HomeMy WebLinkAbout2010-00386 - roofing asphalt CITY OF ORONO PERMIT NO.: 2oiaoo3s6
2750 KELLEY PARKWAY
' � ORONO,MN 55356- DATE ISSUEn: 05/26/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2640 KELLY AVE
PIN : 20-117-23-14-0006
LEGAL DESC : APPLE HILL
: LOT 008 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-LJNDEFINED
VALUATION : $ 4,800.00
NOTE: TEAR OFF REROOF
APPLICANT pERMIT FEE SCHEDULE 118.00
VOLKMAR,JOHN&SHERRY STATE SURCHARGE(VALUATION) 2.40
2640 KELLY AVE TOTAL 120.40
EXCELSIOR,MN 55331
OWNER
VOLKMAR,JOHN&SHERRY
2640 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 this type of work
shall be compied with whether or not specified hereia This permit will
expire and become nuil 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.
T e ap licant is responsible for assuring all required inspections aze
re e e in confo ance with the State Building Code.This permit may be
re k t y �m for due cause.
�� � � � �q /C�
A licant Permitee Si ature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
May 26 10 06: 39a John Volkmar 952-471-3155 p. l
� • '
� � City of Orono
Buitding Permit Appiication for Internal Work
(windows, doors, siding, �e-roof, etc.)
Mailing Addrsss: Permit number. �/�- $'
.�O PO Box B6
O O Crystal Bay,MN 55323-0066 Date received: �o� �/�
a �, Street Address: Received by.
'� �.,ti 2750 Kelley ParlcwaY' Plan review fee�
� Orono, MN 55356 �
Total Fee: �p�Q �
in: 952-249-460U Fax: 952-249-4616 w�vw.ci.orono.mn.us
his application fortn must be completed in f�ll and all required information must be submitted.
Incomplete applicatiohs�will be returned. (P/ease print)
GENERAL I FORMATION: �
Job Site Ad ress:
WII this be a Parade of Homes, Remodelers Showcase Home or'other Display Home? Yes �No
If yes,e speci !evenf permrt is required wffh Police Department and City Council approva!60 days prior to the event. Shuffle bus servlce TI be
qulred un/ess applicant demonsfrafes su�cient on-slte parking is availab/e. Non permitted events wil!not be allowed
CONTRACTO /APPLICANT FORMATlON: �
Name:
State License ' Expiration Date:
Phone: (office) (cefl)
Mailing Addre s: City: ZIP:
Contact Perso : Applicant is: Contractor / Homeowner �cir�e one�
� Email and/or•F :
PROPERTY INFORMATION: '
Name: �,�d1r�,Y� U8 ��1'!Ct�
Phone(day):
Addres5: � (n�{a r,��.l l_y ��h+��cca1�'i�� ZIP: S 5,33 j
Email and/or F G�,S�— 471�' �/ S S
PROJECT 1 FORMATION:
Type of Proje Any earth movement may require
MCWD review S permits
❑ Door(s) ❑Remodel ❑Water Damage
Minnehaha Creek Watershed District(MCWD)
❑Window(s) ❑Repair ❑Storm Damage � 18202 Minnetonka Btvd
Deephaven,MN 55391
�Siding ❑Restoration ❑Other. (specify) Phone: 852-47'1-0590
Fax: 952-471-0682
Re-roof ❑Fire Damage www.minnehahacreek.orq
Overall Pro' Description: '
Estimated Co struction Valuation of Pro'ect excludin land b D•
APPLICANT CKNOWLEDGEMENT: �
• Agrees o provide al!informa6on required or requested by the Buildit�g Department;
• Certifie that the information supplied is true and corred to the best of hisfier knowledge. The appficant recognizes that they
are sol ly responsible for submitting a complete application being aware that upon failure to do so,the staif has no alternative
but to r 'ect it until it is complete;
• Some all of the infortnation that you are asked to pravide vn this appiication is classified by State law as either private or
corifide tlal. Private data is information which generally cannot be gi,ven to the public but can be given to the subject of the
data. onfidenGal data is iniormation which generaly cannot be given to eAfier the public or the subject of the data. Our
purpos and intended use of this informatien is to annually update ou� records and records of other governmerrtal agencies
uire b law, lf ou refuse to su I the i�ormadon the a liqtion ma not be issued.
ture: V Date: � �a�"�^ �0
AppbcanYs Sig a ��tX/�
Last Updated: 05- 2009 '
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��� Ci#y of Orono .
0 0 2750 Kelley Parkway ,
,� ' � P.O. Box 66
�'.� �� Crystal8ay, MN 55323
t`9IfESHpg4' (952) 249-4600
Fax: (952) 249-4616
FAX TRANSMISSION COVER SHEET
Date: �/ as�D
ro: �Dhl� �/0 ��_�Lt�r
Fax: - 7/— lS,�
Re: � �� �
Sender:
YOU SHOULD RECEIVE o PAGE(S), INCLUDING THIS COVER
SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (952) 249-4600.
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CITY OF ORONO CALLED IN � o�/ D
INSPECTIONQNO��E0�3�� SCHEDULED
PERMIT NO. OMPLETED
ADDRESS
OWNER HONE N .
CONTRACTOR
>; DESCRIPTION ��
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA /GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ HARD COVER REMOVAL
J�NG RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
NTRACTOR TO MEET YOU:_YES_NO
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� ;�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE
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O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
0 STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-460�
OwnerlContractor on site:
Inspector. �,,,,� V � -���
White Copyllnspector's File Canary CopylSite Notice
Y � �'� DATE TIME �
CITY OF ORONO CALLED IN � Z-$ �
INSPECTION NOTICE 3S l� SCHEDULED �OIZ��r� '.�2
PERMIT NO.� � 0 -b�A�IT'.. COMPLETED
ADDRESS Z�y 0 �'�e l l l../ {4 �t�P
OWNER -��hn VO 1 ILrn�Y'TELEPHONE NO. � �Z-SC�-ZdOG�
CONTRACTOR '-"
�; DESCRIPTION ��F �►'�a-�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILIING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ 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 ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ S PTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YO�YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED 'JB.PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED C SSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
�NSPECTOR W4LL RETURN L CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 24Q-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice