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Home My WebLink About2010-01110 - roofing cedar � CITY OF ORONO PERMIT NO.: 2010-01110 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE iSSUEn: 1U10/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 730 DICKEY LAKE DR PIN : 34-118-23-22-0004 LEGAL DESC : RINGERSWOOD : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILD[NG -UNDEF[NED VALUATION : $ 21,000.00 NOTE: "I'EAR OFF REROOF-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 354.00 ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 10.50 5565 QUAM AVE NE ST MICHAEL, MN 55376- TOTAL 364.50 (763)550-0444 Minnesota State License#: 20172153 OWNER ANDERSON,TROY&CATHERINE T0 DICKEY LAKE DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be perlormed according to the approved plans and specifications,applicable City approvals,and thc State E3uilding Code. This permit is for only the work described and does not grant permission for additional or rclated work which requires separate pennits. All provisions ot�laws and ordinances goveming this type ofwork shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorizcd 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 responsibic for assuring all required inspcctions are requested in conformancc with the tate E3uilding Code.This permit may be revoked at an t��f ue cau� . - , ;�,�, ,��, �v � � , �o, �v plicant Permrtee Signalur Datc Is. 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: ' � �,�,�. PO Box 66 Permit number: G'`J� —�/ � � O Crystal Bay, MN 55323-0066 Date received: � �'�'�`�s�� Received by: � °�y�� , Street Address: a� ' '�'.F, '� '�;;,�j� G,�'. 2750 Kelley Parkway Plan review fee: t 1��`w Orono, MN 55356 `�kEsxot'' 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: � `� Dr� , Will this be a Parade of Homes, Remodelers Sho case 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/AP ICANT II�ORMATION: Name: L:b�' L��'� '��V.� ��1�• ��V�C . State License# ;2 - � � Expiration Date: �j/ Phone: �(o�r�-"�p - (�.�-( (office) (cell) Mailing Address: � ;_,;- �, , Cit :, --r �"}'� rC,� L!_ZIP: Contact Person: Applicant is: �_ a`ctor Homeowner (Circle One) Email and/or Fax: - PROPERTY OWNER INFORMAT,ON: Name: �— �� Y�� - �-�OI'l� Phone (day): 2 - - Address: 1 Cit : �>�jtiL ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Si ing ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: "�C��-- �� «y�\ l`�-�LO Estimated Construction Valuation of Project(excluding land) $ �� L C�L.,l 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 t I e information, the lication ma not be issued. � . ApplicanYs Signature: J� Date: ( l l" (`� Last Updated: 05-04-2009 �:� .,. ._. .. . . _ ��NT I±N .: : � RODU�rS �� l ��_�, 3��=.��JST�iIAL< Y _ 0 �issdon,Bf' ' : � TE�:604-855-6�37 � . .. FAX:604�1655-9327 � � � . � � � . � � � ► ► � i PREMIUM 100% EDGE GRAIN NUMBER � GRADE 10°sq.F'i9.3mi Coverage Date Packed s eu�di� io��2s2mm��p. 6 Bundles 811Y(215mm1 Ezp, Manufactured and graded in �sundies �Uz°I�sommiEXa. accordanc�with UE3C 15.3. � ' � � � : • b • • � ' ' • � . 1 � : � 1 • ' ' • : • : 1 1 1 : ,'� ' : �"�w • ' � : . 1/2" X 24" MEDEUM RESAWN SHAKES � ��— � � �____ � � � `�� ATE TIME � CITY�F ORONO CALLED IN /� �D INSPECTIOwN�NOTICE /� SCHEDULED / 0 ��•��/,� PERMIT NI��D' �v COMPLETED / �� ^ '„' ADDRESS OWNER TELEPHO E NO.��-5Sd��ILT,T CONTRACTOR � >; DESCRIPTION � <,��L�-�C�I � � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � j d � �GVORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W`O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContracto n e- Inspector. White Copyllnspector's File Canary CopylSite Notice �� D /� TIME v CITY OF ORONO CALLED IN // /��`� INSPECTION NOTICE SCHEDULED Z� �� PERMIT NO. �6�D�� OMPLETED ADDRESS OWNER TELEPHONE NO. ' - S/ CONTRACTOR >`; DESCRIPTION v `� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE fNSPECTION 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ��l�1 �c��i� J�� t c'c� �--cJrr�i � �� l �- ( �� /Cs 0 � W � Q � Z W � W � � d . � ❑WORK SATISFACTORY:PROCEED .,�'�ROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '] CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-4600 Owner/Contractor on site: Inspector. �'�-� ,' � .15J White Copyllnspector's File Canary Copy/Site Notice