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Home My WebLink About2010-00711 - roofing f '' CITY OF ORONO PERMITNO.: 2010-00�1� 2750 KELLEY PARKWAY ORONO, MN 55356- DATE 1ssuEv: 08/16/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 275 HOLLANDER RD PIN : 25-118-23-43-0025 LEGAL DESC : HOLLY ACRES : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 15,135.00 NOTE: TEAR OPF REROOI' APPLICANT PERMIT FEE SCHEDULE 280.25 PETER HALL CONSTRUCTION STATE SURCHARGE(VALUATION) 7.57 6109 RIDGEWAY ROAD EDINA, MN 55424- TOTAL 287.82 (612)819-4597 Minnesota State License#: 3930 OWNER MILLER, PAUL BRUER& LINDA 275 HOLLANDER RD WAYZATA, MN 55391 AGREEMENT AND SWORN STATEMENT The work for�vhich this permit is issued shall be performed according to the approved plans and spccitications,applicable City approvals,and the State Building Code. 'I'his permit is for only the work described and docs 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."Chis permit will expire and become null and void it�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. 7 he applicant is responsible for assuring all required inspcctions are requested in conformance with the State Building Code."I�his permit may be rev ed at any time for e c�use. �� 1..� �� /�� ' " / / / � �'; �. `-„ � V i / � ppl�cant Pcrmitce ignature Date Is ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 ' City of Orono Building Permit Application for Ir�ternal Work (windows, doors, siding, re-roof, etc.) Mailing Address: �,L,�,� PO Box 66 Permit number: aQ/p—�� Q ,� Q , Crystal Bay, MN 55323-0066 Date received: C� le�a . j �.� � •�;t-2;, s, � StreetAddress: Receivedby: �'� '� '�" Gti � 2750 Kelley Parkway Plan review fee: L9kESHOg,�' Orono, MN 55356 Total Fee: p�(�7.(� � 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 INFORMATIS�N:_, ._� Job Site Address: !- ��'._ � � 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 LIC NT NFO MATION: Name: � � �� l'�s �- -� rl �"- State License# Expiration Date: / Phone: ,5 office cell Mailing Address: C�L'VL� Cit : (,y;yi �9 ZIP: "-- Contact Person: C� �'' / Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: � � �' � � � PROPERTY OWNE NFORMATI N: Name: �c� �� Phone (day): �� — � ,� _ �? Address: _��f'S %�,//q.��c'� d City: �I f>YI� ZI P:� ,� � `j� 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 FZe-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: P�'(Y �;7 '�.��gp � ;`�,�� _ «,r-.' n..� j�L� Estimated Construction Valuation of Project (excluding land) $ �' �! � � 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. Applicant's Signature: � V Date: � �1 � �� Last Updated: 05-04-2009 L — � � " ' ' " AT TIME V CITY OF ORONO CALLED IN � / ��D INSPECTION NOTICE SCHEDULED -�� PERMIT N0.��"�7�� COMPLETED ADDRESS -S `/��IG�� OWNER TEL PH NE N �l9' 9� CONTRACTOR G(�l�C �K �U C� >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL EXC /GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ESHORE/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 ❑ COMPLAINT � ❑ 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 C � � O � � O � W � Q � Z W � W � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL 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. �952� Z49-46QQ Owner/Contractor on site: Inspector. _ White Copyllnspector's File Canary CopylSite Notice