-117-23-31-0036 LEGAL DESC : REG. LAND SURVEY NO. 0461 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 35,000.00 NOTE: REROOF TEAR OFF MISCELLANEOUS FGE-WORK STARTED W[THOUT PERMIT. APPL[CANT PERMIT FEE SCHEDULE 520.50 HANNAH TAYLOR STATE SURCHARGE(VALUATION) 17.50 13518 LYONS ST NE FOREST LAKE, MN 55025- MISC FEE 520.50 (952)426-1163 TOTAL 1,058.50 Minnesota State License#: 20638532 OWNER JOHNCOX, PAUL 2948 CASCO POINT RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work Yor which this permit is issued shall be performed according to the approvcd plans and specifications,applicable City approvals,and the State F3uilding Code. This permit is for only the work describcd and does not grant permission for additional or related work which requires separate permits. All provisions ol�laws and ordinances governing this type ofwork shall be compied with whethcr 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 f a eriod of 180 days at any time atter work has commenced. The applic it i responsib for assuring all required inspections are requ sted n nforman th the State Buil ' ode.This permil may be revo�e time fo du cause. Appl��ant er itee Sign ure �Date � ��/� � �/ �� ss d By Signature Date SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . r City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) -->_-� Mailing Address: Permit number: �b��'-��?�o� /�,�,�.� PO Box 66 , Crystal Bay, MN 55323-0066 Date received: �oZ �� ''�� Received b ,� �'t��`;`> �,� Street Address: Y� �'.F, � �'&,��„ Gti 2750 Kelley Parkway Plan review fee: L9kESH g'r� 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. (P/ease print) GENERAL INFORMATION: Job Site Address: Will this be a Farade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No lf yes,a special event permit is required with Police Departmel�t 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/APPLICA NFORM TI Name: ��1,�� State License# - E ir tion te� Phone: office �� cell Mailing Address: ' � " �Cit � ZIP: Contact Person: � ' Applicant is: rContra t / Homeowner (Circle One) Email and/or Fax: � ' ' ' ' �, 1 PROPERTY OWNER INFORMA N: Name: � ; • � j'�,(,��;, Phone (day): Cr�2- -2 �1 � �~-� � Address: �� ;,"` �(_,� City��.� ZIP: �;7��-3�. , Email and/or Fax � PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits ❑ Door(s) ❑ Remodel ❑�1Nater 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 e-roof ❑ Fire Damage www.minnehahacreek.orq verall Project Description: Estimated Construction Valuation of Project(excluding land) $ 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 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 informati n is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I th in rmation,the a plication ma not be issued. t � /� � !�� Applicant's Signature: b � ` �`/ — Date: � Last Updated: 05-04-2009 �� DATE TIME � CITY OF ORONO CALLED IN �� INSPECTION^N7�OTICE �/� �,Q SCHEDULED ��S2�L!? s� PERMIT NO.0`i I�—VV�F�/ COMPLETED �.� � ADDRESS O�cI O C�Q�L�� /'}�-- OWNER TELEPHONE N . CONTRACTOR �Gl � >; DESCRIPTION � ' � lL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � 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 ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z W � W � � GW NORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED n ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice / C �`' \�(//� , �A,T,E, TIME �/ ITY OF ORONO � CALLED IN ��T,(� INSPECTION NOTICE SCHEDULED I� � � PERMIT NO. ��C/U •-(Y�7��COMPLETED ADDRESS c��y/� ��'-� ('�, /�t �C� OWNER TELEPHONE NO. l��G3�L CONTRACTOR v�l�/�1 C�II�I' >; DESCRIPTION �it� �/��t � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:�YES_NO i� � COMMENTS: � W � � � O � � O � W � Q � Z W � W � \ � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ��❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site- Inspector. White Copyllnspector's File Canary CopylSite Notice