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Home My WebLink About2010-01132 - roofing " CITY OF ORONO PERMIT NO.: 2010-01132 2750 KELLEY PARKWAY ORONO, MN 55356- DAT� ISSU�D: 1U18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 650 GANDER RD PIN : 04-117-23-43-0020 LEGAL DESC : FOXWOOD 2ND ADDN : LOT 001 BLOCK 001 � PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTNITY : O/S BUILDING - UNDEFINED VALUATION : $ 8,333.00 NO"1'E: TEAR OFF REROOF-ASPI IALT SHINGLBS APPLICANT PERMIT FEE SCHEDULE 177.00 ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 5.00 5565 QUAM AVE NE ST MICHAEL, MN 55376- TOTAL 182.00 (763)550-0444 Minnesota State License#: 20172153 OWNER TUCKER,JAMES& WHITNEY 650 GANDER RD 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 Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separatc permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified hercin.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. 'I'he apE�licant is responsible for assuring all required inspections are requested in conformancc with the Sta[e Building Code.This permit may bc revoked at any ' �e � e c �e. �,/��l/`-!�/ � / ' �` /l l /� l /o , �f(� �� l ��'l /(� � ,�A icant Permitee Signature Datc ►s 13y 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: �v1�-d/�3 � �,�,�. PO Box 66 Q O Crystal Bay, MN 55323-0066 Date received: �� /(� 2"�'" Received by: a ��.i �, Street Address: �,.� �',�,t� r` '�;�,p„��ti�' 2750 Kelley Parkway Plan review fee� �r� Orono, MN 55356 � ` � 1 1 O � kEsxo4 Total Fee: o� 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. (P/ease print) GENERAL INFORMATION: /�/ Job Site Address: S� v f/' /�c� 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/AP LI NT INFORMATION: Name: ��pu,�� 1�/�f� .t n C� State License# Ze Z l � Expiration Date: Zc�/ Phone: 7 -S� p- <J office cell Mailing Address: S"S . N� Cit :5 • �r f� ZIP: S'3 7 Contact Person: o ,-/� ;, Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: � PROPERTY OWNER INFORMATION: N a m e: �i,�,1 l U C_.�c t'�. Phone (day): S Z - zl - (q� Address: /S'� C',�n �� /'1 City: L�✓'0 nE ZIP: S"S 3 9/ 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 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: %��r_o�' / /I�Pc�! /�S �a/ 5` r',S Estimated Construction Valuation of Project(excluding land) $ � 333 c�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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. � ApplicanYs Signature: Date: //—/�� Last U dated: 05-04-2009 / P �I� DAT TIME CITY OF ORONO CALLED IN � � � INSPECTION NOTICE SCHEDULED 1 � �� PERMIT NO. �d��v��°Z"�COMPLETED ADDRESS 4—S D OWNER TELEPHONE NO. �J-SSb- CONTRACTOR >; DESCRIPTION � lL ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � 2 W � W � � GW ,�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-460� OwnedContractor on site: � ' ,�_.f � c, Inspector. �, i�.: . ��s '�� White Copyllnspector's File Canary CopylSite Notice DAT TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE z S HEDULED PERMIT NO..�/�//�DJ�✓�MPLETEO / ADDRESS � �� OWNER TELEPHONE NO ��`�� CONTRACTOR �: DESCRIPTION � � ❑ FOOTING PL ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPtAINT J ❑ 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 C � � O �. � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK R PROCEED !7 ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOF REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-46�� Owner►Contractor on site: Inspector. G�/�/r'�j� �—�� White Copyllnspector's Fiie Canary CopylSite Notice