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Home My WebLink About2010-00571 - roofing {� t� _ CITY OF ORONO PERMIT NO.: 2oiaoos�i 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/12/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 126 CHEVY CHASE DR PIN : 36-118-23-41-0040 LEGAL DESC : HILL O'WAY MANOR : LOT 006 BLOCK 002 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 6,670.00 NOTG: TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 147.50 ELITE EXTERIORS STATE SURCHARGE(VALUAT[ON) 5.00 1505 SOUTHCROSS DR W, SUITE B BURNSVILLE,MN 55337- MA[L-IN FEE 2.00 (651)688-7808 TOTAL 154.50 Minnesota State License#: 20509942 OWNER TRUST, RUTH L BROWNAWELL 126 CHEVY CHASE DR ,MN 55391- AGREEMENT AND SWORN STATEMENT The 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. 'I his permit 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 goveming 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 requested in conformance with[he State Building Code.This permit may be revoked at any time for due cause. i i �l /� /d Applicant Permitee Signature Date ssued y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. j 4 � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �0 -'�� O.g,o,�.O Po sox ss Crystal Bay, MN 5532�0066 Date received: / IJ '"s, � ��;- Received by: a � �� . Street Address: �',F, ° ^� �ti�' 2750 Kelley Parkway Plan review fee: l��Hogw 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. (Please print) GENERAL INFORMATION: Job Site Address: _��(v ��.-�?I„�y ��^�-C�S-� ��_ Will this be a Parade of Homes, Remod lers Showcase Home or other Display Home? Yes o !i yes,a special event pe►mft is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required uNess applicant demonstrates sufficier►t on-site parlcing is available. Non-permitted events will not be allowed. CONTRACTOR/AP.pLICANT INFORMATION: Name: Fif i-{-� �-�i'� �'(� State License# ��G��'j ��.(.�. Expiration Date: 7i°`3�/ZDi Z Phone: b� - �,'�-`L �j o�ce � -�{'7� -�� cell Mailing Address: �p� (! U � r, Ci : � � ZIP: � Contact Person: „_ � Applicant is: Contrac r / Homeowner (Clrcle One) Emai�and/or Fax: tw U �, -Q i-f-.�.P_,��?�, �r S.C.C,S S �-�(� , - �i7 PROPERTY OWNER INFORMATION: Name: (�-�{i•._ 1 SY6 v�W�W'�� Phone(daY): `�SZ--i-(7�-t-{L>�� Address: �2-10 ��i..��i� (��j,�� ; r, CitY:ja(.)G�,b7,�t�� ZIP: �5�� t Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�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: (speciy) Phone: 952-471-0590 Fax: 952-471-0682 �roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: ; '�� ,�. ..�- ��p Estimated Construction Valuation of Project(excluding land) $ j,�(�,'�n., �) 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 altemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is Gassified 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 informatio� which generafly 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 su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: 7 ? lV Last Updated: 05-04-2009 � �~ � �� DATE TIME V � ORONO r CALLED IN � �y�y TION NOTICE SCHEDULED � �v� PERMIT NO. O�CJ,L2�57�COMPLETED ADDRESS �� o-�/� -� ,�p .C�J OWNER TELEPHONE NOJ�!��7��a CONTRACTOR � ��' �' �: DESCRIPTION ` � � � L� ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI LAKESHORENVETLANDS h O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ 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 a � J O � � O � W � Q ti Z W � W � � GW �,(�I�WORKSATISFACTORY:PROCEED C� PROJECTCOMPLETE � W �O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CA�L 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 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. - - White Copyllnspector's File Canary CopylSite Notice AJ�j TIME v CITY OF ORONO CALLED IN � I J INSPECTION OTICE p�G�J SCHEDULED —_� PERMIT NO. ��C.// / � COMPLETED ADDRESS �Z-�D C�1,�iC�C9 �-�� ''V OWNER TELEPHONE NO. �L� �8� 7�D� CONTRACTOR L� �1(..,'� >; DESCRIPTION O � � l� ❑ FOOTING ❑ PLUMBING AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ 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 �. � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALI 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. �952� 249-46�� OwnerlContractor on site: Inspector. w ' � � White Copyllnspector's File Canary CopylSite Notice