HomeMy WebLinkAbout2009 - 00485 - roofing �- CITY OF ORONO PERMIT NO.: 2009-00485
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 08/12/2009
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2725 WHITE OAK CIR
PIN : 04-117-23-42-0025
LEGAL DESC : WHITE OAK OVERLOOK
: LOT 003 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 14,000.00
NOTE: TEAR OFF AND REROOF
APPLICANT PERMIT FEE SCHEDULE 250.75
H&H RESTORATION STATE SURCHARGE(VALUATION) 7.00
6935 2ND AVENUE
LINO LAKES,MN 55014 TOTAL 257.75
(612)251-5116
Minnesota State License#:20404388
OWNER
BECKER,PAUL&ELIZABETH
2725 WHITE OAK CIR
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 in conform.j e with the State Building Code.This permit may be
revoked at an ' o due cause.
/ O � Y)/ 02
• 'ermi . . I re Date
Iss By Signatu 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: ..CYJ9' DO �8.5-
0
s
'Qv�,� � PO Box 66
0 � 0 \ Crystal Bay, MN 55323-0066 Date received: 7L �DQJr'
r ,`
',' ..' a:/ 2750
Street Address: Received by:
�� vi. ; 2750 KelleyParkway yflii;• Plan review fee:
'9kE`sso4`� Orono, MN 55356
Total Fee: OZ� 7 7_$
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: r
Job Site Address: - -7)5- WVAI 0c..ki i ra-L-
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? U Yes No
/f 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 I ORMATION:
Name: to A t \--0,coMv. 11,1 c 5 i L/lC .
State License# _ • • 8$ Expiration Date: 3/3 I/ao/o
Phone: CAD- - OS/— 5//(o (office) `7G3":4-ii-i 3-J7"13 (cell)
Mailing Address: 43 _ 'Id At"-, , - . __ Jr- . i Cit !,-o 1-16,5 ZIP: ss og
Contact Person: gide.ii - 07;) ----Ani- -----r-r-/ Applicant is: ontractor)/ Homeowner (Circle One)
Email and/or Fax: ivk(i)q:.) 5rr1c1ckf Q i;'ki _ ccx,,,_
PROPERTY OWNER INFORMATION:
Name: 1 'ge\-57 ate,
Phone (day): (gra-7 lo-o---w--7
Address: a-Z0-7-- JL - o—4e_ C.vrLC. City: t /--� ZIP: .5-- -3S---C,
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
E Siding ❑ Restoration E Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
••F Re-roof ; D Fire Damage www.minnehahacreek.orq
Overall Project Description: V¢ ,._ �h -i-
Estimated Construction Valuation of Project (excluding land) $ ii-) I Oc,O
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 sup•I`„ rv. ion, the a••lication ma not be issued.
c
Applicant's Signature: A0001111011111 ,...-----
Date: 6""P-
-
Last Updated: 05-04-2009
E_5
°Pt-43v, ogTIMt./
CITY OF ORONO CALLED IN -__��/
INSPECTION NOTICE SCHEDULED i Ar Age
PERMIT NO.,;79?--X/ COMPLETED
ADDRESS 077 ,‘5.- i.elhitg Okio de •
OWNER CONTR. /7 5&/a.P-j
TELEPHONE NO. ���6La II_ 7473- 3773
DESCRIPTION _1 tt2 /el
LU 0 FOOTING 0 MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL 0 LAKESHORE/WETLANDS
❑ INSULATION 0 WOOD BURNER/FIREPLACE
Q ❑ TREE REMOVAL
• ALL BD. 0 WATER HOOK-UP ❑ SITE INSPECTION
Q FINAL 0 SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE 0 SEPTIC MAINT. 0 COMPLAINT
0 DEMO-FINAL 0 SEPTIC INSTALL. 0 FOLLOW-UP
cK
4.1 0 PLUMBING RI 0 SEPTIC FINAL 0 HARD COVER REMOVAL
v 0 PLUMBING FINAL 0 FOUNDATION/REMOVAL
Q OWNERICONTRACTOR TO MEET YOU:_YES_NO
cc .COM l eWU/t741-CS66 -51(g
Q.
CC
O
CC 77 C -f..) 1 e S IQ 0? .Fd vn
0
W
It
Q
k.
W
Z
W
Ct
Lu ❑WORK SATISFACTORY:PROCEED . PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ 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 site:
Inspector: (A) (/--7 r6 RS
White Copy/Inspector's File Canary Copy/Site Notice