The URL can be used to link to this page

Home My WebLink About2014-00978 - roofing r , CITYOFORONO * 20 14 - 0fd978 * 2750 KELLEY PARKWAY DATE ISSUED: 09/02/2014 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRF,SS : 2255 FRENCH CREEK CIR PIN : ]0-117-23-32-0006 LEGAL DESC : FRENCH CREEK : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 15,000.00 NO"I'F,: VALUATION OI'PERMIT: $15,000.00-CF,DAR ROOI' ROO1�ING PERM[TS ISSUED WITHOUT ENOUGH NOTICE FOR"CEAR OFF INSPEC�I�IONS. (WE REQUIRE 24-48 NOTICE,PRIOI2"I'O WORK BEING STARI�F,D) MUST PROVIDE COMPLETE SET OF PIC'I�URES OR A F(NAI,INSYECTION MAY NOT BE ISSUED. SICiNS-/�DVERTIS[NG SIGNS MAY ONLY BG ON 1�HE PROPERTY DURING THE TIMF,'I�Hf:ROOF[S BEING DONE. ONCE WORK IS COMPLET}�,D"I�F[E SIGNS MUS'I�[3E REMOVED. AYPLICANT PERMIT FEE SCHEDULE 265.50 STATE S[JRCHARGE(VALUATION) 7.50 KUHL'S CONTRACT[NG MISC FEE 0.00 1515 S STH STREET TOTAL 273.00 HOPKINS, MN 55343- (952)935-9469 Payment(s) Minnesota State License#: BUIL-BC 195769 CREDIT CARD 2216 273.00 OWNER BROUCEK,JAMES& E3RENDA 2255 FRENCH CREEK CIR WAYZ,ATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and thc State Building Code. '1'his 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 type of work shall be compied wi[h whether or not specified herein.This permit will expire and becomeinull and void if construction authorized is not commenced within 1 AO days oC the date of issuance,or if construction is suspended for a�period of-i days at any timc aTter work has commenccd. The applicant is responsiblc r assuring all required inspections are requested tii confiormancc wit the State[3uilding Code.This permit may bc rcvoked at any timc tbr duc cai sc. `. � ,�' � ! / "� /`� plicant Permitee Signature Date Issued �Signature Date . � City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �OA'O Mailing Address: Permit number: p�0/ —� '�7 7 1 y PO Box 66 Crystal Bay, MN 55323-0066 Date received: — oZ —/ Street Address: Received by: y �� 2750 Kelley Parkway Plan review fee� F t Orono, MN 55356 �KESH�� / �. l./L/ 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: 7�� `� a-�� t�.��-�� ,� ��:� � � '^,� �,Jc� 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 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 INFORMATION: Name: �;,tii-�i.� ( v �J ,�if�(.t"1 Nc1 ;fJi,v State License# ��,��j S-7 �,�j Expiration Date: ��ti�j��C Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) � � L. ��1 Zi 3i,� (office) `tS �, �t��l� �1 iti��i MailingAddress: �, y� c,r-� �, � City: ZIP: �53�I5 Contact Person: �� Applicant is: Co, tr tor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: (,��_� J nin g Q�(�1� Phone (day): Address: ��,��`� ��,��;�� (�, ,v�� City: �}��N�� ZIP: Email and/or Fax: PROJECT INFORMATION: Overall ro�ect descri tion: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd e-roof, cedar ❑ Restoration ❑ Water Damage Deephaven, MN 55391 Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ I� . �D O . " ` 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 required by law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: Owner's Signature: Date: Last Updated:03/06/2013 �� ✓ I�D TE� TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED � PERMIT NO.��y —0��MPLEfED ADDRESS a c.7� AC�^- r-�°� �- -` r � OWNER TELE�HONE N�. � ' r CONTRACTOR � DESCRIPTION �� ty ❑ FOOTING ❑ PLUM8ING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS y Q ❑ 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 ❑ PLUM8ING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q W � // � w � � W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK S PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDEH POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hou in adva . (J5 49-46�0 f OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopyfSi e Notice