HomeMy WebLinkAbout2010-00902 (roof) f �
CITY OF ORONO PERMIT NO.: 2010-00902
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/27/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 1080 KNOLL MANOR RD
PIN : 26-118-23-31-0013
LEGAL DESC : KNOLL MANOR
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERAT[ONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING -CEDAR
ACTIVITY : O/S BUILDING- UNDEFINED
VALUATION : $ 28,111.00
NOTE: TEAR OFF REROOP HOUSE-CEDAR SHAKES
APPLICANT PERMIT FEE SCHEDULE 456.00
ALL SEASON REMODELING & EXTERIORS STATE SURCHARGE(VALUATION) 14.06
17344 PUMA ST.NW
RAMSEY, MN 55303 TOTAL 470.06
(612)221-3318
Minnesota State License#: 203883 I 1
OWNER
SWANSON, PETER&ANGELA
1080 KNOLL MANOR RD
LONG LAKE, MN 55356
AGREEMENT AND SWORIv STATEMEIVT
The work for which this permit is issued shall be performed according to
the approved plans and specitications,applicable City approvals,and the
State 13uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which rcquires separate
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 cons uction au[horized is not
commenced within 80 days of the dat of issuance,or if construction is
suspended f� r a pe iod of 180 ��t ny time after work has commenced.
The appli it is r ponsibl or assd ng all required inspections are
requeste i conf mance ilh thc ate uilding Code.This permit may bc
revoke a a y ti e for d e cause
i i (�%� l �.�l /l�
App cant Permitec Signature Date Issue y Signature Date
SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRBED ABOVE.
Sep 25 10 05: 37p mike schrader ; 763-274-1899 p. i
City of 4rono � .� .
Building Permif App�l�catron fc�r°' internal Vllork C��
(windows; doors, sidin re-'roof e �
g� , tc.)
Mailrng Address:. Permit number. ,
'��.� PO Box 66 b/Q:-DZ7 D a�
Q � Crystal Bay,.MN 55323-0066 Date received: g� 7
�a StreetAddress: Received by:
�,. �p 2750 Kelley Parkway Plan.reviewfee:
� oS Orono,.MN$5356:.
Main: 952 249�600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: l�:�d,�
This application form must be compfeted in fiull.and al! required information must be submitte
Incomplete applications wiR be tetumed. (P/ease print)
GENERAL 1NFORMATION:
Job�ite Address: d
VVifl.this be a Parade of Homes, Rer.riodelers Showcase Home or other Dispiay Home? Ye . No
!f yes,a specia/event permit Js required wifh Polfce Department and Cify Councii approva!BO days prror No the evenL Shuffle.bus rvice wi71 be
required unless.applicaaf demonstrates suR"icient on-sfte parking is evallab/e. Non-permitted evsnts will,not be al/owe
CONTRACTOR/APPLICANT INFORMATION:, , � i '
Name: ) � t
State License# o ; Expiratian Oate: > -
Phane: / b` - office ce!!
Mailing Address: „a w C' : � Z1P: 3
Contac#Person: ��y,� •
—���� Appticant is: . on c o / Hortieowner lcir�ie o�a�
Emaif and/or Fax: /! �aso��o� e,t
PROPERTY OWNER INEORMATiON:
Name: . ,e . �k� qh ,r, ' ' i
Phone{day): . p j �
Address: Ci : ZIP:
Email:and/or Fax
PROJECT INFORMATfON:.
Type of Project: Any earth movement may uire
MCWD,review&perm
�Door(s) . ❑Remadel ❑Water Oamage
❑Window(s) [] Repair ,Minnehaha:Creek Watershed Dist (MCWD)
. ❑StcRn pama�s � 18202 Minnetonka Blv
❑Sidin Deephaven,MN 5539
S ❑Restoration . [�Ot�er:(specify) Phone; 952-471-059
Re-roof : 852�7i-0682
� Fire Damage ahacr ek.
Overnll Project Descriptian:
Estimated Construction Valuation of Pro�ect.(ex g I nd) —
APPLICANT ACKNOW�EDGEMENT: :- . '` °
• Agrees to provfde all information reguire .or�eq by e Building DeparEmerrt;i
• Certifles.that the lnfo�mation supplied is true and ccrrect to'the besf of.his/her knowledge. 7he appllcant rec zes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff h o alternative
• 'but to reject lt until it is caomplete;
• Seme or all of the informaUon that you are asked to.provide on this application is classified by State law as f er private or
corif'idential. Private data is information which generally cannot be given to�the public but can be given to th ubJect of the
data: Confidential data is informafion which generally cannot be given to eifher the public or the subject o e data. Our
purpose and irrtended use of this information to annually update our 'records and records of othe�govem ta! agencies
r uired b taw. If. ou refuse fo su I he i rmation th a ti pon ma: nok.be issued.
Applfcant's Signature, �
Date: �"'7p
��� ����� ��• �
DATE TIME
CITY OF ORONO CALLED IN .�-
INSPECTION NOTICE SCHEDULED D �
PERMIT NO�b/D'OCl40dZ-- COMPLETED
ADDRESS __ �O � ��QI� ���DZr ��iJi1�
OWNER TELEPHON O.
CONTRACTOR
� DESCRIPTION ''����
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADIN FILL G
Q ❑ POURED WALL p MECHANICAL RI p LAKESHORE/W LA S
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
? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN
INSPECTOR WILL RETURN
O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance. (952) 249-460�
Owner/Contractor on sit :
Inspector. �
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