The URL can be used to link to this page

Home My WebLink About2010-01097 - re-roof CITY OF ORONO PERM[T NO.: 2010-01097 ... 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE Iss[1En: 1U09/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRGSS : 865 FERNDALE RD N PIN : 25-118-23-44-0002 LEGAL DESC : UNPLATTED 25 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : REL[GIOUS CONSTRUCTION TYPE : ROOF[NG-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 78,000.00 NOTF;: TGAR OI'1'RGROOP-}�LASI�ING APPLICANT PERMIT FEE SCHEDULE 891.75 PETE TACHENY ROOFING& SIDING INC STATE SURCHARGE(VALUATION) 39.00 49 SOUTH OWASSO BLVD LITTLE CANADA, MN 551 l7- TOTAL 930.75 (651)484-4744 Minnesota State License#: 20630076 OWNER CHURCH, ST. EDWARDS EPISCOPAL 865 FERNDALE RD N WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT I'he work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State[3uilding Code. 7'his perniit is for only the work described and does not grant permission 1or additional or related work which requires separate permits. All provisions of laws and ordinances governing 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 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after wark has commenced. The applicant is responsible for assuring all required inspections are re t in conformance with the State Building Code.This permit may be r o a an e for due cause. i l 0 /�i l /D A plica Permitce Signature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono i � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: �D�Q Q�Q 4v�,� PO Box 66 Permit number: • � � � Crystal Bay, MN 55323-0066 Date received: �/ � 2;�r�, ,� ��4:i,, �, Street Address: Received by: �'.�, '° °a� �ti 2750 Kelley Parkway Plan review fee� r`�kESHo'�,� 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: 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. CONTRACT LIC14NT INFORMATION: ,� Name: �5�, State License# Expiration Date: k.,�, j Lol Z. Phone: � office ,� cell Mailing Address� � Cit � NZI Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INF R, MAT�Q�� /� N a m e: S`E" ��y�1 �'tQ C aN�2SS� �� ! S C.o��4� �` �w�,� ll-� Phone (day): Z Address: �_ �� Cit : � r�� ZIP: � � � "�f 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 Sidin�ln5�'" ' '�]'Restoration �ther. (specify) Phone: 952-471-0590 � ( Fax: 952-471-0682 Re-roof ❑ Fire Damage �� \ www.minnehahacreek.orq Overall Project Description: � o� Estimated Construction Valuation of roject excludi g la $ d 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 uire use to su I the information,the a lication ma not be issued. ApplicanYs Signature: �" Date: Last Updated: 05-04-2009 ,, DATE TIME� J s :a,; CITY OF ORONO CALLED IN INSPECTIONNOTICE SCHEDULED �l� -�� /1I PERMIT NO. ��0 —O�� 7 COMPLETED ' ADDRESS i��.�/� ( � �r��. 8��c',�1e �tJ OWNER �� -✓� ��ELEPHONE NO. CONTRACTOR �: DESCRIPTION f'r �v � � I� 6 O� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIL�ING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 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��-�S 3'..� �3 a- � a � � 0 a �> � � a.�:� ,�,.� ! D C/ c� (�� ,� ; � 1Z }7 � ,r4 c' �c� � Q� � -rc i �� ,�� Q 1/� ��,'� � �� z w � W � � d W� Cl WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ^ SUE CERTIFICATE OF OCCUPANCY 0 ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 2Q9-46QQ Owner/Contractor on site: Inspector. �,�( � . �� White Copyllnspector's File Canary CopylSite Notice