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Home My WebLink About2010-00945 - roofing � ' CITY OF ORONO PERMIT NO.: 2010-00945 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/OS/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 763 FERNDALE RD N PIN : 36-118-23-11-0026 LEGAL DESC : LYDIARD HILLS : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 51,103.00 NO"I'E: "I'EAR OFF REROOF-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 696.75 HOME EXTERIORS INC STATE SURCHARGE(VALUATION) 25.55 7950 CO RD 26 TOTAL 722.30 MINNETRISTA, MN 55359- (612)270-2142 Minnesota State License#: BC 2031530 OWNER ESTENSEN, DAVID&JODY 763 FERNDALE RD N WAYZATA, MN 55�91- AGREEMENT AND SWORN STATEMENT '1'hc work for��hich lhis permit is issued shall bc perfonncd according to thc approvcd plans and specifications,applicablc City approvals,and thc State E3uilding Code. This permit is for only the work dcscribcd and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances govcrning this type of work shall be compied with whether or not specitied herein.'I'his permit will expire and become null and void if construction authorized is not commenced within I 80 davs of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is respons le for assuring all required inspections are requested in c � e with the State Building Code.This permit may be re e t an tin e cause. : l l /Q� -J�' � /D Applicant ermrtee Signature Date Is d B}�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: Permit number: o��a'�� ,0,�. PO Box 66 O �\ O Crystal Bay, MN 55323-0066 Date received: �U�S /v ��P Received by: ,� � �� F�!:,;, �, Street Address: '$',�, �'� '�� ti 2750 Kelley Parkway Plan review fee� L9kESH�4'� Orono, MN 55356 -- Total Fee: �qZp�� 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 e returned. (Please print) GENERAL INFORMATION: 7� � Q� h Job Site Address: i ,� j I ¢ti�.�'l�✓� !�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No 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 available. Non-permitted events will not be allowed. CONTRACTOR/A LICANT FORMATIO ( Name: -�-�v� u� � � c l�� li State License# ;��,j S3�1 Expiration Date: U' Phone: . �-2 - 1�(Z office cell Mailing Address: '1� � Cit : ;�,�, �� { � ZIP: . -� Contact Person: ( G � Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: �� y7� - S � �( PROPERTY OWNER I RMATION: Name: Phone (day): — U- o C ;� Address: S�h, � City: �� 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: Estimated Construction Valuation of Project(excluding land) $ � �03 -O v 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 i� to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I th i �nation,the a lication ma not be issued. � , -- _ � . ApplicanYs Signature: � Date: O�� ( V Last Updated: 05-04-2009 L� � GY " ' �� V /� DA� TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � �S• • /� PERMIT NO. - �y �COMPLETED ADDRESS �/O � �'�%��G�� OWNER ELEPHONE No�'�j-�7D-� �� CONTRACTOR /�� 5 >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d RKSATISFACTORY:PROCEED LI PROJECTCOMPLETE W' ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR '�CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-460� OwnerlContract�� t . Inspector. White Copyllnspector's File Canary CopylSite Notice . .. z ��/ �� j, vv �� i�� A:/�"_"�. �% " � `�v � �� ` ��'� �� , / � G�--�jG � L�ti�� - ��,�, �-^ — V ' T� TIME " CITY OF ORONO CALLED IN �� J �� INSPECTION O ICE CHEDULED � � PERMIT NO. �-�� COMPLETED ADDRESS � 3 OWNER EL HONE NO. �l �- �' CONTRACTOR ��vr� >; DESCRIPTION � ll� ❑ 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 � ❑ 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 � � � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION flEQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnedContractor on sit - Inspector. .� � White Copyllnspector's File Canary CopylSite Notice