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Home My WebLink About2010-00668 - roofing � CITY OF ORONO PERMIT NO.: 2oiaoo66a � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/OS/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 333 HOLLANDER RD PIN : 25-118-23-43-0005 LEGAL DESC : REG.LAND SURVEY NO. 1281 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 17,000.00 APPLICANT pERMIT FEE SCHEDULE 295.00 ABELARD CONSTRUCTION STATE SURCHARGE(VALUATION) 8.50 6200 SHINGLE CREEK PARKWAY BROOKLYN CENTER,MN 55430 MISC FEE 0.00 (763)503-6610 TOTAL 303.50 Minnesota State License#:20351322 OWNER VACEK,MR.&MRS. 333 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 permits. 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 nuil and void if cons[ruction 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 with the State Building Code.This permit may be revoke at any ti e for cause. � `� " l l �� 7 r�v'� / / Ap lican itee Signature Date Issue By S' ature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED ABO . . �,, City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: Og,�,�.0 PO Box 66 Crystal Bay,MN 55323-0066 Date received: a =3 �. Street Address: Received by: '�',�, � Gti`S' 2750 Kelley Parkway Plan review fee: l9kESK� Orono,MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 w�vw_ci orono mn us This application form must be completed in full and all required information must be submitted. Incomplete applications will b returned. (Please print) GENERAL INFORMATION: Job Site Address: Will this be a Parade of omes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a specia!event permit is required with Police Depa�tment and City Council approval 60 days prior to the event. Shuttle bus service wi e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wilf not be allowed. CONTRACTOR/APPLtCANT INFORMATION: Name: � . �'- State License# 2.c;;. Z. Expiration Date: Phone: � , ' oTfice - cell Mailing Address: '� L- Ci � ZIP: � � � Contact Person: Applicant is: Co ractor ` Homeowner �circie o�� Email and/or Fax: � � o- : � '� - PROPERTY OWNER INFORMATION: Name: �1 Cv'L.� �,'�• cx � Phone(day): �� ` ,� Address: ',�.3�T�Z,� r,��(� Z.�� City: �,�;.�)G,C,kc ZIP: ,�J3�1/ Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�pertnits ❑ 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 verall Project Description: , .�. � Estimated Construction Valuation of ro�ect(excluding land) S �—j,uuJ 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 I se to su I the information,the a lication ma not be issued. ApplicanYs Signa e: Date: �y/�(J Last Updated: 05-04-2009 DATE TIME V CITY OF ORONO CALLED IN INSPECTION�OTICE SCHEDULED PERMIT NO. ��'"��6� COMP TED ADDRESS OWNER TELEPHONE NO. CONTRACTOR � DESCRIPTION � '�-� � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO y COMMENTS: ¢ W a � � O >. � O � W � Q � Z W � W � � � W�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWiTNIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: inspector. Whiie Copyllnspector's File Canary CopylSite Notice t- ` �� TE / TIME V CITY OF ORONO ' c,nLLED IN ��/(Cl INSPECTION NOTICE // c SCHEDULED �r� �L PERMIT NO.�C�� C'U(O(s"'p� COMPLETED ADDRESS � J� � �--l i� /( Q i'7 � -� �� OWNER TELEPHONE NO. �� -�s�- 7�S CONTRACTOR f��-�C� � «�� < <~�'YJ f- . i a DESCRIPTION C-`r�� - �/f7CC, � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI O LAKESHORE/WETLANDS � ❑ 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 Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBWG RI ❑ SEPTIC FINA�' � FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES NO � COMMENTS: � w e � J O a � O � W � Q � Z W � W � j � ❑WORKSATISFACTORY:PROCEED j�PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED I❑ SSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REfNSPECTION TEMPORARY V BEFORECOVERING PERMANENT f_1 CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ' STOP ORDER POSTED.CALL INSPECTOR f: INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advance. (952� 249-46�0 OwnerlContractor on site: Inspector. i . � L � — White Copyllnspector's File Canary CopylSite Notice