The URL can be used to link to this page

Home My WebLink About2009 - 00785 - roofing CITY OF ORONO PERMIT NO.: 2009-00785 • 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11/04/2009 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1186 WILDHURST TR PIN : 07-117-23-24-0007 LEGAL DESC : REG. LAND SURVEY NO. 1116 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 8,750.00 NOTE: TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 177.00 W.F. SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 4.38 6585 SO SAUNDERS LAKE DRIVE TOTAL 181.38 MINNETRISTA,MN 55364- (612)867-3117 Minnesota State License#: 5309 OWNER RASMUSSEN,MR.&MRS. 1186 WILDHURST TR MOUND,MN 55364 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 re oked at. ime iidue se. ♦ �o / x / 09 4 ,/ '&(Cri/t4e ,(—) it/ 11,// 0, Applic. t Permitee Signature Date Iss d 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: o?ao Od 785 'Qv 0 4/. PO Box 66 < 7! O Crystal Bay, MN 55323-0066 Date received: // 07 D Ir �` ii a Street Address: Received by: �n� � �6CIIt ��G,ti, 2750 Kelley Parkway Ran review fee: �kESHOg Orono, MN 55356 Total Fee: ll.l 3.? 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: ) ) 5G IAA L,c)i/ vriS 1 fl'4i L 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 ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: l Name: W . F. Srn \ i.- l`( Gest- State License# 5a c , Expiration Date: Phone: (office) cell Mailing Address: B s So. Wrv` d ( o r :/-1,Y-n.t ir,,e4 ZIP: S S.34 Contact Person: '-g Vp Applicant ism Contractor Homeowner (circle one) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: -f,I� S rn V S .S (,-- Phone (day): Address: City: 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 ❑ SidingElRestoration IllOther: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq A-Re-roof erall Project Description: Estimated Construction Valuation of Project(excluding land) $ ?I? S'(S �`_.� ,_ 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 re•uired b law. If ou refuse to su.•I the information,the a••lication ma not be issued. N U � _ CIII Applicant's Signature: ALN. Date: 1 ° – "rrff l ~ a Last Updated: 05-04-2009 4. (P IN /1 D 6 9 TIME CITY OF ORONOCALLED INSPECTION NOTICE SCHEDULED I s 09 /9. 44_ PERMIT NO. /)D 4-40785�i(�yC�OM�PLETEED/ ADDRESS /1 87P i/[.�k,(...t 3 L 7- OWNER // CONTTR./.0. '51 TELEPHONE NO. t(/4,$ — 7' , 7- 3.1 17 DESCRIPTION �' ' e. u,❑ E FOOTING ❑ MECHANICAL RI '• ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL 0 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. El COMPLAINT v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP IQ 0 PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL v CIPLUMBING FINAL ❑ FOUNDATION/REMOVAL Lct Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: cc W C cc o ---/--e--$ ( ,v 6 _ ' n ( cce cc R 0 3 / . Or i c 5 S W cc f7 4.4-e_ k. W W cc S d i:, WORK SATISFACTORY:PROCEED El PROJECT COMPLETE W ❑ .•RRECT WORK&PROCEED E] ISSUE CERTIFICATE OF OCCUPANCY C) ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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: , A /07p(-i �)� Inspector. White Copyllnspector's File Canary Copy/Site Notice