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Home My WebLink About2010-00825 - roofing CITY OF ORONO PERMIT NO.: 2010-00825 ,; 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/14/2010 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1020 OLD CRYSTAL BAY RD S PIN : 09-117-23-13-0006 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 9,000.00 NOTE: TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 177.00 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 12366 RIVER RIDGE ROAD BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 (612)861-7000 TOTAL 184.00 Minnesota State License#:20593656 PAID WITH CC# 5206 OWNER ELLIS,KENDALL 1020 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 for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at ny time for due cau . At'r'� ! / /!—1 /0 ?/ / l d Applicant Permitee Signa ure Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I . ab 4972- :/ _to.60 City of Orono • Building Permit Application for Internal Work ;(windows, doors, siding, re-roof, etc.) O MullingPenne number: /0-DOE45 r�:gt- Q�\ Crystal pay,MN 55323.0066 . Data received: i h O (a Received by: \� :1 5 kW 4. 27Parkway r^, �a Kelley Pian reviewfae• y� Orono,MN 55356 Totes Fee: * / 3 fi.te34 Main: 952-240.4800; 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: M �+ Job Site Address: /4t CH (. Will this be a Parade of Homes, Remodelers Showcase Ho or other Display Home? 0 Yes No It yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event Shuttle bus service be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be alfaowed. CONTRACTOR/APPUCANT 1111 DRMATION: Name: Man • C.QQt�S r(A+lon State License# 1 • ., , Expiration Date: Phone: , •— ' , j�r . (office) ce Mailing Address: , , t ' di* b ski- CIN:Own)!t ZIP: SS 7 4ll) '7 Contact Person: t t • it mO Ono Applicant is:)(Contractor / Homeowner (Weis on Email and/or Fax: �) 1-w_5' 15 PROPERTY OWNE; INF•RMATION: Name: A•_A4• Il 5 Phone(day): 'PtITit . , Address: -_- i(),• 6 . Li Pel City: r zatot.. ZIP: 5531 I Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require 1:1 Door(s) ID RemodelMCWD review 8 permits 0 Water Damage Minnehaha Creek Watershed District(MCWD) o Window(s) ❑RePsir 0 Storm Damage 18202 Minnetonka Blvd 553 ❑Siding ❑Restoration 1:1 Other(specfy) DPhhone::952-471-0590 �e,( Fax: 952-471-0682 Re-roof 0 Fire Damage www.minnehahacreek.era Overall Project Description: ;'flJb 1 rt. p.nM Estimated Construction Valuation of Prat (excluding I ) $ .../700 0 .o° 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 taster 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 infor matibn that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information',Mob 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 =eked by law. if You refuse to the ,. _y: ,the appllcatlon may not be Issued. 0/ Applicant's Signature: Date: , q, ,61 • Last Updated: 05-04-2009 I /M 9 DAT• TIME CITY OF ORONO CALLED IN Ao INSPECTION NOTICE $„ iEDULED - e 92,,f,{ , PERMIT NO. -247/ a- UV ?c2``OMPLETED ADDRESS /0.20 .a`d OWNER _TEL P ONE NO.t -9k/-7e9eD CONTRACTOR SPLZ,It. 4' - DESCRIPTION W 0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING U. 0 POURED WALL 0 MECHANICAL RI 0 LAKESHOREETLANDS y /W 0 FRAMING 0MECHANICAL FINAL ❑ TREE REMOVAL Z 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS Z 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP i0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO Co,CCOMMENTS: cc W Q. o • -�- Ce AAci L✓A-I-6-- O1 e A ire e v -;-<,-t L ,'- L( (e. Z : re d cc0 U. W cc Q W Z W CC W \ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW El CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: , __ C Inspector. �-,1✓V- ( !3 n IT'S White Copyllnspector's File Canary Copy/Site Notice / AT� TIME ( / CITY OF ORONO CA ED IN ( vvv INSPECTION OTIC SCHEDULED / -�=JO PERMIT NO D -1&L COMPLETED i ADDRESS �Q 10 Old 64 ,� /2d- OWNER TELEPHONE NO. �z a �� 7cez, CONTRACTOR Sf-MaNV DESCRIPTION 0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING 11. Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS y ❑ FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP i ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO c., COMMENTS: cc Q. CC O CC O U. W CC Q Sc W d LU ❑WORK SATISFACTORY:PROCEED "PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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. White Copyllnspector's File Canary Copy/Site Notice