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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 ' * � . . �► ��� 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. �D�i� - , �o�,� / vf �� l�tJ�C l l5-� � �� �� ���� i � o. �o ��c��- ��- �c� �'�/ �4 �� - �� y -��G��� 4�l _ �— � DATE TIME " CITY OF ORONO CALLED IN � o�/ D INSPECTIONQNO��E0�3�� SCHEDULED PERMIT NO. OMPLETED ADDRESS OWNER HONE N . CONTRACTOR >; DESCRIPTION �� � � ❑ 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 � COMMENTS: � W a � J O � � O � W � Q ti Z W � W � � � � ;�WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 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-� � � ❑ 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: � W � � � O � � O � W � Q � Z W � W � J � ❑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