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Home My WebLink About2010-00586 - roofing CITY OF ORONO PERMIT NO.: 2010-00586 2750 KELLEY PARKWAY �~ ORONO, MN 55356- DATE 1SSUEn: 07/15/2010 - 952 249-4600 FAX: 952 249-4616 ADDRESS : 1905 CONCORDIA ST PIN : 18-117-23-14-0015 LEGAL DESC : FAGERNESS : LOT 014 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,000.00 NOTE: NEW ROOF&SIDING APPLICANT PERMIT FEE SCHEDULE 147.50 NEW LIFE CONTRACTING STATE SURCHARGE(VALUATION) 5.00 8030 OLD CEDAR AVE#119 TOTAL 152.50 BLOOMINGTON,MN 55431- (651)224-3442 Minnesota State License#: 20249486 OWNER BRIGGS,GARY& MARTHA 1905 CONCORDIA ST WAYZATA, 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. 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 governing this type of work shall be compied with whether or not specified herein.This permi[will expire and become null and void if construction authorized is not commenced within l80 days of the date of issuance,or if construc[ion is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring � equired inspections are /� requested in conformance with the ate�i mg Code.This permit may be revoked time foy,�ue ca � i i /(� e�'n� � ✓` � �� App 'ca t Permite Sig ature te Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �. City of Orono � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ��,�.\ PO Box 66 ;/Q ;:� � Crystal Bay, MN 55323��0066 Date received: ��a � +� �, Street Address: Received by: �.; ��'.�,L Gti`� 2750 Kelley Parkway Plan review fee: \9kESH�� 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: �� ^ � 7 �- ".�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: (�P��3 L:� �_ � i`;�'l�-Y'CtiL�I<1G State License# %(}7yUj(�� Expiration Date: ��'�j � �� Phone: _ L�-��- � office cell Mailing Address: �� j � • � � e•� ' Cit : i, IP: `�,— Contact Person: ;�'Y��,�r� ��,,:� Applicant is: Contractor / F4 eowner (CircleOne) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: (�`-aG,_�c:� l C( i��;"�Ci�a� Phone (daY)� (��2.- �i c�� - '�:� -e� Address: ��Ca��Lt'>>1�c��cK t t�.. ��'= City: ��x-cc�hr=`, ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&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: (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,��(� "' 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 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. Applicant's Signature: Date: �J��; Last Updated: 05-04-2009 � � U�^ DATE TIME �/ CITY OF ORONO CALLED IN �� L�LQ INSPECTION NOTICE SCHEDULED ^7 / I�o J i� � PERMIT NO. Z�� C�U S��COMPLETED ADDRESS � R� S C o r� c or�% a S f OWNER TELEPHONE NO.�� — ZZ��4Z CONTRACTOR N��A � L-I f C C0►'�"�`V'ci ��; n� �: DESCRIPTION ��a-r � 0�" � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � � Y� O � � O � Q ;� M• � �� i. � �- � r� � � �'� '� � P �� L�(� � /��.�7'�( y �� F-' � � � . W t � j d W . EED ❑ PROJECTCOMPLEfE � RRECT WORK 8 PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W ' O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDiTIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site- Inspector. � .�✓ ,T�L� t White Copyllnspector's File Canary CopylSite Notice