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Home My WebLink About2010-01024 - roofing c . � CITY OF ORONO PERMIT NO.: 2oiaoio2a 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/19/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 885 HUNT FARM RD PIN : 30-118-23-43-0004 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: TEAR OFF REROOF APPLICANT pERMIT FEE SCHEDULE 221.25 HARRIS ENTERPRISES STATE SURCHARGE(VALUATION) 6.00 1416 AQUILA AVE N TOTAL 227.25 GOLDEN VALLEY,MN 55427- (612)423-1447 Minnesota State License#:20637344 OWNER PASSOLT,PETE 885 HUNT FARM ROAD ORONO,MN 55323- 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 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 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 responsi e for assuring all required inspections aze requested in conform with the State Building Code.This permit may be re an ime r du e. � Qe�� /4 D ' ant Permitee Signature Date I s d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. j' • City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: g,0,�. PO Box 66 O O Crystal Bay, MN 55323-0066 Date received: ,� ��"-�s��, �, Street Address: Received by: '$',�, � `9� Gti�' 2750 Kelley Parkway Plan review fee: l.�kEsxogw 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 n Job Site Address: �� -, '7 �`c�-,ti., c�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!nof be allowed. CONTRACTOR I APP ICANT INFORMA ION: Name: 'vvr� ti�G'r� �S State License# ZC�(� �"�3 �LI Expiration Date: �3 I � v Phone: Z office cell Mailing Address: l v�I � Cit : ZIP: S�� Z �7 Contact Person: T� t-v-) Applicant is: ontractor / Ho eowner (Circle One) Email and/or Fax: —� PROPERTY OWNER INF RMATI N: Name: ��_ �SS�� Phone (day): Address: �_Q�S � {� �c,.,,,�, �1 City: p��r"U ZI P: 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.orq O erall Project Description: Estimated Construction Valuation of Project(excluding land) $ /�X1 � 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 i ormation,the a lication ma not be issued. ApplicanYs Signature: _—'�� Date: � C�� /� Last Updated: 05-04-2009 �D°�� TIME ✓ CITY OF ORONO CALLED IN / v INSPECTION NOTICE SCHEDULED �D PERMIT NO.o?D/O—��Z� COMPLETED ADDRESS SO S �� /� OWNER TELEPHONE NO.��- �Z 3 �� 7 CONTRACTOR �� a DESCRIPTION /`�v� / 'n""'� � � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FO�LOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a i j L� � O , � ` \ � , O _ � � �_ . � �� 1=�. � W � ` Q ti 2 W � W � � GW ❑WORK SATISFACTORY:PROCEED �'�OJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEM PORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site��. ` Inspector. �� '� � �� White Copyll�spector's File Canary CopylSite Notice