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Home My WebLink About2010-01104 - roofing � � • CITY OF ORONO PERMIT NO.: 2010-01104 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEv: 1 U09/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3580 LIVINGSTON AVE PIN : 17-117-23-43-0035 LEGAL DESC : NAVARRE HEIGHTS : LOT O15 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 5,000.00 APPLICANT pERMIT FEE SCHEDULE 118.00 BEGIN-ANDERSON,M ANDERSON&B STATE SURCHARGE(VALUATION) • 5.00 3580 LIVINGSTON AVE TOTAL 123.00 WAYZATA,MN 55391- PAID WITH CC# 3604 OWNER BEGIN-ANDERSON,M ANDERSON&B 3580 LIVINGSTON AVE WAYZATA,MN 55391- 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 for assuring alI required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. . I� �, v / , q , �o A plicant Per ee Signat e Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � r �� C i ty of O ro n o Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: fd-�� I D ��,�. PO Box 66 Q Q Crystal Bay, MN 55323-0066 Date received: � /� ,� �� :s-�. � Street Address: Received by: �',�, �� °o%� Gti 2750 Kelley Parkway Plan review fee: ��kESH04'� Orono, MN 55356 Total Fe� /G� /`� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �' �v This application form must be completed in full and all required information must be submitted. �od� Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: '"�� ' � � �, WCt �� '.( � �� 5S 3�� -,��CS�Z�r� -- Will this be a Parade of Homes, Remodelers Showcase Home or other Displ y Home? ❑ Yes o If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �C�G-�1�C�- �j�►►n State License# Expiration Date: Phone: �� Lg(p - (�q �,� (office) (cell) Mailing Address: City: ZIP:__ Contact Person: Applicant is: Contractor / �om_eowner .-��c��ie one� Email and/or Fax: �-^ PROPERTY OWNER INFORMATION: Name: �� {��r �C'c�;✓� Phone (day): lc� ?_ (c.�S` I G l J Address � L—i � �ti'l �� 'L_ Cit : � �,�C� ' �t;� ZIP: 5`�� ( Email and/or Fax ' =�� ' . �� }� t PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Sidi ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �i�_��, � ��,-� -�. ', � Estimated Construction Valuation of Project(excl' ding land) $ L, � �p � � 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: Y��-r-�- Y�-� �- - Date: �� - %� /� Last Updated: 05-04-2009 � � �`�� TE TIME `� CITY OF ORONO CALLED IN � � INSPECTION NOTICE SCHEDULED PERMIT NO /� COMPLFTED ADDRESS OWNER TELEP ONE N07�� ao��/�/" CONTRACTOR e e >: DESCRIPTION �-�f%��-- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FiLLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. � � O � � O � W � Q � 2 W � W � � � ��'CNORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W��u-ti;ORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION W�THIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �l n-�'�°`I COMPLETED ��'� ?` � `� ADDRESS 3.S�O �—�v(''�f�S 7'v�I � OWNER TELEPHONE NO. CONTRACTOR a DESCRIPTION ''�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a j O a � O � W � Q � Z W � W � � � 110RKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WFLL REfURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cali torthe next inspection 24 hours in advance. (952) 249-4600 OwnerlConVac#o� . Inspector. �J White Copyllnspector's File Canary CopylSite Notice