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HomeMy WebLinkAbout2010-00906 - re-roof CITY OF ORONO PERMIT NO.: 2010-00906 �' ,� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/27/2010 � 952 249-4600 FAX: 952 249-4616 ADDR[:SS : 793 FERNDALE RD N PIN ' : 36-118-23-12-0016 LEGAL DESC : LAURANNE WOODS 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 42,000.00 NO'1'L': l'EAR OPF REROOF-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 595.75 J D NEAL CONSTRUCTION STATE SURCHARGE(VALUATION) 21.00 7001 WEST 23RD STREET ST LOUIS PARK, MN 55416- TOTAL 616J5 (612)250-6035 Minnesota State License#: 20292641 OWNER JOHNSON,NITA 793 FERNDALE RD N WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIVT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This pern�it is for only the work describcd and does no[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.This permit will expire and become null and void if construction authorized is not commenced within I RO days of the date of issuance,or if construction is suspended for a period of 180 days at a time after work has commenced. The applicant is respo i �e for ass�urin all re ujred inspections are requested in confory�n�with the Sta Bui ing Code.This permit may be revoked at any fo ue ca4se. � ` i 7i�o�o � a�� D Applica ermitee Signature Date ssu 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: ����'" � � �,�,�. PO Box 66 O �\ O ,\ Crystal Bay, MN 55323-0066 Date received: �� `._ � ��:��`;� ,,�i StreetAddress: Received by: �',�, �° "�'� �ti 2750 Kelley Parkway Plan review fee:�! L9kE3H04'� Orono, MN 55356 ,7/Jf �� ' �� Total Fee: � 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: ~�qr3 �--�2.n��/�c_—c ��, 1�� 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/APPLICANT�NFORMATION: Name: .�.� , �� ('o��s�rzv c���nl State License# �20� � Expiration Date: Phone: � p �- (ov,3r office cell Mailing Address: p,o 5; � S;_ Cit : ZIP: Contact Person: o�-1 �p��. Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: � � : ;�v PROPERTY OWNER INFO MATION: Name: � ,- o Phone (day): S� � -700 - Address: 74.3 Et�J�A� I�D N .. City: ��Z,q�pt. ZIP: SS 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 �torm Damage �q i�. 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 ,�,� Fax: 952-471-0682 �r�e-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: � �;� �'� ,2���2 � - "L A� fa�-? -�p, Estimated Construction Valuation of Project(excluding tand) $ .�/Z /� 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,ge erally n t be given to either the public or the subject of the data. Our purpose and intended use of this informat�i n to anrr ally upd e our records and records of other governmental agencies re uired b law. If ou refuse to su I th�inf rmatiorr�the li ation ma not be issued. ;'i i ;' Applicant's Signature: ` , Date: �''02�,�2U1 G� Last Updated: 05-04-2009 DAT TIME ✓ CITY OF ORONO c �� ��– INSPECTION OT CE Q SCHEDULED �` � � PERMIT NO. — /�� COMPLETE ADDRESS 7��J ����� OWNER TELEPHONE NO. Z Z�S� (00 CONTRACTOR l� �G� L���i�2%�( � DESCRIPTION � � � ' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � j d W� ❑WORKSATISFACTORY:PROCEED �RfJP JECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE 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. (952� 249-46�� Owner/Contractor on s'te: � Inspector. '� � White Copyllnspector's File Canary CopylSite Notice ATE TIME � CITY OF ORONO CALLED IN L���i��1�O INSPECTION NOTICE /� �j�SCHEDULED �'� ��/«''� PERMIT NO. �`b -Uv ��"' COMPLETED ' ADDRESS � � ���'� '� ��- ��� � OWNER TEI.�PHONE NO.��a �� CONTRACTOR ' � "e� � >; DESCRIPT ' �e � � v�F-- ��� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/F LIN Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLAND � ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a 0 ��a�I J • /1� J /'7 �.�f� � >. � O � W � Q � 2 W � W � � ^ GW �ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ! ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-46�0 Owner/Contractor on site: Inspector. �' White Copyllnspector's File Canary CopylSite Notice