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Home My WebLink About2010-00637 - roofing !� f . CITY OF ORONO rE�iT No.: 2010-00637 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 07/28/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 335 HOLLANDER RD PIN : 25-118-23-43-0009 LEGAL DESC : REG.LAND SURVEY NO. 1429 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 35,000.00 APPLICANT pERMIT FEE SCHEDULE 520.50 GIERTSEN COMPANY STATE SURCHARGE(VALUATION) 17.50 8385 lOTH AVE N GOLDEN VALLEY,MN 55427- MISC FEE 0.00 (763)546-1300 TOTAL 538.00 Minnesota State License#: 1796 PAID WITH CC# ,1•7�'U ?�'g'� OWNER ERICKSON,WALTER&NANCY 335 HOLLANDER RD WAYZATA,MN 55391 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perforrned 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 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 are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued B ignature D te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . � � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,L,0,� PO Box 66 � � Q , Crystal Bay, MN 55323-0066 Date received: �' ' Received b a �' `e;�:^�. s, � Street Address: y� �',�, '� '"�'� �~ � 2750 Kelley Parkway Plan review fee: L�kE3HOg'� 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 full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: -�-, ,-- � i � �—� ;, .�c, Job Site Address: �;��_� {�c�� Ic�� ' � �,vGL�a � c� ��c.t� ��!� :' �`� _�> 1 � / Will this be a Parade of Homes, Remodelers Showcase Home or otf er Display�Home? � ❑ Yes [v]'No If yes, a specia/event permrt 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: �, :��r, ,'_ " ��; Y, � c: �V�i/` State License# l� � --7�� (�, Expiration Date: ,'� 1;�j �, �Z Phone: � ,_, �, _- ' - � �, office T cell Mailing Address �� .5 (C� v� .'v Cit : (��j��i� (,�c'</e � ZIP: ,� � � - Contact Person: nn,v�� 62'1C-'d'`��CI� Applicant is: ontract_d� / Homeowner (Circle0ne) Email and/or Fax: 7� ;--`;�{(.; -C�{�:_=-�-�-> PROPERTY OWNER INFORMATION: Name: �(t�.��i� �_; c-�� c��5t,n Phone (day): `� — �.'�� z - S�� Address: _ ?;�� l-lcll�r�cl��;r i-�t CitY:l":1:� ��„��2i-�_ ZIP: �:;� -,,��-1 Email and/or Fax � PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits �oor(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑ Window(s) ❑ Repair �orm 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: j�U�-t- c,:�,�.1 ��-c�,��fi i?�<- ; Estimated Construction Valuation of Project(excluding land) $ ? _;, z'�'� � c 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: � �-i ,�-�' .� Date: ��/Z�l �' ; � � Last Updated: 05-04-2009 ` {�wr��v� t�►/Io ��5 k� ��' �DA,T��- TIME V CITY OF ORONO CALLED IN �_ _T INSPECTION NOTICE SCHEDULED �Zt`�/D � PERMIT NO. °ZD/v —D D63� COMPLETED ADDRESS �3S t�u�-f �� OWNER TELEPHONE NO. CONTRACTOR ��e�se�� : DESCRIPTION C�a� S��d f �eQ.� �7� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q O 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 � � � O a � O � W � Q � Z W � W � � d W��'WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECT�ONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours irt advance. (g52) 249-4600 OwnerlContractor on site: Inspector. �r � ` � c White Copyllnspector's File Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTI / SCHEDULED -�-/1� �.�M PERMIT NOa20lD��(037 COMPLETED ADDRESS �� t'�� OWNER TELEPHONE NO. �/Z �i� 34�3� CONTRACTOR V �" Zlv 3 ✓F�fo 13015 a DESCRIPTION �w� , `� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI O 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 ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL 2 OWNERICONTRACTOH TO MEET YOU:_YES_NO ��., COMMENTS: � W C � J O � � O � W � Q � Z W � W � � W ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE � ❑CORRECT WORK�PROCEED ❑iSSUE CEHTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/ConVactor on site: Inspector. � � White Copylinspector's File Canary CopylSite Notice