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Home My WebLink About2009-00380 - roofing CITY OF ORONO PERMIT NO.: 2009-00380 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/06/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 4115 WATERTOWN RD PIN 31-118-23-41-0014 LEGAL DESC MAPLE PLACE 2ND ADDN LOT 002 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 17,000.00 APPLICANT PERMIT FEE SCHEDULE 295.00 WALKER ROOFING CO.,INC. STATE SURCHARGE(VALUATION) 8.50 2274 CAPP RD MN 55104- TOTAL 303.50 () Minnesota State License#:4229 OWNER DYER,MICHEAL&JILL 4115 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 any time for due cause. Applicant Permitee Signature Date Issued B gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED MOVE. ft City of Orono if Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: .¢,�,�0 PO Box 66 O Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: �F, Gtiti 2750 Kelley Parkway Plan review fee: l9xx0¢� 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: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 214o 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: WA L,V-(,-- /2�oFl�yy State License# q Z Z q Expiration Date: 3 3 r Phone: (0 5-1- Z 51- 01110 office cell Mailing Address: Z Z-7 C-410.a Ci J6'4 v` ZIP: ,41ti' / Contact Person: 4Y LL� Applicant is: ontra o / Homeowner (circle one) Email and/or Fax: kgyT nn ® LWrt I ker`oy-Cin q, Gc U-T/-05-1- 0916, IJ V PROPERTY OWNER INFORMATION: Name: _ X11 w6 ,DY6►� Phone (day): l Z- -337- 585 5 Address: Y// S� Gy.a�,2Towti 90 City: O2�-vim ZIP: 5-37 3 Sy Email and/or Fax PROJECT INFORMATION: Zk 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: 952471-0682 Re-roof ❑ Fire Damage www.minnehahgoik.org Overall Project Description: RAO-- 664' t Estimated Construction Valuation of Project(excluding land) $ 77, UOO 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 protide this application is classified by State law as either private or confidential. Private data is information which generally t be given to the public but can be given to the subject of the data. Confidential data is information which generall n t be given to either the public or the subject of the data. Our purpose and intended use of this information is t nnuall update our records and records of other governmental agencies required b law. If you refuse to su f ation th lication may not be issued. Applicant's Signature: Date: U / Last Updated: 05-04-2009 0?_� T TIME V CITY OF ORONO CALLED IN " 1 INSPECTION—NOTICE SCHEDULED ) L1 -10!1PERMIT NOvcWY —06 390 COMPLETED ADDRESS OWNER CONTR. Wd46 . h TELEPHONE NO. 2h '3 2-OZ c?q!2 1 DESCRIPTION 41 ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W C 0 W cc Q z w Z W d W ❑WORK SATISFACTORY:PROCEED AROJECT COMPLETE W W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑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 s'te: Inspector. 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