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Home My WebLink About2009-00651 - roofing CITY OF ORONO PERMIT NO.: 2009-00651 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/05/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 3740 TOGO RD PIN : 17-117-23-31-0023 LEGAL DESC TOWNSITE OF LANGDON PARK LOT 000 BLOCK 010 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 10,000.00 NOTE: TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 191.75 KELLINGSTON LLC STATE SURCHARGE(VALUATION) 5.00 7875 HYACINTA AVE VICTORIA,MN 55386- " -- MISC FEE 0.00 (612)490-4626 TOTAL 196.75 Minnesota State License#:20630759 _OWNER.. GLASSCO,GEORGE&JUANITA 3740 TOGO RD 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 conforman wi a State Building Code.This permit may be revoked ti r d use. e4 A9105/ 0 Applicant Date Signature Date Iss e y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OthER THAN DESCRIBED ABOVE. 4 09/29/2009 20:18 9524433205 KELLINGTON PAGE 01/01 City of Orono Building Permit Application for Internal Work windows, doors, siding, re-roof, etc. Meiling Address: Permit number: Cr Box 66 Crystal Bay, MN 65323-0066 Date received: } Street Address: Received by: rA ,F 2750 Kelley Parkway Plan review fee: Orono,MN 55356 Total Fee: � f Main: 852-249.4600 Fax: 952-249.4616 www, "o no.m s I illThis application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) NERAL INFORMATION! b Site Address: � -71+0 "Toto Voa. - I this be a Parade of Homes, Remodelers S owease Home or other Display Home? ❑ Yes ❑ No yes.a 4vdel event permit is required with f'olioc pcportmont and City Council approval 60 days prior t0 tha avpnt. Shuttle bus service will be required unless applicant demonstrates sufficient on-eta parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT I FORMATION: Name: �- State License _ Expiration Date: 3 - 31- A010 Pl�onc: offif-3. / 2- — cell fngAddress: ac"n Ci : Urc4rr'a ZIP: s3 6 act Person: ! i ,�•-, Applicant is: Contractor / Homeowner (circle ono) il and/ui Fax. CA-ctt:g.f/k�APERTY OWNER INFORMATION: e:ne(day): q� Cihl: orvH o ZIP:ess: --_;74o �oil and/or Fax PROJECT INFORMATION: r f Project: Any earth movement may require MCWD review&permits or(3) ❑Remodel ❑Water DamvOP Minnehaha Creak Watershed District(MCWD) ❑Window(s) ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven,MN 55381 T[RL iding C:1 Restoration O Other.(specify) Phone: 952.471-0590 Fax: 952-471-0662 -roof [I Fire Damage v M,minnehahicreek.orn Overall Project Descrl tion: timated Construction Valuation of Project(excluding land) $ PLICANT 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 ie 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 pumic or the subjw yr ti m dmta. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies reciuired by law, if you refuse to supply the' soon the application maX not be issued. plicanrs Signature: t®: �30 �a 9 t Updated: 05-04-2009 7 0-7 op-el `) T TIME V CITY OF ORONO CALLED IN l IO / INSPECTIONN TI / SCHEDULED PERMIT NO. 5 C MPLETED ADDRESS OWNER CONTR. <<� TELEPHONE NO. 3 — 9V77 3Z DESCRIPTION tAtjj ❑ FOOTING ❑ MECHANICAL RI ❑ E V/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ L ESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO v0, COMMENTS: W 0. J O cc O Qj Q 2 W W cc d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE QZW ❑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 Copyllnspectoes File Canary Copy/Site Notice D TIME CITY OF ORONO CALLED IN r D INSPECTION NOT' ES-/ SCHEDULED f} PERMIT NO. D COMPLETED ADDRESS 7 10 �— OWNER CONTR. 1 kt fa 5+021 TELEPHONE NO. DESCRIPTION F:I rlis r-c-0 cf ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING Q El FRAMING F1 MECHANICAL FINAL ❑ LAKESHORE/WETLANDS LOT ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL , ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: , O Occ - Q F/-b Ati.., a W. _ _ . Cl W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � W ❑CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY _ C) BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN '" 11 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 te- oen Inspector. White Copynnspectoes File Canary Copy/Site Notice