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Home My WebLink About2010-00849 - roofing CITY OF ORO O PERMIT NO.: 2010-00849 � 2750 KELLEY P� WAY � ORONO, MN 553 6- DATE ISSUED: 09/20/2010 952 249-4600 FAX: 95 249-4616 ADDRESS : 4440 BAYSIDE RD P1N : 31-118-23-34-0012 LEGAL DESC : PAINTERS CREEK ' : LOT Ol0 BLOCK OOl PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BU[LDING-LJNDEFINED ' VALUATION : $ 35,000.00 APPLICANT PERMIT F E SCHEDULE 520.50 SIMON CONSTRUCTION STAT�SU CHARGE(VALUATION) 17.50 12366 RIVER RIDGE ROAD BURNSVILLE, MN 55337- MISC�'EE 0.00 �6�2�s61-�o0o TOTaL s3g.00 Minnesota State License#: 20593656 PAID ITH CC# 5206 OWNER MONTECALVO, DAVID&NICOLE 4440 BAYSIDE RD MAPLE PLAIN, MN 55359- ACREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the wark described and docs not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified hercin.This permit will expire and become null and void if construction aulhorized 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 assurina all required inspections are ' requested in conformance with the State Buildina Code.This permit may be I revoked at any time for due canse. . �yVt,�,,L(. C�l� l l l l Applicant Permitee Signature Date Issued y S ature Da SEPARATE PERMITS REQUIRED FOR WORK OT R THAN DESCRIBED ABO . �u�� #/�1 q� �/��a�t b � C ity of O ro n Building Permit Application or lnternal Work (v�indows, daors, sidin , r -roof, etc.) M&iling Address: �„�n � � (.� Og,Q�,O PO Box 68 Permit number. �__y.�, Crys4al Bay, MN 5532�-OOBB Date received: � � Street Address; Received by: �, 2750 Kelley ParkWay Plan feview fee: �k�uo��'G Orono, MN 55356 �-� Total Fee: �'��.Q� Main: 952-249-4600 Fax: 952-249�616 www.ci. �ono mn,us This application form Tr+ust be completed in full and all req ired information must be submitted. Incomplete applicativns will be retur ed. (Please prinf) GENERAL IN�'ORMATION: Job Site Address: Will this be a Parade of Homes, Remodelers howcase H�me o�other Display Home? Yes No /f yes,a specia/event peim/t Is raquired with Police Depa�tmern and City Coun�il ap va160 days p�ol to the eVent. Shutf/e bus servic0 WIII b� required unless applicant demonstrafes sufficient on-site parking Is avai! b/e. Non-pertnitted events will not be allowed. CONTRACTOR/APPLICANT INFOR TION: I- � Name: 11 � ��(�5�� CT f �• State License# Expiration Date: �Q ' Phone: - �O - Q OffiCe cell Mailing Address� (p u Cit : L ZIP;�� Contact Person; Applica t is:X Contractor / Homeowner �c�roie ono> Emaif andJor Fax� � PROPERTY OWNER INFO MATr�N: M � Name: l �+�- 1 ) / ��9 n��C.GI I Phone(day): Address: s� Cit � n ZIP; 3 Email and/or Fsx PROJECT INFORMATION: Type of Project: Any eaRh movement may require MCWD review&permits ❑Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Wetershed District(MCWD) ❑Window(s) ❑ Repair l�Storm bamage 18202 Minnetonka Blvd / - Deephaven, MN 55381 ❑Siding ❑Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-�71-0682 Re-roof ❑ Fire Damage � www.minneh�h891�ek.ar� Overall ProJect Description� r � q,. -n Estimated Construction Valuation of Pr t excluding nd) 00 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by ihe BUildin Oepartment; • Certifies that the information supplied is true and corred to the best of his/he�know�edge. The applicant recognizes that they are solely responsible for suGmitting a complete application being a are that upon failure to do so, the staff has no alternative but to rejea it until it is compl�te; • Some or all of the information that you are asked to provide on thi application is classifled by State law as either private or confidential. Private data is anformation 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 iven to either the public or the subject of the data. Our purpose and intended uee of tfiis information'is to annually updat our records and records of other governmental agencies re uired b law. If ou refuse to su I the information the a licati n ma not be issued. Applicant's Sig�ature: Date: ��y �Q�Q Last Updated: 05-04-2009 DATE TI E ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE (.f Q SCHEDULED PERMIT NO.��C�� — D�� ! J COMPLETED �� ADDRESS �'��"�� 3� � �.�Q � 0 WNER TELEPHONE NO. � ' CONTRACTOR ' ��` ' �: DESCRIPTION � � �� lL� ❑ FOOTWG ❑ PLUMBING FINAL ❑ EXCAV/GWADIN I/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHC'�RE/W TLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REIvtOVA Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSWECTI N Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRE�S � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPI.f�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOWi-UP � _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD C�VER EMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDF�TION/ EMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ; � COMMENTS: � W � � J i i O i � O � � Q � ' Z W � W � � , GW ❑WORK SATISFACTORY:PROCEED ��f�OJ ECT COM PtETE W ❑CORRECT WORK&PROCEED r I UE CERTIFICiATE O OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMWORA Y V BEFORECOVERING PERI�AANE T ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN � INSPECTOR WILL RETURN ❑ CITATION ISSU�D ❑STOP ORDER POSTED.CALL INSPECTOR , O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �9g2� 49-460� OwnerlContractor o site: � Ins ector. P White Copylinspector's File Canary Copy1S?te No ce � D E TME v CITY OF ORONO CALLEo iN � INSPECTION NOTICE SCHEDULED -'Z -/ r PERMIT NO.o?O!D-d�8� COMPLETED ! ADDRESS � OWNER TELEPHONE NO. ��Z � �� 7d CONTRACTOR �S�'`d'�1J �: DESCRIPTION �� D � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GR DIN FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOf�E/WE LANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE FEM VAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSP�CTIO Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAIf�T � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP W - T _ ❑ DEMO FINAL ❑ SEPTIC INS ALL ❑ HARD CO ER R MOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT N/R MOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o � � `� �'� a � 0 � w � Q � Z W � W � j GW �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE I � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE F O UPANCY W O ❑CARRECT WORK,CAIL FOR REINSPECTION TEMPOR RY I V BEFORECOVERING PERMAN�NT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR I ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� �49 46�� OwnerlContractor on site• Inspector. � White Copyllnspector's File Canary CopylSite No ice