The URL can be used to link to this page

Home My WebLink About2010-00651 - roofing CITY OF ORONO PERMIT NO.: 2oiaoo6si h � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/02/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 425 FERNDALE RD N PIN : 36-118-23-14-0014 LEGAL DESC : HAUSER LAUER WCC ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 18,000.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 309.75 INCLINE ENTERPRISES INC STATE SURCHARGE(VALUATION) 9.00 26175 BIRCH BLUFF RD SHOREWOOD,MN 55331 TOTAL 318.75 (612)471-9065 Minnesota State License#: 20168831 OWNER HAUSER, HELEN 425 FERNDALE RD N 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 permit will expire and become null and void if cons[ruction authorized is not commenced w thin 180 days of the date of issuance,or if construction is suspended for period of 18 ays at an � ime after work has commenced. The applicant is responsibl fo assurin a I r uired inspections are requ sted in c ormance it the Stat B ii ng Code.This permit may be revo d at an me for du c use. � '�- � �� 1,�K-- �'l � l �D Appl� Perm ignatu Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WQRK OTHER THAN DESCRIBED ABOVE. � City of Orono ' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: v��d-pQ �O V �,0,� PO Box 66 Q+A� Q� Crystal Bay, MN 55323-0066 Date received: 2 /U ��3f� Received b � �' �:'':=� s. ; Street Address: Y� �'� � �� G� 2750 Kelley Parkway Plan review fee: L�kESi�I�4'� Orono, MN 55356 Total Fee: � � 8� 1 S 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 ret rned. (Please print) GENERAL INFORMATION: , � , > G\ ) Job Site Address: ��.� �V� ! �J�� -/-� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f 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: ��Yl��s�L �r'1�r�,�i^�L1-, �v� C State License# �/�� Expiration Date: // Phone: �� _ �_ S' office -� f—9 y 1 � cell Mailing Address: .� �j �� .�� Cit : s��,vc�:: ZIP: � - Contact Person: �, ( S Applicant i � Co trac / Homeowner (Circle One) Email and/or Fax: �y s`d— 2l'7�' — l 7�J1 PROPERTY OWNER INFORMATION: Name: �.� /�� Phone (day): ��-- i� ? 3 � ) �73 Address: Cit : 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 ❑ Siding Deephaven, MN 55391 ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orq verall 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 inf mation is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su the infor ation,the lication ma not be issued. ApplicanYs Signature: Date: �� j� Last Updated: 05-04-2009 G � Gj�IG`� ,4` AT TIME ✓ CITY OF ORONO ° CALLED IN � '�� INSPECTION ��C,E,_ /_C/ SCHEDULED � PERMIT NO. ��J ��`J COMPLETED ADDRESS �� Z�� OWNER EL HO E NO(�'�J � � � CONTRACTOR �----- �; DESCRIPTION � � lt� ❑ FOOTING ❑ PLUM F AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECH NICAL 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 � ❑ 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 a � O � W � Q � Z W � W � � � �i WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN 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� 249-46�� Owner/Contractor on site: Inspector. ,,n � White Copyllnspector's File Canary CopylSite Notice � � � � T / TIME J - CITY OF ORONO �c' ALLED IN �' ��! �b INSPECTION NOTICE /��/�/ �� SCHEDULED �l i t) � PERMIT NO. �G�C �l,'V10�� COMPLETED ADDRESS ��'� ��r�C��.� /V• OWNER TELEPHONE NO. �'"� � ��f�� f�'1� l/ � i CONTRACTOR �(L— �� DESCRIPTION ��'1 7 � l�—��1 � W ❑ FOOTING ❑ PLUMBING 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � � O � � O � W � Q ti Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITfONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� 249-4600 Owner/Contractor on ite: � � Inspector. White Copyllnspector's File Canary CopylSite Notice