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Home My WebLink About2010-01109 - roofing � CITY OF ORONO PERMIT NO.: 2010-01109 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 1 U10/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 2587 KELLY AVE PIN : 20-117-23-14-0021 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 004 BLOCK 005 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,200.00 APPLICANT pERMIT FEE SCHEDULE 132.75 OAK HILL INC. STATE SURCHARGE(VALUATION) 5.00 2264 SHADYWOOD WAYZATA,MN 55391 MISC FEE 0.00 (612)366-3611 TOTAL 137.75 Minnesota State License#:20590094 OWNER STODDARD,MR.&MRS. 2587 KELLY AVE EXCELSIOR,MN 55331 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 goveming tfiis 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 res le for assuri required inspections are requested in o an h t uilding Code.This permit may be revo any time for c � ��a � �j� i i AppLcant Pe e Signature Date Issued By i nature Date "; SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE. � .. . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: /��0,�.�� PO Box 66 Permit number: //� Q\� Crystal Bay, MN 55323-0066 Date received: �� ,��r�,�_;,� �.�� Street Address: Received by: .� . '� ti 2750 Kelley Parkway Plan review fee: �� Orono, MN 55356 �'?fEssosL '-_--' 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 retumed. (Please print) GENERAL INFORMATION: Job Site Address: �S8 7 � ��. Will this be a Parade of Homes, Remodelers Showcase ome or other Display Home? Yes No If yes,a specia!event permit is required w�th Pofice Departmenf and City Counci!approval 60 days prio�to the evenk Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT IN ORMATION: Name: _ �G� �:ll �C- State License# a o�,yp,p j� Expiration Date: ��3//„�olZ Phone: �- �, - o�ce ' celt Mailing Address: Z 6 5' .S Cit : �ru ZIP: ,5;j3 Contact Person: �'� �� Appl�nt is: ontractor / Homeowner (Circle One) Email and/or Fax: �, ' � � � ,�,� ,� PROPERTY OWNER INFORM TION: Name: � �c� �' Phone(day): �/� - f; 7 - ,36 Address: _�.��'7 KP/l� ��'- City. �/'a/�rG ZIP: S.S3r'�'� 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.ora Overall Project Description: P oC� Estimated Construction Valuation of Project(excluding land) $ ,�d p ,�.p APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; . Ceriifies 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 altemative but to reject it unti�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 infortnation 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 t ation,the a io a not be issued. ApplicanYs Signature: GzG� Date: _��y`—� .��J/� Last Updated: 05-04-2009 DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO._�o�e -oNa9 COMPLETED ___�/S� ADDRESS a3 g? /��/1.,, ��. OWNER TELEPHONE NO. CONTRACTOR [a4� /,r.��/ � � DESCRIPTION /�-�oo� � O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL � MECHANICAL RI ❑ Lql(ESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE flEMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROC'aRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL �FOLLOW-UP O HARD COVER REMOVAL v ❑ PIUMBING RI ❑ SEPTiC FINAL ❑ FOUIVbATION/REMOVAL 2 01NNERICOI�iTRACTOR TO MEET Y�OU:_YES_NO � COMMENTS: � !� .E?�r��t -- ✓l0 �iitqL i�15��.�se.c �e sr Q,S� j !- — 0 /Lof� e ��'1�y _ . ✓1� ��Q. - �f'�f" i�s.o�� rc�a��9 - � ----z� o - W �1 , Q �� v�Zy��Ow ��O d�a�� 2 w —_ I<JOc K aPOt�a.e S ,v�l��p - � c r w�..�" ��,�►¢�� J - O � �W ❑WORKSATISFACTOR`�PROCEED �:Q�O,IECT COMPLETE W ❑CORRECT W'ORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (� BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL RE7URN ❑STOP ORDER POSTED.CALL INSPECTOH O CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARFlANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor on site: � Inspector. .�.--, White Copyllnspector's File Canary CopylSite Not�e