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Home My WebLink About2010-00962 - roofing CITY OF ORONO PERM[T NO.: 2010-00962 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuE�: 10/07/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 755 DICKEY LAKE DR P I N : 34-118-23-22-0009 LEGAL DESC : RINGERSWOOD : LOT 005 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOF[NG -ASPHALT ACTIVITY : O/S BUILDING- LJNDEFINED VALUATION : $ 7,200.00 APPLICANT PERMIT FEE SCHEDULE 162.25 MIDWEST ROOF[NG STATE SURCHARGE(VALUATION) 5.00 6541 SYCAMORE CT N MAPLE GROVE, MN 55369- MISC FEE 0.00 (763)427-9696 TOTAL 167.25 Minnesota State License#: 20637010 OWNER ESAU, TERRANCE& MARY 755 D[CKEY LAKE DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd according to the approved plans and specitications,applicable City approvals,and the State I3uilding Codc. "I'his permit is for only the work dcscribed and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the�'ate of issuance,or if construction is suspended�for a pe �od of 180 da�at any time after work has commenced. The applicant is res�onsible for:assuring all required inspections are requested in confo�nance with'the State I3uilding Code.This permit may be revoked at any tinie for due c�lus . . ��^ �(/� �l l U / / icant�e itee Signature Date Issued By �g ature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER AN DESCRIBED ABO - City of Orono - � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,�. PO Box 66 �� O Crystal Bay, MN 55323-0066 Date received: �::ar � ,� ��`" �:�;�:' �, � Street Address: Received by: �',�, '� 'A� �ti 2750 Kelley Parkway Plan review fee: L9kESHOg'� 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 prinf) GENERAL INFORMATION: __�.� r r Job Site Address: ?J S U i C.-�' " L � '✓ Will this be a Parade of Homes, Remodelers Show ase Home or other Display Home? ❑ Yes ❑ No !f yes, a special event permit is required with Pofice 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 INFORMA ON: Name: ��c,�;C'S� �--��_.� State License# ��-2 j �� Expiration Date: '"' ,��- Phone: 3� � a "7 - (�7 office cell Mailing Address: �?� / Sy ccz �-.�� L �f /�' City_l�`� e G r��Z�P� SS-3 �j Contact Person: S7,n,;�, ,� S e;� Applicant is: CContract r �� Homeowner (Circle One) Email and/or Fax: ----- - PROPERTY OWNER INFORMATION: Name: '7c� ✓��i �S�� Phone (day): ys� -c�rs--� - i�gSg , Address: 75s �;�kry �k L;,� City: (JY��C� 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 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 "Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �"�� „ � � — � �---� j��-z,t S c �,1,,,��' c a ��:ti C Estimated Construction Valuation of Project(excluding land) $ �o?DG 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 tq annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I`,the inform�tion,the a lication ma not be issued. ApplicanYs Signature: �__ �.� �G%'��_�� Date: /�' 7 �� Last Updated: 05-04-2009 / / DATEl� TIME ✓ CITY OF ORONO CALLED IN `� r� J INSPECTION NO ICE SCHEDULED l4/ — D PERMIT N0.2��ODQ�D a COMPLETED ADDRESS �5S .�ICI�.Q.G/ �F� !�"L� OWNER TELEPHONE NO. 7�3 �� D yJ CONTRACTOR /�C�c��PQ� �; DESCRIPTION r � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FiNAL Q ❑ 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �` �x� �-i n�'a� — �zo z'-�a-� � a o� �_ ��c.�-u� �-r� S�c� � � 0 � w � Q � z w � W � � d � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED _ SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. �� White Copyllnspector's File Canary CopylSite Notice