The URL can be used to link to this page

Home My WebLink About2009-00157 - roofing 1 CITY OF ORONO PERMIT NO.: 2009-00157 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 04/16/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 3765 WATERTOWN RD PIN 32-118-23-34-0013 LEGAL DESC UNPLATTED 32 118 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION S 15,000.00 NOTE: REROOF TEAR OFF KUSAPPLICANT PERMIT FEE SCHEDULE 265.50 3984 DEMPSEY AVE S SERVICES INC STATE SURCHARGE(VALUATION) 7.50 3984 WAVERLY,MN 55390- TOTAL 273.00 (612)242-8307 Minnesota State License#: 20315079 OWNER CHUTE,DAVID&CHRISTINA 3765 WATERTOWN RD MAPLE PLAIN,MN 55359- 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 antime fo due cause. / / / / 0 A icant Permitee Signature Date ISA/d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application Mailing Address: Permit number: 0PO Box 66 Crystal Bay, MN 55323-0066 Date received: AN Street Address: Received by: 2750 Kelley Parkway Plan review fee: pyx .0 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: y+� ✓'fDl r/n K d - 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 be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Ecus t Seo'ci c_es Zic- State License# Z03 i07 9' Expiration Date: Phone: ta/ —ZYz- 30'7 office cell Mailing Address: !)P.M lw Ci ZIP: S� O Contact Person: )o dy Applicant is: ontractor Homeowner (circle one) Email and/or Fax: PROPERTY OWNE INFORMATI�O, �I Name: �q v, A M:4�e Phone (day): btX- 3 (,o -Y6Ar Address: 27(oy✓u ter L_Lk- City: OPD,-&9 ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑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 F Re-roof ❑ Fire Damage www.minnehahacreeK gM Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ ego 0 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: i'LtC Date: /� o� DAT q TIME CITY OF ORONO CALLED IN �l INSPECTION NOTICE SCHEDULED d' PERMIT NO COMPLET ADDRESS OWNER CONTR. TELEPHONE NO. a �0 3Z DESCRIPTIONtjj tA ❑ FOOTING ❑ MECHANICAL RIEXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL LAKESHORE/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 i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR T EET YOU:_YES_N COMMENTS: C W a J O cc O W W c Q 2 W Z W W� ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 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 Copy/Site Notice