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Home My WebLink About2009-00560 - roofing CITY OF ORONO PERMIT NO.: 2009-00560 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/08/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 160 TRUFFULA TR PIN 33-118-23-44-0038 LEGAL DESC MEADOW WOOD POND LOT 004 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 16,021.00 APPLICANT PERMIT FEE SCHEDULE 295.00 HOME VALUE IMPROVEMENTS STATE SURCHARGE(VALUATION) 8.01 13756 REIMER DR TOTAL 303.01 MAPLE GROVE,MN 55311- (763)425-9500 Minnesota State License#:20464927 OWNER BORG,MR.&MRS. 160 TRUFFULA TR LONG 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' responsible assuring all required inspections are requeae7 -U17' s nformance �th e S e Building Code.This permit may be ^� rev ed at time ford use. ��j Z �l 1�l D � l / / Ap can Pennitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 'Qv 0 PO Box 66 (0 0 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: 9xESH04� 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: I �L C- I? I "( ta Ib,,,- ky- Will this be a Parade of Homes, Rem odel&§,Showcase Home or other Display Home? ❑ Yes [No 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/APPLICANT INFORMATION r Name: ►1� C� )1� ^c { 1(Yl L Y� t State License # 7 Cq �)_ Expiration Date: 20 t Phone. (office) 67 S`i_S� cell Mailing Address: iCit ZIP: SS3 1 Contact Person: -� rApplicjnt is: Contract r / Homeowner (Circle One) Email and/or Fax: r s e-', ` V7O� �;�►, C PROPERTY OWNER INFORMATION Name: L, 6-V2C Phone (day): Address: ) lc �� Q �.�rr �t ��t/a City: d We, V-\� ZIP' Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review& permits ElDoor(s) ElRemodel ❑ 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 Re-roof ❑ Fire Damage Fax: 9 2-471-0682 rg Overall Project Description: l � _ Estimated Construction Valuation of Project(excluding land) $ 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 recluiredbylaw. If ou refuse to u I the in atio , the application may not be issued. SApplicant's Signature: �� Date: Last Updated: 05-04-2009 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOT I E SCHEDULED PERMIT NO. ObS COMPLETED ADDRESS ( L40 TCV F><A ra Tfa , 1 OWNER CONTR. TELEPHONE NO. DESCRIPTION -7PA c) F� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ti ❑ 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO vdi COMMENTS: VL J O cc O W W W Q 2 W Z W Ct d 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. ❑ PHOTOTAKEN 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 Copyllnspectoes File Canary Copy/Site Notice DATE TIME (� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 0 e� PERMIT NO. 2-120c.' ""'60 COMPLETED 41-4) - 10 ADDRESS 160 T(2-J l=F-to LIA arTrz.4► t- OWNER TELEPHONE NO. �T63-YZS'�i•Sdc7 CONTRACTOR 1-I-onnt V�°►�-.r[ �"'� R-o�evv�er`►Ts J DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y Q [I FRAMING ❑ MECHANICAL FINAL [:1 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ADON SLAB El WATER HOOK-UP ❑ PROGRESS ;'-FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W Q. cc O O cc O W W cc Q Z W Z W OW /YORK SATISFACTORY:PROCEED PROJECT COMPLETE CCW ❑CORRECT WORK&PROCEED 71 ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN C]STOP 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/Contract i Inspector. White C4rispector's File Canary Copy/Site Notice