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Home My WebLink About2010-00747 - roofing - cedar ti � CITY OF ORONO PERMIT NO.: 2010-00747 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1ssUEu: 08/23/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 725 DICKEY LAKE DR PIN : 34-ll 8-23-22-0006 LEGAL DESC : RINGERSWOOD : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 27,625.00 NOTE: "1'EAR OFF RrROOF-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 445.25 ALL SEASON REMODELING & EXTERIORS STATE SURCHARGE(VALUATION) 13.81 17344 PUMA ST. NW RAMSEY, MN 55303 TOTAL 459.06 (612)221-3318 Minnesota State License#: 2038831 1 OWNER PUGH, P PATRICK& KAREN 725 DICKEY LAKE DR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for�chich this permit is issucd shall be performed according to the approved plans and specitications,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 la«s and ordinances governing this type of work shall be compied with whether or not specified herein.'1'his 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 confom�ance with the State 13uilding Code. fhis permit may be revoked at any time fo e c se. �� -��/' � � Gl.�'l �'/ 7i 3/ /0 Applicant Permitee Signature Date Is d f3y 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: �/O—a� �,L,�,�\ PO Box 66 ��3 /� Q �4 Q \ Crystal Bay, MN 55323-0066 Date received: �•�.;.�m., i � ��' �4`:;:, s, Street Address: Received by: �'� ' 9" � 2750 Kelle Parkwa `I�� Y Y Plan review fee: �9kESH04' Orono, MN 55356 - Total Fee: �.��Cj Q� 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. (P/ease print) GENERAL INFORMATION: Job Site Address: �aS a.�ke7. �,/� �Z�( 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: -� -�, fQ��jCqSan �e�-t�e/ih9 �-.�,r�rr��+-�/lc State License# ��R d 3�� Expiration Date: aoii ! Phone: 6�a 9�i� 96�� (office) cell) Mailing Address: � �iv Pvn,9 5'� .�U Clt : 4�Se ZIP:..cr o Contact Person: ,c��J� 5��,,,,de� Applicant is: Contract / Homeowner (Circle One) Email and/or Fax: w�/dq/lse�s�n u7con,c4sf.,v e t PROPERTY OWNER INFORMATION: Name: ��' �v9 5 �,� Phone (day): q� yy y 6oS3 Address: 7a"�S Q,cke, L,/� �r City: p/2�,,,.�, 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) $ o?�6075 � APPLICANT ACKNOWLEDGEMENT: F • Agrees to provide all information required or requested by the Building Department; f • 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 e information e a lication ma not be issued. ApplicanYs Signature: -- Date: �;�3-/U Last Updated: 05-04-2009 � ' � � TE (� TIME ✓ CITY OF ORONO � CALLED IN G`� INSPECTION NOTI E��J SCHEDULED (�J PERMIT NO. (/�� COMPLETED ADDRESS �/��lC� ` OWNER T EPH E NO.�I��Z� CONTRACTO a DESCRIPTION r � " � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAI FINAL Q ❑ TREE REMOVAI 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 � � J O >. � O � W � Q ti Z W � W � � d � �1Q`ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: � Inspector. White Copylinspector's File Canary CopylSite Notice `i V D E TIME ✓ CITY OF ORONO CALIED IN �� INSPECTION NOTICE SCHEDULED � -� __C9 �✓�.� PERMIT NO.aO/D—�� 7�7 COMPLETED ADDRESS 7Z5 L�/ �-+r-�L1 � cC�l� OWNER TELEPHONE NO. �?/z-9�D8��Z� CONTRACTOR �GI �S�Q�_S >: DESCRIPTION �l� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � � � O � � O � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �j 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. �952� Z49-46Q� Owner/Contractor on site: Inspector. � Z �� White Copyllnspector's File Canary CopylSite Notice