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Home My WebLink About2010-00723 - roofing l �\ CITY OF ORONO PERMIT NO.: 2010-00723 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3485 CHRISTINE DR PIN : OS-117-23-12-0021 LEGAL DESC : BETZ ADDN : LOT 004 BLOCK 001 PERMIT TYPE ; MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BU[LDING- UNDEFINED VALUATTOI�I : $ 10,000.00 NOTE: TEAR OFF CEDAR SHAKES AND RGROOF WITH ASYHALT SHINGLES APPWCANT PERMIT FEE SCHEDULE 191.75 BRAD RADTKES ASSOC LLC STATE SURCHARGE(VALUATION) 5.00 55395- (320)420-7535 TOTAL 196J5 Minnesota State License#: 20626386 OWNER HAGBERG, MARIE&CARLTON 3485 CHRISTINE DR MAPLE PLAIN, MN 55359 AGREEMENT AND SWORN STATEMENT 'l�he work for which this permit is issucd shall be performed according to the approvcd plans and specifications,applicable City approvals,and the State 13uilding Codc. This permit is for only the work dcscribed and does not grant permission for additional or related work which reyuires 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 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 ap�c�nt is responsible for assuring all required inspections are re ested in!con�� nce with the State Building Code.This permit may be evok�at e cause. _ , �' � � � 1 � �l �U l �� pplicant Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. j , _ City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: � PO Box 66 � � Crystal Bay, MN 55323-0066 Date received: � �� 0 �I �a�� ,� 1 �,��-;;� �„ I Street Address: Received by: y „ _� �'� � G� 2750 Kelley Parkway Plan review fee: L�kE`sH�g'� Orono, MN 55356 ----. Total Fee: J C, / , )� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us / (P ( 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: � -�� z.,� . _ � �� ' �.i �-�+ �-� ►J V � v� . �V ��u ; G�c�. Will this be a Parade of omes, Remod ers Sh wcase Home or other Display Home? ❑ Yes No lf yes, a special event permit is required with Police Department and City Council approva!60 days prior to the event. Shuttle bus service will t�e required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INF MATION: r Name: � . � �v_�-f-l� S�So c� �(C State License# , � 3 �, Expiration Date: 'Z �,� -; p/ � Phone: � ' � office s ,,,�� J cell Mailing Address: ` M h� l . Cit �_._____ ZIP: Contact Person: o. c r aU � z c� � Applicant is�Contractor.._y Homeowner (Circle One) Email and/or Fax: PROPERTY OWNE FORMATI : I Name: �,:�� c� Yj-��„�j Phone (day): /� Address: � � �x�a �U'r v-2 City:C/V� �t�v ZIP� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door s MCWD review 8�permits ( ) ❑ 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 Overall Project Description: ��— Estimated_Construction Valuation of Project (excluding land) $ �/�j fj �� ` �f�. APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Buitding Department; • Certifles 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 su I the information,the a lication ma not be issued. � � ✓� ��) - ApplicanYs Signature: �' Date: �� U /C/ Last Updated: 05-04-2009 V � O� DAT J� TIME v CITY OF ORONO CALLED IN ��v INSPECTION NOTICE SCHEDULED PERMIT NO��dr�7� C MPLETED ADDRESS `, �� SS ,�i�/.f��-� OWNER TELEPHONE N(�.,��- �-�� CONTRACTOR �: DESCRIPTION / ►' U-�t- RO�� ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d W� /�IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on s' e: Inspector. White Copyllnspector's File Canary Copy/Site Notice