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Home My WebLink About2010-00974 - roofing � CITY OF ORONO PERMIT NO.: 2010-00974 �` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuEv: 10/l U2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 315 HOLLANDER RD PIN : 25-118-23-43-0014 LEGAL DESC : HOLLY ACRES : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 30,000.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT pERMIT FEE SCHEDULE 466.75 PERSONAL PRIDE CONSTRUCTION STATE SURCHARGE(VALUATION) 15.00 421 FRANCE AVE N TOTAL 481.75 GOLDEN VALLEY,MN 55422- (763)535-4947 PAID WITH CC# 1192 Minnesota State License#:20330460 OWNER FAGRE,NATHAN&CONSTANCE 315 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 Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires sepazate pertnits. 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 suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance wiffi the State Building Code.This permit may be revoked t�for due cause. \ " y -= /U l/� 11� Applicant Permitee Signature Date �� Issu By ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r City of Orono �1�� . Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: . g,0,�. PO Box 66 Permit number: d� 7 O \ O Crystal Bay, MN 55323-0066 Date received: �� !/ U ,� �„ Street Address: Received by: '�',F, "�� ti 2750 Kelley Parkway Plan review fee: L�kESH04'� Orono, MN 55356 ('`— - Total Fee: ��/.7 J 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: � � 5 �Ol.� ND�f� �� 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: �{�2SbN�� R�D� �.br�SSTfL�TIlS1J State License# 2 v3 3 04 lo U Expiration Date: 3f �/2 Phone: "1 e'3 S 3 5 � t-�,�'1 (office) '7 b 3 - oZ3 0�- 31(o tp (cell) Mailing Address: �2ou rV1ENbE��Sv�an) A�E . StE /�Z cit : ,oLne�✓ �rau.�Y z�P: SSyZ Contact Person: �f�� 2� Y Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: �(6 3 - 53 5 - 4q S 1 l��EM�n�.�nri C�� ci �W1G� • GT'✓�. PROPERTY OWNER INFORMATION: Name: C,�i�x�iE � h�'fiiA!✓ ��C�l� Phone (day): S 2-7��'��'7 u'Z.Z Address: 3�S ( v�.�An+YJ�fL Av� City: �� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�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.orp Overall Project Description: �q,�L �� IZ.b�f Ept,FlC„� /v� Estimated Construction Valuation of Project(excluding land) $ 3U, �> 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: �6 /1 /d Last Updated: 05-04-2009 � � ��e��/ DAT D TIME CITY OF ORONO CALLED IN ID � INSPECTION N TICE SCHEDULED / _�� PERMIT NO. ��b- 7 COMPLETED ADDRESS �� J Ud u��n�� OWNER ELEPHON O. CONTRACTO - ✓?S- � DESCRIPTION �--��. � _ �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W a � J O a � O � W � Q � Z W � W � � � � �qIQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORREC7 WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspection 24 hours irt advance. (952) 249-4600 OwnedContractor on sit�: Inspector. White Copyll�spector's File Canary CopylSite Notfce �---�� "�� DATE TIME CITY OF ORONO CALLED IN ��D INSPECTION NOTICE scHE�u�E� /(-�/Z�//l� (`�"D� PERMIT NO.��' %/�-��%'��'7�COMPLETED ADDRESS �� OWNER TELEPHONE ��'� `'�'�� '� CONTRACTOR ��--�� DESCRIPTION � �' � Q-[►�� C� tL ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSUTATION ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES�NO �y � COMMENTS: �� W C � � O a � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED 'p PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑"1SSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT OCORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on,site: Inspector._� ! , White Copyllnspector's File Canary Copy/Site Notice