The URL can be used to link to this page

Home My WebLink About2010-00976 - roofing ' CITY OF ORONO PERMIT NO.: 2010-00976 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 10/1 U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1090 COX FARM RD PIIV : 27-118-23-31-0022 LEGAL DESC : SHADOWOOD FARM : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BU[LDING-UNDEFINED VALUATION : $ 12,000.00 N071;: l EAR O�F RLROOF-ASPHALT SHINGLES APPLICANT PERMIT FEE SCHEDULE 221.25 TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 6.00 7026 E FISH LAKE ROAD MAPLE GROVE, MN 55311- TOTAL 227.25 (651)329-6916 Minnesota State License#: 20633887 OWNER EVERSON, LANCE& KRISTI 1090 COX FARM RD LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMEfvT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State E3uilding 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 compicd with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date oC issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. Th�.appticant is responsible for suring all required inspections are �kqucsted in conPormance th e State Building Code.This permit may be {— _ jrevoked at an time for d��us \ / ` �(� � J/ � �� ,.- '- - _ 7� /i v Applicant Vermitec Sign t e Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . �- ' City of Orono / �/5 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: !� D O �.il� O � �'� s Received b ,a ;�� <- � Streef Address: Y� '�',F, ' s y,.� �ti 2750 Kelley Parkway Plan review fee: t9kESHOg� Orono, MN 55356 - Total Fee: p�7 � 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: ��>�� `�� , Cy��c`. 1`'�� '-�S�--�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f yes, a specia/event permit is required with Police Department and City Counci/approva/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: � MSz� I;ns� �k��cfs T�c State License# 2 u�. � :�� i; 7 Expiration Date: Phone: (,,5 � � 3 2�i - �=`�� (office) �5 i-�' - c t'y Z (cell) Mailing Address: `7 D z� E i=� �., ��!�� ,��, Cit : /�� k G i��r Z�P: SS 3 r i Contact Person: ��,..,; ,.,;c /l.t�C<�- y Applicant is: Contractor' / Homeowner (CircleOne) Email and/or Fax: `7 6 �3 - �J l (o � 7�� c� PROPERTY OWNER INFORMATION: ,- Name: L ��„c �, .r k � �s�� v� ��s e�� Phone (day): Address: i �`s o C �x �,r.^� �1 City: (J �''"`v ZIP: S S 3 ; � 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.orp Overall Project Description: Estimated Gonstruction Valuation of Project(excluding land) $ j , G� • U � 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. __ __..._ .--_- ___ _ ; _ _ -- / �� f v� f ApplicanYs Signature: `�______- ' Date: � � � U Last Updated: 05-04-2009 I � � / � FjT j� TIME � CITY OF ORONO CALLED IN /D �� /L/ INSPECTION NOTICE SCHEDULED j PERMIT NO�D/d - ��Co COMP � ADDRESS OWNER " TE�.EPHONE NO. -�- � �� CONTRACTOR � C >; DESCRIPTION � � ❑ FOOTING � PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING O MECHANICAL FINAL Q ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �CIC u �7- �- c/JS�.�� 0 � �J �P � ��o�T S� �C� (�� 0 � f—�j v S� W � Q � z W � W � � a W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � �RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� Owner/Contractor on site: Inspector. _„ , White Copyllnspector's File Canary CopylSite Notice L / "� • qT / TIME CITYO ORONO CALLEDIN �� / � <a � INSPECTION NO ICE �s HEDULED I PERMIT NO. a � % LETED ADDRESS OWNER ELERHO O. + ��- �� CONTRACTOR ^ C >; DESCRIPTION��r ✓` ` v�` ` � tL ❑ FOOTING MBING 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � GW .�GV�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � �O CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. � pHOTO TAKEN 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. �952� 249-46�� OwnerlContractor n te- : >- '' � Inspector. ��` �1� � White Copyllnspector's File Canary CopylSite Notice