HomeMy WebLinkAbout2010-00868 - roofing . �
CITY OF ORONO PERMIT NO.: 2010-00868
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE �SSUEn: 09/20/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 645 FERNDALE RD N
PIN : 36-118-23-11-0032
LEGAL DESC : N/A
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING - UNDEFINED
VALUATION : $ 10,150.00
NO"CE: TGAR OFF AND REROOF-ASPHALT SHINGLES
APPLICANT PERMIT FEE SCHEDULE 206.50
TODAYS EXTERIORS INC. STATE SURCHARGE(VALUATION) 5.08
1 1308 70TH PLACE N
MAPLE GROVE, MN 55369- TOTAL 21 l.58
(763)425-0803
Minnesota State License#: 20387451
OWNER
PAGE, THOMAS& MARILYN
645 FERNDALE RD N
WAYZATA, MN 55391-
AGREEMEIYT AND SWORN STATEMENT
The work for which this permit is issucd shall be performed according to
the approvcd plans and specilications,applicable Ciry 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 whe[her or not specitied herein.This permit wili
expire and become null and void if construction authorized is not
commenced within I 80 days of the date of issuance,or if construction is
suspended for a period of any time after work has commenced.
The applica ponsible for assu i g all required inspec�
re in conforniance with State Building C �s pfi� ermit may bc
voked at any time for d ause.
� l�� l��� Css�'�..dL, �l Ul /O
Applicant Permitee Signature Date [ssu y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBED ABOVE.
. `.
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: ��v—
g,�,�. PO Box 66
� � 1\ Crystal Bay, MN 55323-0066 Date received: �
,� �"�4�,y ,,�i S tr e e t A d d r e s s: Received by:
�'�, "� '�%� �� 2750 Kelley Parkway Plan review e:
r9kE5iI0g'�� Orono, MN 55356
Total Fee: a`l���
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us v ��
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: ��S 1� , r�,rIJ��4 ��Z �(�.
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No
/f yes, a special event permit is repuired with Police Department and City Counci/approva/60 days prior to the event. Shutfle bus service wi/l be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: /o�Q ,���srs �,�
State License# Z�3$7YSI Expiration Date: �S 3/ zoi
Phone: 76J yZS- O $p3 (office) 763 'yZJ-O�a3 `iZ btiY� oZ36 (cell)
Mailing Address: � I o 0 - �C, �1 Cit : �� �,,,,z ZIP: �6
Contact Person: o� Applicant is: Contracto / Homeowner (Circle One)
Email and/or Fax: �' 763 yZ,r- 6 I b g _ .
PROPERTY OWNER INFORMATION: ��
Name: dwt 4SF
Phone (day): (��Z 96 0 - zd.33
Address: City: 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
Deephaven, MN 55391
❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
e-roof ❑ Fire Damage www.minnehahacreek.orq
Overall Project Description: �-,�- e� 2 ,�� -r�y� �,.,
Estimated Construction Valuation of Project(excluding land) $ �Q /�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 ot be given to either the public r the subject of the data. Our
purpose and intended use of this infor � n is to annually pdate our records an s of other governmental agencies
re uired b law. If ou refuse to s the information,th lication ma no sued.
ApplicanYs Signature: Date: �Z� ��/f� - �
Last Updated: 05-04-2009
�- � �'� ,/
� /� TIME
CITY OF ORONO CALLED IN � �
INSPECTION NOTICE ��, pSCHEDULED
PERMIT NO.d���-DD 2Sf� COMPLETED
ADDRESS lP �.S �z�d�cx�.�
OWNER TEL O E NO.��3'�`s"��"�
CONTRACTOR �D -S �1��
�: DESCRIPTION
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
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
� ❑ 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:
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W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT 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 irt a�'�
Owner►Contractor on sit : ✓'
Inspector. �
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� � DATE //� TIME V
CITY OF ORONO CALLED IN `v �
INSPECTION OTICE SCHEDULED U '
PERMIT NO. d ����g COMPLETED
ADDRESS `�-� �
OWNER T LEPHONE NO. `� �-� �
CONTRACTOR s — �
>; DESCRIPTION �v��-�"��
�
L� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL R� ❑ 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
J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTO TO MEET YOU:_YES�NO
� COMMENTS:_���'� � -`'�WL� �'J'��N�
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� ❑WORK SATISFACTORY:PROCEED �$pJECT COMPLETE
W ❑CORRECT WORK&PROCEED � , ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
�CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL RETUFN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� Z49-4600
OwnedContractor on si :
Inspector.
White Copyllnspector's File Canary CopylSite Notice