HomeMy WebLinkAbout2010-00998 - roofing , . CITY OF ORONO PERMIT NO.: 2010-00998
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISsuED: 10/14/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1200 BRACKETTS POINT RD
PIN : 11-1 17-23-32-0021
LEGAL DESC : RGT ORONO POINT
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RES[DENTIAL
CONSTRUCTION TYPE : ROOFING -CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 22,000.00
NOTE: TEAR OFF REROOF-CEDAR SHAKES
APPLICANT PERMIT FEE SCHEDULE 368.75
LEGACY EXTERIORS LLC STATE SURCHARGE(VALUATION) l 1.00
12415 SSTH ST.N. TOTAL 379.75
LAKE ELMO, MN 55042-
(651)430-3466 PA[D WITH CC# 541 1
Minnesota State License#: 20630634
OWNER
Noble Properties of MN LP
15250 WAYZATA BLVD#105
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for which this pennit is issued shall bc performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This 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 Uiis type of work
shall be compied with whether or not specified herein.This permit will
expire and become nuil and void if construction authorized is not
commenced within l80 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 ass ring all required inspections are
reque d in conformanc with th ,tate Bu' ing Code.This permit may bc
rev e at any time fo ue cau .
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pplicant e e �gnature Uate Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Oct � 14 � 2010 10 � 05RM LEGRCY EXTERIORS 661 -430-3466 No , 8705 P , �
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Cit of Orono v _/
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�uiiding Permit Application for �nternal Work
windows, doors, slding, r�-roof, etc�) ��/����//A
Mailina Aadress; ��,;�:;,; ::�;;�;,;,� ", /
�0,� PO Box 66 Pe�mlt number , -- f.�" � /� /�
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0 � Crystal Bay, MN 55323-0066 �Dete.�oelVed; . .,, d
Sheet Address: RQ�eiyed b�i ,
��"� � 2750 Kelley Par�y Rlan��revlevy,�fe�;.,..;�
'+�c a�� Orono, MN 86358 ��;: ' , ,
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Total,F8s � ,.
Main: 852-249-4600 Fax; 952-249-4616 www.ci.orono.mn,u�, ,. ���� ��
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7hls�pplication form must be completed In full and all requlred Information must be submltted,
Incomplpte applicatlons wlll be returned. (Ple�Be pr'Int)
(3ENERAL IN�ORMATION: � ���
Job Slte Address: �
Will this be a Parade of Hvmes, Remodelers Showcase Home or other Dlsplay Home? Yes o
If yos,a apsc191 avant permlf l�requlred with Pollce Department end City Counoll approvel QO deys prlor fa the evgnf. Shuftle bus servlce wlll be
�equired unleas applloant demonatrafea sufflcl�nt an-alfa pa�kinp Is avellable. Non�pelmittad e►renta wlll nof be allowed,
CONTRACTOR I AP�LICANT INFOR�IIA710N;
Name; �L, e GL
Stste License# Explre o . .�O/
Phone; �$ - - offl e �o - -p� � cell
Meilina Address; 35a''� f ZIP: p
Contact Person: ,OE Appllcant Is: on e / Momeowner �ciroi•o�a�
Email end/or Fex: n
PROPERTY OWNER INFORMATION�
Name: ph p
Phone(day): - �O
Address: O CI : A ZIP:
Emall and/or Fax
PROJECT INFORMATION:
Type oi Project; Any earth movement may requlro
❑ Door(s) ❑ Remodel MCWD revlew&permlts
❑Weter Demage
Minnehaha Creek Watershed Dlstrlct(MCWD)
❑Wlndow(s) ❑ Repafr torm Damage 182�2 Minnetonka Hlvd
Deephaven,MN 55391
❑Slding []Restoretlon ❑ Other:(epecify) Phone: 852-471-0590
e-roof ❑Flre Damaoe Fax; 852-471-0682
www,minnehe.hecreek.arQ
Overall Pro'ect Descrl lon;
Estimated Constructlon Valuatlon of ProJect(excluding land) $ (,�jp��
APPLICANT ACKNOWLEDGEMENT;
• Agrees to provlde all Informatlon required or requested by th�Buildin0 Department;
• Certliles that th� informatlon supplled le true end Correct to the beet oi hls/h�r knowledge, The eppllcant recognizes th�t they
ere sol�ly responsible for eubmltting � complete appllcatlon being aware th�t upon fallure to do so, the staff has no elternative
but to reject it untll It 16 complete;
• Some or ell of the informatlon thet you ere esked to provlde on thls eppllcation is clasBiFled by Stete lew as either p�ivate or
oonflden6al, Private date I� Informetlon which generally cannot be glven to the publlc but cen be glven to the subJect of the
d�ta. Confidentlal date le fniormation which Qenerally cannot be given to either the publlc or the subject of the dete. Our
purpose and Intended uae of this informatlon le to ennually update our recorde end recorda of other�overnmentel egenciea
re ulred b law. If ou refuse to su I the infnrmat�vn the a Ilcetlon ma not b�issued.
Applicant's Slgnature: Date: <D �
��upda�ed: os-oa-zooe
DAT TIME v
CITY OF ORONO C LLED IN l�` S
INSPECTION NOTICE�y aL��( SCHEDULED �- �
PERMIT NO.(�rJId�C/� r `U COMPLETED
ADDRESS I ZDD 1�/^QC�C.��O �" De-�'
OWNER TELEPHONE NO. �5�'7750� yJ
CONTRACTOR ����-�1 �
>; DESCRIPTION ��n�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEEf YOU:_YES_NO
� COMMENTS:
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� ❑WORK SATISFACTORY:PROCEED �FROJECT COMPLETE
W r�CORRECT WORK&PROCEED �� ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
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Inspector. ! ,�.�.�� �`^
White Copyllnspector's File Canary CopylSite Notice
�I � L/��`� �' /OD E //� TIME ✓
CITY OF ORONO CALLED IN � ' ' `�
INSPECTION NOTICE ��J EDULED �� � (�
PERMITNO. o�l�/ v O" ' �MPLETED �`
ADDRESS � �e�/ (S �
OWNER ELEPHONE NO. —
CONTRACTOR �^ 7?`���`
>; DESCRIPTION �
�
l� ❑ FOOTING ❑ PLUMBING FINAL ❑ 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
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:
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GW�VORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
� ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
C �NSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� 249-460�
OwnerlContractor on site:
Inspector. �� � �
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White Copyllnspector's File Canary CopylSite Notice