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Home My WebLink About2010-00197 - roofing CITY OF ORONO PERMIT NO.: 20�0-00�9� 2750 KELLEY PARKWAY ! � ORONO, MN 55356- DATE ISSUED: 04/07/2010 v 952 249-4600 FAX: 952 249-4616 ADDRESS : 215 HOLLANDER RD PIN : 25-118-23-44-OO13 LEGAL DESC : HOLLY ACRES 2ND ADDN : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 25,200.00 APPLICANT PERMIT FEE SCHEDULE 423.75 PERSONAL PRIDE CONSTRUCTION STATE SURCHARGE(VALUATION) 12.60 421 FRANCE AVE N TOTAL 436.35 GOLDEN VALLEY, MN 55422- (763)535-4947 Minnesota State License#: 20330460 OWNER MCKEEVER, BLAIR 215 HOLLANDER 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 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 goveming this type of work shall be compied with whether or not specified herein.This permit will expire and c me null a d oid if construction authorized is not commence wi in 180 ays f the date of issuance,or if consiruction is suspended or period f 18 days at any time after work has commenced. The appli nt i respo sibl for assuring ail required inspections are requeste in c nform�nce ith the State Buiiding Code.This permit may be revoked t y time or e cause. �� " � -, �'�.�1 � , `- % � ,�vy=� � � �� -LE Ch�2 Gr G? � � Applicant Perm' ee Signature Date Issued By Sign ture 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: g,�,j� PO Box 66 \ Crystal Bay, MN 55323-0066 Date received: O :; O �, �' �� Received b a ��'��. a Street Address: Y� �'�, ' � '� '� Gti 2750 Kelley Parkway Plan review fee: L�kE3H��'� 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 fufl and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: ��,��.r�,�1�,��,��(� 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/APPLICANT INFORMATION: Name: � ,�,-.�� - �. �• >.,-�.� State License# z�,�;�,z��> Expiration Date: 3 3� Z,a�v Phone: ?�Q 3-S3s-y 94� (office) ��i Z- 2 rr�- �4U� (cell) Mailing Address: � ,- � Cit : �„ � � ZIP: L2 Contact Person: �,4s"� _-�'�,,s"�,/ Applicant is: o tract / Homeowner (Circle One) Email and/or Fax: 7��_r3s--y9Sl PROPERTY OWNER INFORMATION: Name: �.�,.Z i'J�I Kt�iE Phone (day): g Z- -p-7 33 Address �i�" a�4,4,�,D�R 'R� City:��,� � ZIP: $39/ 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: ��,y�,� d, �gp�� C�DR-r� S��rkB ��F Estimated Construction Valuation of Project(excluding land) $ 2S 2GU 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 inform ' n which enerally cannot be given to either the public or the subject of the data. Our purpose and intended use of th' in rmatio i to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su the� f mation,the a lication ma not be issued. ApplicanYs Signature: ` �ate: ys��l0 � LastUpdated: 05-04-2009 D E TIM E " CITY OF ORONO CALLED IN � � INSPECTION N�TICE �CHEDULED � �j� PERMIT NO. • ��`�� ' COMPLETED ADDRESS a�s �ou ��_� OWNER TELEPHpNE NO. �4^-� -��-� ��y � CONTRACTOR f��L �.� �i )lt � f� , � �/r ��1� �- . �: DESCRIPTION �� "' '%l� ' °� � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ,WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. lo�/ �1d .m White Copyllnspector's File Canary CopylSite Notice � � ✓ DAT TIME CITY OF ORONO CALLED IN /l� WSPECTION OTIC/E� �/`�SCHEDULED /L�•' �J PERMIT NO.��v—��L// COMPLETED ADDRESS � G OWNER T LEP ONE NO�� g�- l� CONTRACTOR �� ` �; DESCRIPTION � `. � � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y O FRAMING ❑ MECHANICAL FINAL O ❑ 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � w a � J O >. � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-46�� OwnerlContractor o sit • Inspector. � White Copyllnspector's File Canary CopylSite Notice