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Home My WebLink About2010-01014 - roofing CITY OF ORONO PERMIT NO.: 2010-01014 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/18/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 4695 NORTH SHORE DR PIN : 07-117-23-32-0059 LEGAL DESC : TRISTANA COVE : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 APPLICANT PERMIT FEE SCHEDULE 162.25 TIMBERLINE EXTERIORS,INC. STATE SURCHARGE(VALUATION) 5.00 7026 E FISH LAKE ROAD MAPLE GROVE,MN 55311- MISC FEE 0.00 (651)329-6916 TOTAL 167.25 Minnesota State License#:20633887 OWNER WARD, STEPHEN&JOANNE 4695 NORTH SHORE DR 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 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 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 confonpance with the State Building Code.This permit may be revoked at y i fo a ca e. Ap a ee Sign a Date Issued By Si ture D e 41 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO14. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: Og,D,�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 'S�, Gtiti 2750 Kelley Parkway Plan review fee: L9kEQuo w Orono, MN 55356 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: gj`f ®/�'j / �'L!> Will this be a Parade of Homes, Remode ers 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 sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: /'1C State License# Expiration Date: /7/ Phone: /. -$ r1a office cell Mailing Address: Y,6 City: Contact Person: C Applicant is: tract r- Homeowner (Circle One) Email and/or Fax: 8Z)C, PROPERTY OWNER INFORMATION: Name: Phone (day): Address: �xt 45 ,Ak yP 1�)+-. City: &:3ok:4 ZIP: �5.5 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 Re-roof ❑ Fire Damage www.minnehahacreek.or Overall Project Description: KA66MX-752 Estimated Construction Valuation of Proj ct(exc ding land) $ 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 required by law. If you refuse to supply the information the application may not be issued. Applicant's Signature: Date: Last Updated: 05-04-2009 TIME V CITY OF ORONO CALLED IN !� INSPECTION NOTICE SCHEDULED PERMIT NO.'aGlD-GINS COMPLETED ADDRESS 4 95 /t&rte aSALOQ OWNER TELEPHPNE NO.661— 3—V—4R16 CONTRACTOR //?7 be-.0-h/7(f 7/' DESCRIPTION eac. 49-14-P tu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL Q El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO vdi COMMENTS: U j 0 a cc 0 2 W QC Q W Sc W d W '_<WORKSATISFACTORY.PROCEED ElPROJECTCOMPLETE u W 11CORRECT WORKS PROCEED ElISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO 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. (952) 249-4600 Owner/Contractor o site- Inspector. White Copylinspector's File Canary Copy/Site Notice DATE TIME/ ITY OF ORONO toPCALLED IN INSPECTION I SCHEDULED / PERMIT N0. -1 dL COMPLETED ADDRESS DO V62 OWNER TEIEPHPNE NCO CONTRACTO - C DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAWGRADING/FILLING ❑ POURED WALL ❑ MECHANICAL R ❑ LAKESHORE/WETLANDS ti Q El FRAMING L1 MECHANICAL FINAL El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ El DEMO-FINAL El SEPTIC INSTALL El HARD COVER REMOVAL J ElPLUMBING RI ElSEPTIC FINAL ElFOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: CC LU i� n cc i J O a cc O W cc Q Z W z W Z) Q LUWORK SATISFACTORY:PROCEED 11PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN LlSTOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: )) 1n Inspector. ( x29 / 6_ White Copy/Inspector's File Canary Copy/Site Notice