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Home My WebLink About2010-00775 - roofing CITY OF ORONO PERMIT NO.: 2010-00775 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 08/30/2010 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1485 LONG LAKE BLVD PIN : 35-118-23-22-0001 LEGAL DESC : UNPLATTED 35 1 18 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 10,000.00 APPLICANT PERMIT FEE SCHEDULE 191.75 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 5.00 6541 SYCAMORE CT N TOTAL 196.75 MAPLE GROVE, MN 55369- (763)427-9696 Minnesota State License#: 20637010 OWNER GREENLEY, KURTIS 1485 LONG LAKE BLVD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and docs not grant permission for additional or related work which requires 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 construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended�o period of 180 days at any time after work has commenced. The applicant�responsible for assuring all required inspections are requested in conforma ce with the State Building Code.This permit may be ievoked at ar�j�time or due cause. �i �' �C. � � ? c� � t G) �� ' _ � i L�1C,ta7 � ��_� �C' _`�CU App 'cant Permitee Signature Date Issued By Si nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. z A� �SC C i ty of O ro n o ��_��F �� w�� }°` � f • Building Permit Application for Internal Work � (windows, doors, siding, re-roof, etc.) �_� Mailing Address: � �,�,� PO Box 66 Permit number: �� A Q � Q Crystal Bay, MN 55323-0066 Date received: �� ,�'}��3 � x � '�' ��-�^� a StreetAddress: Receivedby: � s �,e.�:,� �'� 4� '�`� � 2750 Kelle Parkwa �� Y Y Plan review fee: �,; ��kESH04'� Orono, MN 55356 `� - Total Fee: '^� Main: J52-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� This application form must be completed in full and all required information must be submitted. -x Incomplete applications will be returned. (Please print) �� GENERAL INFORMATION: � Job Site Address: ; �5 �v1� �,.�� g��/� � Will this be a Parade of Homes, Remodeler Showcase Home or other Display Home? ❑ Yes No '{ If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servic ill e ��' required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ;�f �: CONTRACTOR/APPLICA�IT INFORMATIO }� Name: %�'( ,c�wr�� az>��_S z� State License# a6�1 U 7� Expiration Date: � Phone: _ 7(„3 -- y��-�� (office) 7(,j•-��W -(�OY3 (cell) Mailing Address: .� • s' ca� Q C,t- iti./ Cit : ;�-c�k z ' ,�„c ZIP: S-5" . �' � Contact Person: �, � S �,;.. A licant is:' Contract r / Homeowner � " pp (Circle One) �,� Email and/or Fax. ,�� ;..�,` �s.� �(uS _C�� ?� 3�- =(a 7�-�T�l �� ::q`,, ' PROPERTY OWNER INFORMATION: Name: /��.��r-f-�i S �r F��.�y Phone (daY)� '�� -L( 7 3 --��o(v� �•, Address: � 44S'fi Lo�<, L,,�e �� City� "�� L� ,� ZIP� 5�-35�; Email and/or Fax �' � y`, �� 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 r ; ❑ Siding ❑ Restoration ❑ Other. (specify) Phone: 952-471-0590 '�` Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orq . � 4 Overall Project Description: � �,� � «,�.� y�� - ..L S� �t,�c� �c<l :; c � � _ Estimated Construction Valuation of Project(excluding land) $ �. � `� � �� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; � e"J . • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they a, are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative � Y' but to reject it until it is complete; =� :! N-. • 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 tl�is-auformation is to annually update our records and records of other governmental agencies � ;_, re uired b law. If ou refus,e�"to su I he infor tion, the a lication ma not be issued. � � � _ ApplicanYs Signature: Date: � /3� � b _ � � � `° Last Updated: 05-04-2009 y 3`.� �, T �"x ��5�� ' 43 .� G'a"�� '�yY �� _ . ... . � . _. . , _.. � a- .., _. ,fi�.� ._�LE.W�.� a� DA TIME v CITY OF ORONO CALLED IN p�� INSPECTION NOTIC SCHEDULED � _L�,�S.� PERMIT NO. D 7 COMPLETED ADDRESS T'g;I L-�q � �� uC.J� OWNER TELEPHO E NO. 7�4✓ �� CONTRACTOR ��LU�P.d��' �: DESCRIPTION �I n� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO v�i COMMENTS: a D! Ox ,4-�-�t � � 0 a � 0 � W � Q � z W � W � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlConVactor on site: Inspector. 1 �� White Copyllnspector's File Canary CopylSite Notice