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HomeMy WebLinkAbout2010-00626 - roofing , CITY OF ORONO PERMIT NO.: 2010-00626 2750 KELLEY PARKWAY j ORONO, MN 55356- DATE ISSUED: 07/27/2010 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 740 ORCHARD PARK RD PIN : 32-118-23-22-0007 LEGAL DESC : ORCHARD PARK : LOT 015 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 3,500.00 APPLICANT PERMIT FEE SCHEDULE 103.25 VERDE RESTORATIONS STATE SURCHARGE(VALUATION) 5.00 553 S.ROBERT ST ST.PAUL,MN 55155- TOTAL 108.25 (651)29 2222 T OWNER KERBER,BRIAN 740 ORCHARD PARK RD NG 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 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 any time for due cause. / / le9C-A_JI._ C.7.-YVC124.-7 1'9 7'--': 7-70 Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono � BuildingPermit Application for Internal Work ,r '� (windows, doors, siding, re-roof, etc.) (1) ob� Mailing Address: Permit number: / , 0,j� Cr Box 66 111 Crystal Bay, MN 55323-0066 Date received: '• Received a t, Street Address: by: tes -��vvi ' G** 2750 KelleyParkway \ Plan review fee: \gvsHo4� 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: -7"K/ Ordmuo4 VIAL pc_1 .,0006 'V�v Job Site Address: I� f, � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 2-14"0 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/APPLICAT l �ATI N: 1 Name: VeSicfc State License# 4 r , d Expiration Date: (`1-/_A i kri Phone: , )—/- 2 9O- 2 222.— (office) 742.0 • -7 2.2 (cell) Mailing Address: 12A00,0-1- City: F — em,4Q ZIP: S iF-, Contact Person: • _ Applicant is..., on rac or ► Homeowner (circle One) Email and/or Fax: ; i, 7�.c r _ t • e5--). 2 ID`c9O 5---- - c PROPERTY OWNER INFORMATIQN: Name: 6 ri CC-0 f'&YL1 (/ Phone(day): Address: `]L(© (Dii h JFIVE-ace City: C)(6,06 ZIP: -553S—C, Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑Door(s) ❑Remodel 0 Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair 0 Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Siding 0 Restoration 0 Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof 0 Fire Damage www.minnehahacreek.org Overall Project Description: egi ll-- Estimated Construction Valuation of Project(excluding land) $ Ilree .0 O� D 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 dassified 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: 6.-2/2_7/Z01'0 Last Updated: 05-04-2009 � A DATE TIME CITY OF WC( fL- — 7 l INSPECTION NOTICE SCHEDULED PERMIT NO. v1 6/1) Z ' COMPLETED ADDRESS 747/C) C)rr//)Kt Ad fr d OWNER 1TELEPHONE NO. -&57--,?0--"7 222 CONTRACTOR � S trn -JS d11• —� DESCRIPTION _itt.1 *z Lu ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORENVETLANDS ti ❑ FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS • 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ct 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEP C FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:k YES)(NO ci)o COMMENTS: cc W a cc 0 cc O W cc W Lai cc OWiKkaRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED El ISSUE CERTIFICATE OF OCCUPANCY O ❑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: Inspector. White Copy/Inspector's File Canary CopylSite Notice