The URL can be used to link to this page

Home My WebLink About2010-00850 - roofing CITY OF ORONO PERM[T NO.: 2010-00850 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/17/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 101 CHEVY CHASE DR PIN : 36-118-23-41-0006 LEGAL DESC : HILL O'WAY MANOR : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEF[NED VALUATION : $ 8,500.00 APPLICANT PERMIT FEE SCHEDULE 177.00 LADWALK INC STATE SURCHARGE(VALUATION) 5.00 190 RYAN DR UNIT B MISC FEE 0.00 LITTLE CANADA, MN 55117- TOTAL 182.00 (651)490-5900 Minnesota State License#: 20578323 OWNER WEDERQUIST,CATHY 101 CHEVY CHASE DR WAYZATA, MN 55391- AGREEMENT 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 work described and does not grant permission for additional or relatcd 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 consVuction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of l8 ys y time after work has commenced. The ap 'cant is si e r assurin ll required inspections are � r�que in confo an Zvi h the State ilding Code.This permit may be r�vok a[any ti se. � ' �,.,�r, �1 _ � � � � �� ;/ �� ( � C ��'1'�G��'� ��'� 7 � � plicant Permitee �gnat e Date Issued By Signature Date SEP ERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work �'�� (windows, doors, siding, re-roof, etc.) Ma111ng Address: Permit number: a0/�j—DO�j'r(� O�Q 1��O PO Box 66 `w Crystal Bay, MN 55323-0066 Date received: . a StieetAddress: Received by: ��, ' Gti 2750 Kelley Parkway Plan review fee: l *a Orono, MN 55356 9x�o4. Total Fee: �g�� Main: 952-249-0600 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 INFORMATIO� !' � J L�Y��T�� cJ� / Job Site Address: � ' Will this be a Parade of Homes, Remod lers Showcase Home or other Display Home? Yes No ff yes,a specia!event permit is raquired with Police Department and City Councif approval 60 days prior to the event. Shu(tle bus service will be required unless applicant demonstrates sufficrent on-sife parking is available. Non-pe�mitted events wf11 not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: t� State License# Expiration Date: Phone: G' — office cell Mailing Address: Cit � ZIP: , Contact Person: � Applicant is: ontractor Homeowner (Circle One) Email andlor Fax: PROPERTY OWNE NF RMATIO : Name: � s� Phone(day): ' -- Ci : ZIP: Add ress: ' Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8 permits ❑ Door(s) ❑ Remodel ❑Water Dam'age Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd . Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952�71-0590 Fax: 952-471-0682 �roof ❑ Fire Damage www minnehahacreek.orq Overafl Praject Description: D�" r � Estimated Construction Valuation of Project(exctuding land) $ APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building D'epartment; • Certifies that the information supplied is true and cocrect 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 applicafion is classified by State law as either private or confidentlal. 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 age�cies re uired b law. If ou refuse to su I the inf�rmatio the a licaticin ma not be issued. Applicant's Signature: Date; � �� Last Updated: 05-D42009 Z 'd SLO++S9SiS9T ��I �liempe� e{,S � T T OT 9i daS L1C�`��r�Z057d3Z3 � �� 1 � �� , �^ � , �,A,n � �"y� a3+E� r� � �._.. �I�� r^ � t3�� r If��i:ti�� A�_. ��'�/'i�f�t�' � m�-"'� r"� � � � -� � � �� _ k �' i� � 190 RYA;�T DI�1VE U3�1IT 3,Li'I"1`L.E CA.I�i�'s.11A,lvf:�.53 S 1.?-6`i i-4:'G-5900—FAX:6S 1-490-5��0 �'�.� ��. ��+'� ��a��9 �� a�: 9 l �� 1� � � �. L F�20�1VI: � � D�? ) .. - - � � �� SIT�JEC'�: � � ____� �� ---- NiJIv� ��P�� I1V�.,�Il�'�� - - URCT��i� �'C�� .��TY��i��g"��k��i�Li�.r�� 'S..V1vj.LvlY.iJ.y i.�. T 'd SLO�S9STS9i vuI �jempe� e�S = TT OT 9T daS `� / � 9 DATE� TIME � CITY OF ORONO CALLED IN / ��'�'' � INSPECTION N TICE CHEDULED `�-�-�� /DDl� PERMIT NO. ��b�D��OMPLETED ADDRESS l�� ,f�lil �G'�/ ��i'=�"l OWNER TELEPHONE NO�7 g6�� CONTRACTOR � �G'l_-e�l� >: DESCRIPTION �'e�h �s�'/1 � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT � ❑ 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_NO � COMMENTS: � W C � � O �. � O � W � Q � Z W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE r �. W ❑CORRECT WORK 8 PROCEED ❑ 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.CAII INSPECTOR �CITATION ISSUED C INSPECTIONREQUIRED.CALITOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice