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Home My WebLink About2009-00267 - roofing CITY OF ORONO PERMIT NO.: 2009-00267 - '�- 2750 KELLEY PARKWAY , ' ORONO, MN 55356- DATE [SSUEn: 06/OU2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2445 SHADYWOOD RD PIN : 20-117-23-11-0015 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 11,800.00 NOTE: REROOF AND FASCHIA REPAIR -� APPLICANT PERMIT FEE SCHEDULE 221.25 STONECREEK ARTISANS INC. STATE SURCHARGE(VALUAT[ON) 5.90 30301 216 TH LN TOTAL 227.15 HENDERSON, MN 56044- (952)212-0189 Minnesota State License#: BC20627796 OWNER NAVARRE, 1 ST NATL BANK OF CO. SHADYWOOD RD NAVARRE„MN 55392 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 shail be compied with whether or not specified hecein.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 an ' for due � /�l /Zao / / plicant i ignature Date Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE A VE. � .... .., , , t: . �� ,�� > � , �; , : `..��, �� `- ._�. ,, � , �� -�� City of Orono �� - �_ , ��i � Building Permit Application for Internal Work ' � :� (windows, doors, siding, re-roof, etc.) � >� Mailing Address: Permit number: �,i,�,� PO Box 66 ; �� Crystal Bay, MN 55323-0066 Date received: �; �a �� e�'S� s, � Street Address: Received by: �`� �' '��^� �' 2750 Kelle Parkwa 4� �': �� Y Y Plan review fee: �� `�gESK�'� 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. ;;� k Incomplete applications will be returned. (Please print) �n� GENERAL INFORMATION: ,� Job Site Address: I y�/S �1i ac�� c-„�c>c�� /��r r' /r./�9��rrC �ic� SS.�9 � � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ?[� No �,� lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil!be �` '�` required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � CONTRACTOR/APPLICANT INFORMATION: �� Name: SToNF��Z �l� �¢�T�S:��`5 �'�r c - � State License# g G Zo�v Z 7 79L� Expiration Date: Z�� i Phone: 9�5 2� Z/Z�- c�� % (office) �SZ - Z�'Z-c�/� `� (cell) �� Mailing Address: -> • �/.� UX Ci � � �� ZIP: ,s��c��jc- � Contact Person: Gi.,/� j ,.��y�,.gf Applicant is: Contractor / Homeowner (CircleOne) Email and/or Fax: C;r u crr PROPERTY OWNER INFORMATION: Name: /� i�/�i t- �-�-=-1 t4�.�-� 1��-�t 1=-� ��K�,, d OQiG��i I ,� ��.� Phone (daY)� 4.1z - ��1 �- �'// / � �: Address: ,�S-h� ,,�� ,� Cit � SS � �� .. Z.�7`� �i Y�/\/�sv� v�^� ZIP: � �� Email and/or Fax fS�z-- �7f - �//t/ � � . � r� :�; �:r� PROJECT INFORMATION: 1�� Type of Project: Any earth movement may require �-± MCWD review &permits �' ❑ Door(s) ❑ Remodel ❑Water Damage <� sz t: ' Minnehaha Creek Watershed District(MCWD) s �. ❑Window(s) �Repair �QS' ❑ Storm Damage 18202 Minnetonka Blvd ^� Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 AE . � 't ' Fax: 952-471-0682 r� � Re-roof .j3 5i— ❑ Fire Damage www.minnehahacreek.orq � Overall Project Description: �� ; Estimated Construction Valuation of Project(excluding land) $ j� �� ./ �� 1- � } 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 `b� 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. � ,`�� -- —_----- � V�' Applicant's Signature: Date: `%.,Z / Z-�� ast Updatec 05-0�-200� r �r _ . { ::C � � ��' �'�� .� DATE TIME CITY OF ORONO CALLED w �'�1==�� l � � � INSPECTION NOTICE 1� � SCHEDULED � PERMIT NO. L-�C -�OMPLETED �� M ADDRESS .-� � �I�`<-7 � 61 �+C�� OWNER CONTR. �� TELEPHONE N0. �� a�� — C � �� DESCRIPTION ��--� ��- � � ❑ FOOTING ❑ MECHANICAL RI '�� ❑ EXCAV/GRADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o ,� ��(_S �. � 0 � W � Q � z W � W � � � a W��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �Q52� Z49-46QQ OwnerlContractor on te: Inspector. � l� �' � White Copyllnspector's File Canary CopylSite Notice �� 3 � �� A/-�O� TIME CITY OF ORONO CALLED IN �f� INSPECTION NOTICE SCHEDULED � C� o? � C� PERMIT NO.o�'l'��9�OaID� COMPLETED ADDRESS OWNER CO .��P.c�� TELEPHONE NO. v� - oZ�o� — C�l � � DESCRIPTION Y�l l�l C�I F�--(JC1T- � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS O ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WA�L BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED !- I UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECT�ONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. �J r� White Copyll�spector's File Canary CopylSite Notice