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Home My WebLink About2010-00858 - roofing 1 ' �� CITY OF ORONO PERMIT NO.: 2010-00858 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISsuEu: 09/20/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4450 FOREST LAKE LANDING PIN : 07-117-23-24-0016 LEGAL DESC : TONKAVIEW GARDENS : LOT O11 BLOCK 000 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BU[LDING - UNDEFINED VALUATION : $ 4,000.00 NOTL: "I'EAR OFF REROOF-ASPHALT SHINGLES APPLICANT pERMIT FEE SCHEDULE 103.25 WOLFF, ROBERT&VELMA STATE SURCHARGE(VALUATION) 5.00 4450 FOREST LAKE LANDING TOTAL 10825 MOUND, MN 55364 OWNER WOLFF, ROBERT&VELMA 4450 FOREST LAKE LAND[NG MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT Che 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 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 q�pe of work shall be compied with whether or not specitied 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 work has commenced. The applicant is responsible for assuring all required inspections are requeste ' c nfo(mance w.�th t Stat Buildi g Code.This pennit may be revoke at y ti �e for du a � � � � !� / / App icant Permitee Signature Date Issued 13y Signature Datc SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � c� � .� � � City of Orono 7 � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: ��/v_v��' O�,D,�.O PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: �� I� �4� � I�� Received b : ,� �' ��; �, Street Address: Y 's',�, � ti"� �ti 2750 Kelley Parkway Plan review fee: ��ESH�g'� Orono, MN 55356 Total Fee: �Q�, �,� 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: '� ,�C� ��re5 � ln,�y1d��1 —' Q ��3vL.Q - � J 3 �J Will this be a Parade of Homes, Remodelers Showcase Home or ot r Display Home? ❑ Yes o !f yes, a specia!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/APP y�T�INF RMATION: '� �^ Name: �%��`� � �� C' State License# Expiration Date: Phone: ��'� — �"15 (office) (cell) Mailing Address: Cit : ZIP: Contact Person: Applicant is: Contractor / Homeowner � (Circle One) Email and/or Fax: PROPERTY OWNER INFOR ATION: � r Name: ; � ��` 1 �� Phone (day): �-2.— � 2— � �° Address � Y',� `r � .L.�-r�-U% Cit : � ZIP: � S �j � Email andbr Fax w r,vv I F � P fi� � 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 Re-roof ❑ Fire Damage www.minnehahacreek.orp Ov II Project Description: Estimated Construction Valuation of Project(excluding land) $ � 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 s the information,the a lication ma not be issued. i ApplicanYs Signature: �L � Date: p�-(� �' Last Updated: 05-04-2009 � rj G� DAT TIM� CITY OF ORONO CALLED IN / INSPECTION NOTICE ��,.S�SCHEDULED PERMIT NO. �D— COMPLETED ADDRESS OWNER ��1 LEPHONE NO�So�—�7�— CONTRACTOR >; DESCRIPTION ' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 � COMMENTS: � W ' � J ` � �" ,7 O � � � � C/� �� O � W � Q � Z W � W � � GW �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. �� White Copylinspector's File Canary CopylSite Notice