HomeMy WebLinkAbout2010-01032 - roofing - cedar CITY OF ORONO PERMIT NO.: 20�0-0�032
, 2750 KELLEY PARKWAY
� ORONO, MN 55356- DATE IssuEn: 10/20/2010
_ 952 249-4600 FAX: 952 249-4616
ADDRESS : 1100 KNOLL MANOR RD
PIN : 26-118-23-31-0012
LEGAL DESC : KNOLL MANOR
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 36,850.00
NOTE: TEAR OFF REROOF-CEDAR
APPLICANT pERMIT FEE SCHEDULE 542.00
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 18.43
5145 INDUSTRIAL ST TOTAL 560.43
SUITE 103
MAPLE PLAIN,MN 55359
(763)479-$700
Minnesota State License#: 20631575
OWNER
MORRISON,THOMAS&DANA
1100 KNOLL MANOR RD
LONG LAKE,MN 55356-
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 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 responsible f as uring all required inspections aze
request��n conform e , State Building Code.This permit may be
revol��d time f e se.
' - �� / a �/ � C� /U/aQ 0/ /[�
icant Permitee ignature Date Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
' � • Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: a�/D � O ��
g,�,�. PO Box 66
O , O Crystal Bay, MN 55323-0066 Date received: /D �P GC7
,� ��i�,��
''" ���' ,, � Street Address: Received by:
'�',F, �° A� �ti�' 2750 Kelley Parkway Plan review f e:
�9kESH04'� Orono, MN 55356
= Total Fee: ��Q. C.�.3
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:
Job Site Address: //00 ��i��// /`'�ar v.t
Will this be a Parade of Homes;Remodelers Showcase Home or other Display Home? ❑ Yes �)Vo
If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service vGill be
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: d//Sfoti !<�n.sf•u.��z'��
State License# an�3�s7�i' Expiration Date: �-3! — /L
Phone: -y )g-P�oo office cell
Mailing Address: y d.�,:( ,'../ �. Sw��F,r � Cit : /,,;, ZIP: 53S
Contact Person: � � � ,� Applicant is: ontrac / Homeowner (Circle One)
Email and/or Fax: 7c,� - 4 � -l�Gv u
PROPERTY OWNER INFORMATION:
Name: �ro.c2�ron
Phone (day): ��,3 -y�y-����
Address: // /�ho/l �r� oa City: (,�,�,,Z p� ti ZIP:
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
e-roof ❑ Fire Damage www.minnehahacreek.orQ
Overall Project Description: T.. b F{ ,� ,�,,,,��(D�q,��
Estimated Construction Valuation of Project(excluding land) $ ?�. �$o, i
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 information, the a lication ma not be issued.
ApplicanYs Signature: �� Date: /V "'Z U `- / (�
Last Updated: 05-04-2009
DATE TIME ✓
CITY OF ORONO CALLED IN
INSPECTION NOTICEZOlO� SCHEDULED �0•22•10 �YLYf 4
PERMIT NO. 61032 COMPLETED T
ADDRESS � ��O �Y�O<< ��,Ol� ��
OWNER TELEPHON�NO. ��Z � �ZZ�
CONTRACTOR �II �5�� � - �C��
a DESCRIPTION �r�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS
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. ❑ FOLLOW-UP
i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL / ❑ FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES�NO
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W ❑WORK SATlSFACTORY:PROCEED /�PROJECT COMPLETE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECWERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Cal1 for the next inspection 2a hours in advance. (g52) 249-4600
Owner►ConVactor on sit •
Inspector. / � �
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