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Home My WebLink About2009-00571 - roofing CITY OF ORONO PERMIT NO.: 2009-00571 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/09/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 2185 WATERTOWN RD PIN 03-117-23-21-0004 LEGAL DESC UNPLATTED 03 117 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 17,480.00 APPLICANT PERMIT FEE SCHEDULE 309.75 JOHN HOLM CONSTRUCTION STATE SURCHARGE(VALUATION) 8.74 P.O.BOX 2182 MISC FEE 0.00 MAPLE GROVE,MN 55311 (612)799-3390 TOTAL 318.49 Minnesota State License#: 9283 OWNER OTTO,HEINZ 2185 WATERTOWN RD 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 is responsible for assuring all required inspections are requested' onf, nce with the Pt*e Building Code.This permit may be revok at any 'me f!�Z� / � / App i7 t 'tee Signa re Date Issued By Si re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O'Qv DPO Box 66 Crystal Bay, MN 55323-0066 Date received: A eta 6, Street Address: Received by: 2750 Kelley Parkway Plan review fee: `9kESH0 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: �.� l /'r�lit// �� Will this be a Parade of Homes, Remodelers 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 6e required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP ICA T)INFIOP,MATION: Name: C /,/ �"�' /1/] CeA-fs,i /I/ State License# C7 2- �� Expiration Date: Phone: - (office) cell Mailing Address: Cit : ZIP: - Contact Person: p Applicant is: ontrac or / Homeowner (Circle One) Email and/or PROPERTY OWNER INFORMATION: Name: STF✓r 6-1—/J Phone (day): 41-2 % I�c� Address: ZIP: Email and/or Fax i PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits F-1Door(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 e-roof ❑ Fire Damage www.minnehahacreek.org Overall Project Description: 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 required by law. If you refuse to supply the information, the application may not be issued. Applicant's Signature: Date: Last Updated: 05-04-2009 E /D TIME CITY OF ORONO CALLED IN �[ INSPECTION NOTICE SCHEDULED C/ PERMIT NO. COMPLETED ADDRESS Ql SCJ �o 't�R�Zr(��a OWNER CONTR. TELEPHONE NO. — 7qlQ DESCRIPTION ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING Q F1 FRAMING ❑ MECHANICAL FINAL ElLAKESHORE/WETLANDS ❑ INSULATION ❑ WOOD BURNER/FIREPLAC,E / ❑ TREE REMOVAL F1Z WALL BD. El 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 J ❑ PLUMBING FINAL I ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES—NO COMMENTS: ac W 0. J O a cc O W W CC Q f2 Z W Z W CC Z) d � ORK SATISFACTORY:PROCEED El PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING 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 si e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice