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Home My WebLink About2010-00709 - roofing � � CITY OF ORONO PERMIT IYO.: 2010-00709 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/16/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 627 FERNDALE RD N PIN : 36-118-23-II-0029 LECAL DESC : LAURENT ADDN : C,OT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 166,000.00 NOTG: TGnR OI'1'RI;ROO1�-CI�;DAR SHAKES APPLICANT PERMIT FEE SCHEDULE 1,452.75 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 83.00 5145 INDUSTRIAL ST SUITE 103 TOTAL 1,535.75 MAPLE PLAIN, MN 55359 (763)479-8700 Minnesota State License #:20631574 OWNER JOHNSON, BONNIE 627 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT I-hc work for which this permit is issued shall be performed according to thc approvcd plans and specifications,applicable City approvals,and thc 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 goveming this type of work shall be compied with whether or not specified herein.'Chis permit will expirc and hecome null and void if construction authorized is not commenced within I 80 days of the date of issuance,or if construction is suspcnded for a period of 180 days at any time after work has commenced. 'I�he applicant is responsible for assuring all required inspections are request�d in co � rmance��iUi the State Buildine Code.This permit may be reva�d at an [� c f � c causc. % �,�-- ��/:' - �?'1 /,'",' / ,,' � �O�C�- O � I� � i �i / Applicant Permitee Signature Uale Iss d By Signature Date i 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—UO j0 �,0,� PO Box 66 � � � � Crystal Bay, MN 55323-0066 Date received: �� 'D il�. � 5��:!`e�.I`�:. a ��:-`=s,~;�, s. � StreefAddress: Received by: �'�t.y��rti��`�rv°~�l 2750 Kelley Parkway Plan review fee: kESH�g' Orono, MN 55356 Total Fee: � //�,��j, �J`� 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: �_,��7 ;�� ,� ,f, i, �„,: /".%...4 ��, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �1Vo 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 avaifable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: /� //;�,,.- � � . State License# ,�`;�, 3, s �_% Expiration Date: � -,Y�- i �- Phone: (,3�� 7 - ��o� office) cell Mailing Address: ��y� �,�(,,t,L _ ".> ;� ;�� Cit : ��,r - ZIP: �� "� Contact Person: Pc ��. r,o��ls�,- Applicant is: act �/ Homeowner (CircleOne) Email and/or Fax: ��,,,? _ �� _�, � ,,�� PROPERTY OWNER INFORMATION: Name: _ --� ' �� :� Phone (day): c;, �z � ��i 7 - ��r 4� l Address: ;�, - �,, „ ,� ,r='� � � l —/J� �' , ;.��-� rc ._ � �_ � �.- Cit :�ti�„.�,Z./.� ZI P� �, `, 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 '�f�e-roof ❑ Fire Damage www.minnehahacreek.ora Overall Project Description: 7=�.,, , L� ��, ji �{ Estimated Construction Valuation of Project (excluding land) $ �,4, �`, �, 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 annualty update our records and records of other governmental agencies re uired b law. If ou refuse to su th �formation, the a lication ma not be issued. � f� Applicant's Signature: 1_� Date: �(,.� � �j �.�� r' Last Updated: 05-04-2009 � _ � ,��,. ✓ G�� V TIME CITY OF ORONO CALLED IN �/ � INSPECTION OTIC� p��SCHEDULED � - PERMIT NO I��/�� COMPLE ED ADDRESS / ,v OWNER TELEPHONE NO. Sl� �� CONTRACTOR �: DESCRIPTION �-a` � C�S�� lL ❑ FOOTING ❑ LUMBING FINAL ❑ CAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI KESHORE/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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o — L�1,i ��7 �� a � 0 � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ 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. Cali for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. . / � o White Copylinspector's File Canary CopylSite Notice � � DATE TIME V CITY OF ORONO CALLED IN JD V INSPECTION OTICE �y SCHEDULED --5� PERMIT NO. - 7v` C MPLETED A D D R ESS �LZ�� /�-/�� OWNER TE HONE N . �' � `�� CONTRACTOR >; DESCRIPTION �h""' � 11� ❑ FOOTING ❑ PLUMB�NG FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � 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 � ❑ 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 � � O � � O � W � Q � Z W � W � � � GW ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK R PROCEED 'i UE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOA REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OFDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. � �� White Copyllnspector's File Canary CopylSite Notice