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Home My WebLink About2010-00914 - partial tear off reroof - cedar shakes/replace chimney cap CITY OF ORONO PERMIT 1v0.: 2010-00914 ~ 2750 KELLEY PARKWAY ORONO, MN 55356- DATE �SSUEn: 09/29/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1510 GREEN TREES RD PIN : I1-117-23-23-0015 LEGAL DESC : GREEN TREES ON TANAGER LAKE : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEF[NED VALUATION : $ 3,298.38 NOTE: PAR"I'IAL TEAR OI'�REROOF-CEDAR SHAKES AND REPLACE CI IIMNEY CAP APPLICANT PERM[T FEE SCHEDULE 103.25 TW[N CITY ROOFING CONST SPECIALISTS 72 IVY AVE W STATE SURCHARGE(VALUATION) 5.00 ST. PAUL, MN 55117- TOTAL 108.25 (651)636-9640 PAID WITH CC# 6860 Minnesota State License#: 2002943 OWNER DANKO, GEORGE&NANCY 1510 GREEN TREES RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the Sta[e Building Code. This permit is for only the work described and does not grant permission for additional or rclated work which requires separate perniits. 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 construclion is suspended for a period of 180 days at any time aftcr work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance wilh thc State Building Code.This permit may be revoked at any[ime f r due cause. - � � � �� C� 4� �� ' � �i - � � /G Applicant P �mitee Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 09/29/2010 10:36 TEL 6512920905 f�001/002 ` �� - �C �� . City of Orono Building Permit Application for New Structures or Additions `- Mailing Address: �� - 0 � / �, .�� PO Box 66 Permit number: (�/�_��7� �!�0 0�;,, Crystal Bay, MN 55323-0066 Date received: ' / ��:':�T� I �� ,�� r��::=;: �.I StreetAddress:' Received by: � � p'y"�,�, p�`�) 2750 Kelley Parkway t ' '�'" `� Orono, MN 55356 Plan review fee: 9kE5H0�'/ ��j Total Fee: x"�� r 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: ��'� � -s-�.�.��,`; '�.�; �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes .��o If yes,a specia!event permit is required with Police Department and City Counci!approval 60 days prior to the event. Shuttle bus service wiU be` required unless applicant demonstrates suffrcient on-site parking is available. fVon-permitted events wil!not be allowed. CONTRACTOR/APPI�ICANT NFOR TI p�V Name: � 1 `� r State License# +G �^ Expiration Date: � ,2 Phone: - - - � ��:> office 57- ' (�,-- y� i% cell Mailing Address: "�,� �„�:.�.� �}�e_t�-. City� 5 ��s ZIP� ' �,717 Contact Person: � � w� Applicant is: n ra t'S / Homeowner Email and/or Fax: �� 7 (Circle One) � ' c�; C�iK o _ PROPERTY OWNER INFORMATION: ° Name: .�, ��, Phone(day): �'� --��r,� �u Address: V �y`�'; � �� Cit : ,v� ZIP: ��,�� Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: Cit : ZIP: Email and/or Fax: PROJECT INFORMATION: 1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑New Construction �Single Family with '�iesidence ❑Addition attached garage ❑ Gara e/Accesso Bld ❑Accessory Building ❑ Single Family with ❑ Deckg ry 9� ❑ Public Sewer ❑Relocation detached garage ❑ Office/Commercial her: (specify) `r ❑Multi le Famil /Condo ❑ Private Sewer P Y ❑Warehouse ❑ Public ❑ Storage ❑ Public Water **Any earth movement may require ❑ Commercial ❑ Other(specify) MCWD review&permits. ❑ Industrial ❑ Private Well Minnehaha Creek Watershed District(MCWD) ❑ Other: (speCify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 G'V� ` D Fax: 952-471-0682 Q(/t wvvw.minnehahacreek.or �� Estimated Construction Valuation (excluding land) $ � Last Updated: 9/29/20�9 - 17 - �� 09/29/2010 10:37 TEL 6512920905 I�002/002 'w STRUCTURE INFORMATION: , 1.Structure Dimensions 1. Structure Dimensions(continued) 2.Type of Construction a Length (ft.)= _�_ Number of bedrooms=__�_ ❑Wood/Frame ❑ Masonry b.Width(ft.)= Number of garage stalls: ❑ Metal Attached= ❑ Pole Bldg. Areas in square feet Detached = ❑ ICF c. Basement= � On-site Prefab ❑ Off-site Prefab d. 1S'Story = ❑ Other(please specify): e.2nd Story= f. YZ Story = g. Totai Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for our appiication to be processed: Not Enclosed A licable � � Permit A lication � ❑ Pro osed Buildin Plans � � � MN State Ener Code Caiculations and Mechanical Code Re uirements Form 0 ❑ Surve meetin all re uirements � ❑ Stormwater Pollution Prevention Plan � � Hardcover Calcu�ation s � ❑ Se tic S stem Site Evaluation Re ort � ❑ Access Permit � � Wetland Buffer Im rovement Plan � ❑ En ineered Plans for Retainin Walls 4 feet or above � ❑ Plan Review Fee � ❑ Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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 compiete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Acknowledges the Escrow Agreement is compieted and signed; • 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 you refuse to supply the information,the application may not be issued. �G' /.v'"?��, ,�� .�-c' Applicant's Signature: Date: � � J �� Last Updated: 9/29/2009 - 18 - � —� T� TIME �/ ITY OF RON ALLE iN ` � C O c o � � INSPECTION I SCHEDULED PERMIT NO. ' / COMPLETED ADDRESS �D T S OWNER ELEPHONE NO.�� `7�7"-l�� CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � 1 \I �' C.-✓ I'��'��. ( c . �t I� f�f ��l � � ,� (f� � t �` �� :�, � r,� ._ /-�,�,� 0 � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED �C�'�ROJECT COMPLETE W ❑CORRECT WORK&PROCEED u ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on sit�: ' 1; /� 7 Inspector. �- t-'' �r � !,i� S White Copyllnspector's File Canary CopylSite Notice