Loading...
HomeMy WebLinkAbout2010-00872 - roofing CITY OF ORONO PERMIT NO.: 2010-00872 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/21/2010 (952)249-4600 FAX: (952)249-4616 ADDRESS : 890 OLD CRYSTAL BAY RD S PIN : 09-117-23-12-0008 LEGAL DESC : FRENCH CREEK WOODS : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION $ 24,600.00 APPLICANT PERMIT FEE SCHEDULE 413.00 WESTURN CEDAR SUPPLY, INC. STATE SURCHARGE(VALUATION) 12.30 9700 13TH AVENUE N. PLYMOUTH,MN 55441- MISC FEE 0.00 (763)541-0304 TOTAL 425.30 Minnesota State License#:20155566 OWNER TROUP,JOHN&MARGARET 890 OLD CRYSTAL BAY RD S WAYZATA,MN 55391 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 • assuring all required inspections are requested in confo ance ,ith the State Building Code.This permit may be revoked at any t - i li_ 9 0 A.pllo.. Perm' ee Signature Date Issued By ature RI Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO L. w City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) ID -0117- ;7 Mailing Address: Permit number: O�, �O Cr Box 66 Crystal Bay, MN 55323-0066 Date received: `� Received by: a - .:.. a Street Address: $F, i i.,-J, o~ 2750 Kelley Parkway Plan review fee: C!kesnos- 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: caciO Old- 0-Yk0-b,-1 RcA ) WO 20.. Will this be a Parade of Homes, Remodelers SJiowcase Hom r other Display Hoe? E Yes :i o 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 required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INF RMATION: Name: \Q S v i(1 r�&0O-V �'t-t-.PP 1 C State License# Expiration Date: 5/.31 / 1 I Phone: —1(1,3- Sy I- 0:30 t--, (office) (ce_ll) Mailing Address: ,C` In IN,] LoLk I3 q Cit :W .�-pp ZIP:S5&_.( 2 b Contact Person: �zY�: �w c i \ Applican . : Contractor / Homeowner (Circle One) Email and/or Fax. PROPERTY OWNER INFORMATION: Name: �h tm Vrc Phone (day): CASZ -- LI-13 S ".3 Address: ENct> Old C Y S�4 1 Pa s . City: Z0. ZIP: SS 9 1 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 XRe-roof ❑ Fire Damage www.minnehahacreek.org Overall Project Description: R Q .- P ,c,k_ ,Jr, ,r-, t&_.S Estimated Construction Valuation of Project(excluding land) $ 24 1L00 • cO 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. C:4:iw Applicant's Signature: Date: Last Updated: 05-04-2009 DATE TIME V CITY OF ORONO CALLED IN 9-21 INSPECTION NOTICE OQZ SCHEDULED 9-21-ID ,& // PERMIT NO. /" ? / OMPLETTEED/� ADDRESS fc?O DICT a-C L3 OWNER TEL HONEal." (42. 3(, c15i9 CONTRACTOR 3: DESCRIPTION ieQ-' �' ✓ 0 FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING 4. Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS • ❑ FINAL - " 0 SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO. FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: ccW O O ti CC Q W W CC A -Lu WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING 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 on site: Inspector. r �f I13� White Copyllnspector's File Canary Copy/Site Notice pew d TIME V CI OF ORONO CALLED IN INSPECTION NOTIC —OSCHEDULED 1 0/y/Io 011'n PERMIT NO. aC r COMPLETED ADDRESS F 9 O O ld C 11 S --o OWNER TELEPHONE NO. (D la-• � CONTRACTOR W S-iAX rl 62-( j- i DESCRIPTION F I ro. ( cof W ❑ FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILLING cc ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS cl) CI FRAMING CI MECHANICAL FINAL ❑ TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS • 0 FINAL 0 SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINA� CIFOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO • COMMENTS: pne..pertA `I- S twp ccCC CC W W Q LU111 WORK SATISFACTORY:PROCEED ROJECT COMPLETE LU ElCORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY UO BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP 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: b -tr; Inspector. t (3 S White Copy/Inspector's File Canary Copy/Site Notice