The URL can be used to link to this page

Home My WebLink About2010-00156 tear off new rubber roof CITY OF ORONO PERMIT NO.: 20�o-oo�s6 " 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE ISSUEn: 03/18/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 177 GLENDALE DR PIN : 34-118-23-32-0053 LEGAL DESC : GLENDALE COVE : LOT 002 BLOCK 001 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RELIGIOUS CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 16,000.00 NOTE: TEAR OFF NEW RUBBER ROOF-INS TO CODE OK PER WILLIE TO ISSUE PERMI"I' APPLICANT PERMIT FEE SCHEDULE 280.25 R&N ROOFING CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 8.00 2555 COUNTRYSIDE DR LONG LAKE,MN 55356- MISC FEE 0.00 �9s2�929-os�2 TOTA►. zss.zs OWNER CHURCH, CALVIN PRESBYTERIAN 177 GLENDALE DR LONG LAKE, MN 55356 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 permit is for only the work described and does not grant permission for additional or rclated work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is no[ 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 requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. � l l �-e c�c�C� l l Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF ORONO P�RM�T No.: 2oio-oois6 •. . 2750 KELLEY PARKWAY , � ORONO, MN 55356- DATE ISSUED: 03/18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS " : 177 GLENDALE DR PIN : 34-118-23-32-0053 LEGAL DESC : GLENDALE COVE : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTTON TYPE : ROOFING -ASPHALT VALUATION : $ 16,000.00 NOTE: Tf AR OFF NEW RUBBFR ROOF-INS"I�O CODG APPLICANT PERMIT FEE SCHEDULE 280.25 R&N ROOFING CONSTRUCTION INC. $TATE SURCHARGE(VALUATION) 8.00 2555 COUNTRYSIDE DR LONG LAKE, MN 55356- MISC FEE 0.00 (952)929-0812 TOTAL 288.25 OWNER CHURCH,CALVIN PRESBYTERIAN 177 GLENDALE DR LONG LAKE, MN 55356 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 the State[3uilding 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 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 sus�ended for a eriod of 180 days at any time after work has commenced. The pplicant is sponsifile for assuring all required'tnspections are reque�(ekl' confor aq e wilh the State Buildin ode.'i�his permit may be revok t�ny time for e c use. �. � � � � �� ' � � �� Applic,�nt Permitee ' ature Date Issued By gnature ate SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED AB . City of Orono , � � ' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,0,� PO Box 66 %0 �:\ Q Crystal Bay, MN 55323-0066 Date received: �� '� ,i 'r�z��,� �.�! Street Address: Received by: �' �� ti 2750 Kelley Parkway Plan review fee: � t�.rfESK 4� Orono, MN 55356 -- 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: `�� E%n� � Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No /f yes, a special event permit is required with Po/ice 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 I AN IN�R�M�A�T�N: � /�� ` � Name: �� '{ ��'C l � l') �.c t�-A�� . State License# Expiration Date: Phone: _ ffice cell Mailing Address: - �t Cit : ZIP: Contact Person: Applicant is: Contract r / Homeowner (Circle One) Email and/or Fax: �i" � (o' PROPERTY OWNER INF RMATION: Name: � Phone (day): Address: Q�� City� (ty�8'f-�'� ZIP� 3 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review 8� permits ❑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 Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq verall Project Description: .(� � � + � �j�G Estimated Construction Valuation of Project(excluding lan $ 4. p 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 i purpose and intended use f this informati is to annually update our records and records of other governmental agencies re uired b law. If ou refus to su I the in o a ion, the a lication ma not be issued. ApplicanYs Signature: 1 Date: � g 2�� Last Updated: 05-04-2009