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Home My WebLink About2009-00773 - roofing CITY OF ORONO PERMIT NO.: 2009-00773 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/30/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 920 WAYZATA BLVD W PIN : 35-118-23-41-0006 LEGAL DESC : UNPLATTED 35 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 7,890.00 APPLICANT PERMIT FEE SCHEDULE 162.25 D S BAHR CONSTRUCTION, INC. STATE SURCHARGE(VALUATION) 3.95 9771 312TH ST WAY TOTAL 166.20 CANNON FALLS,MN 55009 (612)722-1448 Minnesota State License#: 20207341 OWNER CHIODIAN,HEATHER&MICHEAL 920 WAYZATA BLVD W 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 re d in conformance with the State Building Code.This permit may be r yoked-a any ' r due co se. I . °, . /7/ 5: j `" / Applicant Permitee 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: p�' t 9 -QO 773 �,�11r\ PO Box 66 Q 0 Crystal Bay, MN 55323-0066 Date received: /0/30/of '. ' ti Street Address: Received by: ti 2750 KelleyParkway �. r 30?'i v'"' Plan review fee: .4. )' o s Orono, MN 55356 Total Fee: / 0., 0 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us YY'' This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION• OD /t!/v � fi� n Job Site Address: / u, Will this be a Parade of Homes, Remodele s:Showcase Home or other Display Home? (l Yes >1-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/AP,'LICA T INFOR A ,TION: Name: t15 . .1 31 , a State License# _,1 • 0 / Expiration Date: . i %0 Phone: 1,1) 2- 71,)_01-. .--/q, S (office) (cell) Mailing Address: J �i— , - �,GJ 0 City: ' cc ZIP: 5SOp6 Contact Person: ✓i / Applicant is: C actor / Homeowner (circle one) Email and/or Fax: PROPERTY OWNER) ,T7lATNOQI�: ` Name: Phone (day): , _ , A - j', Address: ��10 Wei/ - �"' City: C..c.anED ZIP: `95:37 f Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review& permits ❑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 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 78?(�. 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 fuse to supply the information, the application may not be issued. Applicant's Signature: al.):_c_ u_ Date' /Od 7 r Last Updated: 05-04-2009 D• TIME CITY OF ORONO CALLED IN / /� / INSPECTION NOTICE SCHEDULED API PERMIT NvIQ �j -007�coMP�ED � �� ADDRESS %� 421,id OWNER CONT I .j ♦ !/. . TELEPHONE NO. Q�/3 -01ik-- DDI DESCRIPTION LU 0 FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING 0 FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS ti ❑ INSULATION 0 WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. 0 WATER HOOK-UP ❑ SITE INSPECTION Q FINAL ❑ SEWER HOOK-UP ❑ PROGRESS 0 DEMO-SITE 0 SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ 0 PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL 0 PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU: YES_NO o COMMENTS: W CC 0 CC O W LU W CC IQ ❑WORK SATISFACTORY:PROCEED AROJECT COMPLETE W ❑CORRECT WORK&PROCEED SUE 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 sit I Inspector. Tt (• � White Copy/Inspector's File Canary Copy/Site Notice .- � - p = , Iter. \/DATE �, TIME CITY OF ORONO CALLED IN I (-ZJv INSPECTION NOTICE SCHEDULED / (—Z -CG Open e'` PERMIT N 7 -3 COMPLETED ADR L' LL..)GLLi al -A c,L P--) )v ci (i ) . OWNER CONTR. D -1730,..st—ccytk TELEPHHOOf F.NO. C% I D' — - — i ` 1 C)g, E DESCRIPT14 v I v id �-t�U ;, <--(/1 0. ❑ FOOTING ❑1 MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS C1) ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL El SEWER HOOK-UP El PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q CIDEMO-FINAL ElSEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v ElPLUMBING FINAL ❑ FOUNDATION/REMOVAL ‹.--- OWNER/CONTRACTOR TO MEET YOU:_YES A NO oy COMMENTS: cc W Q. cc O >. cc O W cc Q W Z W cc O Lu Wc/‹.0ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 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 ❑ INSP ECT I ON REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: 2-, / ‘"- 'Q �'Inspector. v _ % if White Copy/Inspector's File Canary Copy/Site Notice