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Home My WebLink About2010-00978 - roofing � . CITY OF ORONO PERMIT NO.: Zoiaoo9�s 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 10/18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 1699 NORTH FARM RD PIN : 27-118-23-44-0007 LEGAL DESC : THE FARM AT LONG LAKE : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-LTNDEFINED VALUATION : $ 44,200.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT pERMIT FEE SCHEDULE 628.00 ELITE REMODELING SERVICES INC STATE SURCHARGE(VALUATION) 22.10 13246 DOWNEY TRAIL APPLE VALLEY,MN 55124 TOTAL 650.10 (952)646-2480 PAID WITH CC# 4370 Minnesota State License#: 20638744 OWNER TRUSTEE, RICHARD PERKINS 1699 NORTH FARM 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 separate 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 all required inspections are requested in conformance with the State Building Code.This permit may be /�7" revoked at an � r due cause. io / /� l /v �� .�(_ � CjyJ�j�l�� ''�� . Ap i ermitee Signature Date Issued 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. �—Dd Cf � i% �O�O�O�\ CrysBtal Bay, MN 55323-0066 Date received: /Q / � � i� �'•''�=�� v � Received by: a �•��. �, Street Address: '�'�,�, �� ti� 2750 Kelle Parkwa Y Y Plan reviewfee:� �l ' ti�' Orono, MN 55356 ��. /� �9k�axo4; �__.�� - 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) GENERAL INFORMATION:/ �. � Job Site Address: /69�' �i�i f-�/�►+ ,�catid Will this be a Parade of Homes, Remodelers 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 service will be required unless applicant demonstrates sutficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: T Name: �/,� ..na�o�; ;cts L State License# �c6 3� 75�'� xpiration Date: 3 z� �v�l Phone: � U office 6/a-dZf�d- /U cell Mailing Address: ay Cit : / (I ZIP: 5"5"/� Contact Person: psh �l� Appli�ant is: ac / Homeowner (Circle One) Email and/or Fax: � , /�,�. 9 1- 6�/6 �a�18y PROPERTY OWNER I�ORMATION: ` � Name: /�,;�.�� _i K,'�/S Phone(day): 9 �-- a � - 0o Qi Address: /f,9q !�/o �giw. o..J City: l�ro�►t� ZIP: Email and/or Fax 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 ❑Siding ❑Restoration ❑ Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 -roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �� o �n Estimated Construction Valuation of Project(excluding land) $ , Oa 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: r0/��/v Last Updated: 05-04-2009 �� AT �/ TIME� CITY OF RONO CALLED�N �� V INSPECTION NOTICE SCHEDULED !!� �� PERMIT NO.�LYD-LY3 '�!7 p C LETED ADDRESS_�� , UI' � ,_,�� OWNER TELEP O E NO.�� —� �0 CONTRACTOR �•�� DESCRIPTION �-a� � � � ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q p TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP /�j p COMPLAINT � ❑ DEMO-SITE � SEPTIC MAINT. [%`y ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL T'� ❑ HARD COVER REMOVAL J ❑ PLUM ❑ SE T FINAL ❑ FOUNDATION/REMOVAL � OWNE ONTRACTO YOU:�YES_NO � COMMENTS: a /� �S �Ud� �� S•�r j ! O a � O � W � Q � Z W � W � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. 1 � �(� White Copyllnspector's File Canary Copy/Site Notice � 1 JJ} TIME � CITY OF ORONO CALLED IN � /`�' INSPECTION NOTIC SCHEDULED / D PERMIT NO. o�� DOC17� COMPLETED ADDRESS l.�2 �9 ��Z�'L�1 ,�h� /La- OWNER TELEPH��E� �NO. l - �a-�D d CONTRACTOR ��:�'� �: DESCRIPTION ��-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � �� t��es �� 3,�)�- 0 � � 0 � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED sg'RROJECT COMPLETE W ❑CORRECT WORK&PROCEED ' ❑ IS9UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL{NSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-46�� OwnerlContractor on site: > Inspector. � �./ � White Copyllnspector's File Canary CopylSite Notice