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Home My WebLink About2010-00683 - roofing CITY OF ORONO PERMIT NO.: 20�o-oo6s3 � 2750 KELLEY PARKWAY s ORONO, MN 55356- DATE IssUEn: 08/09/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 585 FERNDALE RD N PIN : 36-118-23-11-0007 LEGAL DESC : LJNPLATTED 36 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -LINDEFINED VALUATION : $ 8,000.00 NOTE: "I'EAR OFF REROOF APPLICANT pERMIT FEE SCHEDULE 162.25 INTEGRITY HOME IMPROVEMENTS STATE SURCHARGE(VALUATION) 5.00 11440 WEST LAKETOWNE DRIVE ALBERTVILLE, MN 55301- TOTAL 167.25 (763)670-2212 PAID WITH CC# 1382 Minnesota State License#: 20590843 OWNER DANIELSON, DANIEL D 585 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and specifica[ions,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 construction authorized is not commenced within 180 days of the da[e of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections aze requeste in conformance wi the State Building Code.This permit may be revoke at ny time for due � � .\ `_ ,�� , \ t� � /� Applicant Permitee Signature Dat�— " ' � �`-� Iss 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: U� � — p� h /�,� PO Box 66 Permit number: � �C � O �� O Crystal Bay, MN 55323-0066 Date received: � ��1 i ,� �'�"'m;,�- Received b �' s,;`,,. �, Street Address: y� �'�n '� '°" Gti�' 2750 Kelley Parkway Plan review fee: t`�kEsxo4� Orono, MN 55356 Total Fee: � t /�,� �G, Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ��/ U,v 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: � 5 ��C:�'�� ' (;\C_ �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No lf yes, a specia/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 INFORM ION: Name: ��•��^ �� s�ti��,�,,, ��.t��Y�p � � �:�c. State License# o S�� Expiration Date� 3 3\ c�- Phone: '1� � __ �.,10 _ -a��a (office) (cell Mailing Address: \r�t� �Co� .�'�a�,_:,� � , Cit � �{�v�'�1s- ZIP: S5�,,• ) Contact Person: r�iu.,.. �'�c� V^�: Applicant is: �Contracto / Homeowner (Circle One) Email and/or Fax: �,� ��,'� _ti�a..`p– `�U �� PROPERTY OWNER I F�ORMATIO : \ Name: C�.�v�� Q '�� Phone (day): ' " Address: �3 �-r�. '��, 4 '� c Cit � ZIP� Email and/or Fax y� ��f\ , PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review& permits ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Sidin Deephaven, MN 55391 g ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: .�`�� Estimated Construction Valuation of Project(excluding land) $ ' �•�� 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. ApplicanYs Signature: �—� � Date: � �� Last Updated: 05-04-2009 �� ,��, D � � � ' DATE TIME ✓ CITY OF ORONO CALLED IN �� INSPECTION IxOTICE f�� SCHEDULED v U � PERMIT NO. ��`+� COMPLETED ADDRESS SC�--� , -�!�GC.- �� OWNER � ELEP NE N07�3� �F'7�� O�� CONTRACTOR �l /v� /�LG� j; DESCRIPTION � iC/�/� � � � l� ❑ FOOTING ❑ PLUMBIN I ❑ 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 FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J .�-"'. O v . >. � O A/� �_ W �� '-1�Ln �C' /� � Q z '� � � W - , �, ,��5� G �� . � U � � a W ❑WORK SATISFACTORY:PROCEED G PROJECT COMPLETE � ❑ CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDIT�ON WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN u CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice D TE TIME �/ CITY OF ORONO ca,� �a 3l3G INSPECTION NOTICE SCHEDULED a � PERMIT NO. '��3 COMPLETED ADDRESS '�� 1-i�O��tf C�{Cc� N f�/�cRe.l OWNER T/ELEPHONE NO.i7�3��71`�;,��-��. CONTRACTOR —�L�l f�t /'�L;,Ncv .'%��C.�JI'�2�P lr'c�14� �: DESCRIPTION �'��E� 1tic' ��tS,<��/o� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �. � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �t � White Copyllnspector's File Canary CopylSite Notice