The URL can be used to link to this page

Home My WebLink About2010-00421 - roofing � CITY OF ORONO PERMIT NO.: 2010-00421 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 06/03/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1098 LOMA LINDA AVE PIN : 08-117-23-23-0011 LEGAL DESC : LOMA LINDA : LOT O10 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING- RUBBER ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 2,500.00 NOTE: PARTIAL FLAT RUBBER ROOF APPLICANT PERMIT FEE SCHEDULE 88.50 SIDNEY FEATHERSONE CONST. STATE SURCHARGE(VALUATION) 1.25 32140 210 AVENUE TOTAL 89.75 RED W[NG, MN 55066 �) Minnesota State License#: 20218883 OWNER SCHOENKE, DENEEN 1098 LOMA LINDA AVE MOUND, MN 55364 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 gran[permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be wmpied 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 all required inspections are requested in conYormance with the State Building Code.T�is p,rmit may be revoke any time for due cause. � � f � �� Q�v� � l0 �� / � ,�j�o'L �/O Appl an ermitee Signature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. — 3, a�^.-:` �'es'�'•'t ..5��.� v 4 _ '4` '� � � � Cit of Orono �� _�`k� 3 Y y�� Building Permit Application for Internal Work �� 5� �. (windows, doors, siding, re-roof, etc.) �� •: ��. _ � ; Mailing Address: Permit number. ��'— �' ' �v�,� PO Box 66 � � � „� Q Crystal Bay, MN 55323-0066 Date received: .� /� � "' i -�/� Received b � �(�a �'�' �.;' s, Street Address: Y� � /� � 1 4�,�. / �'�t�� "'� ��'� 2750 Kelley Parkway Plan reviewfee: /�/ ,� a �1�`��Sv Orono, MN 55356 �� kEsxo4' �� „ -- Total Fee: � 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) �r; GENERAL INFORMATION: c� p �° �' �� 1� L�� 1n-�cr ��P Job Site Address: ; Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No � `�r'' If yes, a specia/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 is available. Non-permitted events will not be allowed. `�*. .._; ��fi� }ft CONTRACTOR/APPLICANT INFORMATION: '{ Name: �' �C�^��/.�l �� C e;`. State License# �� Expiration Date: � �' Phone: �, , ( office , ! ..`� c�g � cell �' ��= Mailing Address: Cit : , ZIP: _ �„� �R, Contact Person: �--- Applicant is: ontracto Homeowner (Circle One) p Email and/or Fax: ��' � f� PROPERTY OWNER INFORMATIO �n � � Name: � ,� �'.'� �-��.�� Phone (day): � �rc �� '" -� ��=--ra 1�-�i Address: Cit : ZIP: -� �` Email andbr Fax r" �.. PROJECT INFORMATION: � � Type of Project: Any earth movement may require � �:`�� MCWD review&permits � �x'� ❑ Door(s) ❑ Remodel �,;w ❑Water Damage �� '' Minnehaha Creek Watershed District(MCWD) � e.-' ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �"' Deephaven, MN 55391 �� ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 � ;�.�- Fax: 952-471-0682 '�� }��'` Re-roof ❑ Fire Damage www.minnehahacreek.orq ��:`. Overall Project Description: � �j� � w �� C i"t '��J b'� � ° Estimated Construction Valuation of Project(excluding land) a; p� �.; - APPLICANT ACKNOWLEDGEMENT: ti � ' • 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 s`� ' are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative � ° k; but to reject it until it is complete; ,�:s • 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. `"� ,�<; Applicant's Signature: ��,, � Date: �J�,v�,.� '"3 — � � Last Updated: OS-04-2009 � .. .� .. �� _...r..� _J m:�.. � �� "` DATE TIME � �`�� . CITY OF ORONO CALLED IN INSPECTION NO ICE CHEDULED �U PERMIT NO. �Z1�D ""UOyc��OMPLETED ADDRESS �� /"Yt/)t �j�r✓/1 _ f�� OWNER TELEPHONE NO. ^ � ' CONTRACTOR �st c�/ ��',� f�Qll��;f�� C ��S� � � DESCRIPTION f� /��c� / �L''�i� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W � o �� '�[" �oa F �A�K p F' �--�c��2 a � 0 � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED ` PROJECT COMPLETE � ❑CORRECT WORK&PROCEED r I CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR G CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor site: Inspector. w White Copyllnspector's File Canary Copy/Site Notice