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Home My WebLink About2010-01135 - roofing ' � CITY OF ORONO PERMIT NO.: 2010-01135 � - 2750 KELLEY PARKWAY ORONO, MN 55356- �A7'E isSUEn: 1U18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 120 GOLDEN VIEW DR PIN : 33-118-23-43-0024 LEGAL DESC : HALLSON ESTATES 2ND ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEF[NED VALUATION : $ 7,300.00 NO fl�:: CEAR OI�F REROOF APPLICANT PERMIT FEE SCHEDULE 162.25 FIRST CHOICE BUILDERS STATE SURCHARGE(VALUATION) 5.00 12245 NICOLLET AVE S TOTAL 167.25 BURNSVILLE, MN 55337- (952)808-7400 Minnesota State License#: 20317975 OWNER HALLSON,JOHN T PO BOX 171 LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT � The work ior which this permit is issued shall be performed according to lhe approved plans and specifications,applicable City approvals,and the �� State l3uilding Code. This permit is for only the work described and does not grant permission for additional or rclated wark which requires separate permits. All provisions of laws and ordinanccs governing this rype of work shall be compied with whether or not specified herein.This pennit will expire and become null and void if construction authorized is not commcnced 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 13uilding Code.This pcnnit may be revoked at any time io�due cause. .�-�, ��----._ "/ l >� l /� _ /�l ��'l �U plicant Perm ee Signature Date Is y ignature Datc SEPARATE PERMITS REQU[RED 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: p2�/�j-f�/ � �,�,�. PO Box 66 � �'�se��1_ � Crystal Bay, MN 55323-0066 Date received: � � a �'��4�' s, Street Address: Received by: '�'.�, �'� °a%" Gti�' 2750 Kelley Parkway Plan review fee: t`�kEsxo4`'� 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: Job Site Address: l Z�� l � �_.�� 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 wifl be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP�ICANT INFORM}4TION: Name: f �2s-) c,h r.��-e i��, I'�.,�,Z f. State License# 2��3 i�`�'�S- Expiration Date: Phone: (cii 2-3 2 5-�13 5 y office ys-Z- &��b- �y�f� cell Mailing Address: 1 Z Z�I iv�cc��-4 r�v �._ S Cit : ' ��,;:�s.;. ii-c ZIP: S5 >' 3�7 Contact Person: J� �.� S Pfsr c, r� Applicant is: Contractor, ' / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATIQN: Name: �� h�_ j lA IiSa � Phone (day): �;�2-- ��Y- �7 o j� Address: iZo E�i�-��V,,E� ;�2 City: ��c�ti<� ZIP: S�3_5"6 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: 'i�',� r2<� �� - ��=r;c„ � n;;-��. ��>y� �rz c� Estimated Construction Valuation of Project(excluding land) $ �7,3��. �� 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: ll�`�-l�'� Last Updated: 05-04-2009 � � v � ATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE ��j�CHEDULED PERMIT NO. �� !b—d//�"�COMPLETED ADDRESS � C � `� OWNER TELERHONE . �s Z�D � � CONTRACTOR �--"' >; DESCRIPTION — � l� ❑ FOOTING ❑ PLU NG FINAL CAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � J O >. � O � W � Q � Z W � W � � GW �WORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK 8�PROCEED G ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI 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� Z49-4600 OwnerlContractor on site: � � � � e� �r� Inspector. �.-�-' � f � L�--� White Copyllnspector's File Canary CopylSite Notice