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Home My WebLink About2010-01107 - roofing . � � CITY OF ORONO PERMIT IvO.: 2010-01107 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1 U10/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3883 CHERRY AVE PIN : 08-117-23-33-0045 LEGAL DESC : CRYSTAL BAY VIEW : LOT 012 BLOCK 007 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATIOf�1 : $ ]0,700.00 NOTE: TEAR OPF REROOF-ASPHALT SHINGLES APPLICANT PERMIT FEE SCHEDULE 206.50 SIGNATURE HOME SERVICES STATE SURCHARGE(VALUATION) 535 713 E MINNEHAHA AVE #218 SAINT PAUL,MN 55108- TOTAL 211.85 (651)731-1 147 Minnesota State License#: 20396508 OWNER TAYLOR, PAUL&MARY 3883 CHERRY AVE MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This pennit is for only the work described and does not grant permission for additional or related work which requires separate perntits. 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 atter work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State[3uilding Code.This permit may be revoked at a or due cause. (j / (c / � /// /� / /D Appli t Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . + � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) MailingAddress: Permit number: -��`U�/b 7 �,�,�. PO Box 66 Q � O Crystal Bay, MN 55323-0066 Date received: / /O /C� �,A�"�ti Received by: a � � � ;�� s, Street Address: �',�, 6 �ti 2750 Kelley Parkway Plan review fee: t�,kESHp�¢,�' 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: .�� Gl-.��, �,.� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If 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/APPLICANT INFORMATION: Name: ��,w-�� ,,-�.�, (��- State License# � <�� Expiration Date: Phone: �,��-�g� -,�.� (office) (cell) Mailing Address: �� c�,y,,,��,�,ti�._ t'�.� ��L��; City: ��, ��r,..\ ZIP: ��j(�; Contact Person: ,j,,,,,� �„��,�,� Applicant is: actor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWN R INFORMATION: Name: �� I"�a,,.. lc_.�Lc�„- Phone (day): ��'Z_Z C�.�-Z,�..,;, -�-- Address: '�g,f;3 ��.,_r,,� (�,,� City: C;�r„�� ZIP: `�� '��r 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 OverallProjectDescription: '��,,,, -�;E'(�,- �-�-,r.�,(� Estimated Construction Valuation of Project(excluding land) $ ��; �Z�;�" 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 information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to s I the information,the a lication ma not be issued. ApplicanYs Signature: Date: L �- �� Last Updated: 05-04-2009 ", �� ' 1 DATE TIME (/ CITY OF ORONO �! �CALLED IN � f �I� INSPECTION NOTICE � SCHEDULED �..�.a � ' PERMIT NO. �� L``C�� connP�E1Eo �� ADDRESS �� C ��—'�-'u"I �'�� OWNER TELEPHONE NO. �-�� 7 3� "�1�I 7 CONTRACTOR _�i c t �c�I l.� `� �1--��y�Q ��f2�, � � ��L� �: DESCRIPTION -� � V�C'�-- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�L NO /1 � COMMENTS: � W 0. � J ° ' C •-�4-✓ rP � ��N �3 d�� 0 � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � C`ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. r� � �� S White Copyllnspector's File Canary CopylSite Notice