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Home My WebLink About2010-00804 - roofing CITY OF ORONO PERMIT NO.: 20�o-oosoa 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssUEn: 09/07/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1575 LONG LAKE BLVD PIN : 26-1 18-23-33-001 l LEGAL DESC : ALBEES LONG LAKE ADDN : LOT 000 BLOCK 000 PERM[T TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATIOI�I : $ 15,100.00 APPLICANT pERM[T FEE SCHEDULE 28025 ALL SEASON REMODELING& EXTERIORS STATE SURCHARGE(VALUATION) 7.55 17344 PUMA ST.NW RAMSEY, MN 55303 MISC FEE 0.00 (612)221-3318 TOTAL 287.80 Minnesota State License#: 20388311 OWIYER CLARK,TERRY 1575 LONG LAKE BLVD 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 additionai 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 specitied 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 p riod of 180 days at any time after work has commenced. The applic t is sponsible fo assuring all required inspections are requeste � con ormance wi the State Building Code.This permit may be revoked t ny me fo Ue ause. � CJI P�`-�'�►'l / � C�/ '— / /c% / / Ap ica �ee ignature Date Issued By Sig ture ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO �,� �s . "1';^„�` � $. �' -r,.�,f �a�-. ��9 �.'zti �;.:� s^ '�.T,•'�°�.8^'� `°C3 '» '..� � � 4 r �u . "�t . - �,_ r�'`. ;, � City of Orono � ,� ��`- � Building Permit Appiication for Internal Work � �� _% (windows, doors, siding, re-roof, etc.) � �` Mailing Address: Permit number: �� ,� PO Box 66 � w�` � O Crystal Bay, MN 55323-0066 Date received: � r� k, �': a �'�'�e.,^� � StreetAddress: Received by: � �z' "� 2� a,�;'r �4 � � h � � �� 2750 Kelley Parkway Plan review fee: �� kESHo4'� Ornno, MN 55356 � _� Total Fee: � �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � �r� 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: ' -7 / /� �� J k �w`, ;'�j^ / �� hCric� G�4/1i F>�`C�1 ,�`; Will this be a Parade of Homes, Remodelers'"�howcase Home or other Display Home? ❑ Yes ❑ No �� "�= If yes, a special event permit is required with Police Departmenf and City Council approval 60 days prior to the event. Shuttle bus service will be ��ire uired unless a licant demonstrates sufficient on-site arkin is available. Non- ermitted events will not be allowed. £� �., q PP P 9 P �� CONTRACTOR/APP ANT INFORMATION: � � Name: 1��5��,�� ..�<<-�Ir J�v« a�� l.=�f�.•,�,3 LL� � �,� State License# ,��3��,/ Expiration Date: ��. // N� Phone: Li�: �c�� G�.,i (office) (cell) � Mailing Address: ; 73��/ r"c,.��, 5-t _-v�> City: % �%-^�Y 7 ZIP: :tr�� ' Contact Person: �,kE ��:i,►�zez:- �� Applicant is: ntrac / Homeowner (Circle One) �, Email and/or Fax: �✓'� Icl<IISc�;3r.� « ��c�.�c�d5t,.��. r �� .' ��: PROPERTY OWNER INFORMATION: � �'M°'1 Name: ��:7 �I �K �`a, � Phone (day): �%�-� y"�3 (-;�9�� Address: _ �S�S" L-vr,�, L�k,� (�l�c� City: %/Z�,�,��- ZIP: ' �'��: Email and/or Fax '' � ��jr �° F� �� ' PROJECT INFORMATION: �� '�� T e of Pro'ect: � Yp J Any earth movement may require k.. �� MCWD review&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 � ^� Re-roof Fax: 952-471-0682 g� ❑ Fire Damage www.minnehahacreek.orq �� ;: �� Overall Project Description: D`� ,2,��F C ��- � �,; � �A: Estimated Construction Valuation of Project (excluding land) $ /5��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 z �. �; data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our � F: �f�� 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 the infor tion, the a lication ma not be issued. ;;:�, k'+� % � � � yK ApplicanYs Signature: '� Date: �" `��- �"' %C� - F� ';.� °�� Last Updated: 05-04-2009 � �h}�� _ ._ . .... .. � . :::. � �� s y 3 ;. .��} �. ^� yyF _� .,� t p�3�< � 0.'�4 w`°$Fi' �S� �' a �9 '''�' �" '� �'� � '� i�� r a �f... �, , r, rxAv g.�+4.x..,,�,_. 3 ..�.G+ 2 . .t�a�'.�, ..,�!+g.�'..k�..a Y .a'�e+�. t., . .�. a ..... x.r�`��1.�, . u.. �2. �.`a��..� . .. ..c.f' � ' � .�� ' ✓ A75� � TIME CITY OF ORONO CALLED IN �- INSPECTION QT�� p�g��yCHEDULED �'��- ' PERMIT NO. � °`�TCOMPLETED ADDRESS �� OWNER PHONE NO. � � ��''� CONTRACTOR � DESCRIPTION � 1�2�"-�� n' '""�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILL G Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLAND 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 J ❑ PLUMB�NG RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ,� c? , ...,,� �2c� c �S � � 0 � W � Q � 2 W � W � � ��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CaRRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. ` White Copyllnspector's Ffle Canary CopylSite Notfce