HomeMy WebLinkAbout2010-00987 - roofing CITY OF ORONO PERMIT NO.: 2010-00987
' 2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE iss[1En: 10/12/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 781 FERNDALE RD N
PIN : 36-118-23-11-0013
LEGAL DESC : REG. LAND SURVEY NO. 1031
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENT[AL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING- UNDEFINED
VALUAT[ON : $ 70,800.00
NO"t'E: TF,AR OPF REROOP-CEDAR SHAKES
APPL[CANT
PERMIT FEE SCHEDULE 839.25
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 35.40
5145 INDUSTRIAL ST
SU[TE 103 TOTAL 874.65
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#: 20631575
OWNER
TAPANI, KEVIN & SHARON
781 FERNDALE RD N
WAYZATA, MN 55391
ACREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approvcd plans and specitications,applicable City approvals,and the
State[3uilding Codc This permit is for only the work described and does
not grant permission tbr additional or rclated work which requires separatc
permits. Ali provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.'I'his permit will
cxpire 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 ibr a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may bc
rev�il:e any time for d e cause.
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(Appli • ermitee Signature Date
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: Permit number: � �—�
O�,�,�.0 PO Box 66
Crystal Bay, MN 55323-0066 Date received: /� � a-- C�
�i:��3,�. �i
,� ����,��4�`��, ,, i Street Address: Received by:
�',�, '� '9`� �ti 2750 Kelley Parkway Plan review fee:
r9kESH��'� Orono, MN 55356
- Total Fee: �7�; �
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�( ���,'J�'��E�� (t �
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o
If yes, a special event permit is required with Police Department and City Council approva160 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: L�S���e �b.v s�fZ.�,ct`r a�-,
State License# a o�, 3 i S7� Expiration Date: �3 3,� �zo �-L---
Phone: (�3- %���i— � � office cell
Mailing Address: ���,� :.�u, �,�� S r— Cit : �- ,�-,," ZIP: ,j 3� ��
Contact Person: . '�,� S ��,;,.; Applicant is: ntrac / Homeowner (Circle One)
Email and/or Fax: ,�,�,� �� uST�1-2-ta a �t�, • C�,.�-�
PROPERTY OWNER INFORMATION:
Name: f`�v, �.; I�/�(���N �
Phone (day): �s�. � �c/- ��o �>
Address 7 g� �.��N�,3('�z �Q City:l,(,'�-v��,�=�y� ZIP: �3`� /
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:
Estimated Construction Valuation of Project(excluding land) $ 7J� �;x� "=
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.
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ApplicanYs Signature: /�� ���- Date: ���1 z-�Io
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Last Updated: 05-04-2009
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PERMIT NO.' ������ COMPLETED
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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 ❑ S�PTJC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:��YES_NO
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❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
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y ❑ 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
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
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0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
L7 STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �95Z� Z49-460�
Owner/Contractor on site: �
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Inspector. � .> �--� -
White Copyllnspector's File Canary CopylSite Notice