HomeMy WebLinkAbout2010 - 00958 - roofing CITY OF ORONO PERMIT NO.: 2010-00958
2750 KELLEY PARKWAY
4
ORONO,MN 55356- DATE ISSUED: 10/07/2010
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 825 WILLOW VIEW DR
PIN : 28-118-23-44-0003
LEGAL DESC : WILLOW VIEW
: LOT 002 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 11,500.00
NOTE: TEAR OFF REROOF-ASPHALT SHINGLES
APPLICANT PERMIT FEE SCHEDULE 221.25
COMMUNITY CONSTRUCTION STATE SURCHARGE(VALUATION) 5.75
11827 EAKEN AVE SE
DELANO,MN 55328- TOTAL 227.00
(952)220-3786
Minnesota State License#: 20573411
OWNER
BESSETTE,ANDY F&CHERYL N
825 WILLOW VIEW DR
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 conformance with the State Building Code.This permit may be
revoked y time for due ause.
LAS(. . ,� � /0 / 1 /4 94/1_,AJD /l 7 / /0
Applicant P rmi ee ignature Date Iss By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Internal Wor
(windows, doors, siding, re-roof, etc.)
Mailing Address: c2d/O'OC 955
Permit number:
074 (3.A . Cr Box 66 /Q/7//v
- � Crystal Bay, MN 55323-0066 Date received:
1,0.- Received by:
�.' � -1 t, Street Address:
,c, �. ; ;1. . o~ 2750 Kelley Parkway Plan review fe
9kESH0�`4, Orono, MN 55356
—- Total Fee: a3x7 c-e
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; '�11
Job Site Address: �cv S Vie,/(armV;'C4/
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? fl Yes (2No
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: [-` i'-(.4 V I\ :4 (4. -c.-_2(\ - c ., '
State License# Q ,>5-7 '-3 LI / ) Expiration Date: - 3 t - /7
Phone: 95'x- ,g.G - -) SS"Cr, (office) (cell)
Mailing Address: jj Is07 f194•-,� /¢U_e S�-, Cit :_j) c /09-y7 c) ZIP: . ,.c y
Contact Person: L, --e Applicant is: Con rac o / Homeowner (Circle One)
Email and/or Fax:
PROPERTY OWNER INFORMATION: II -/
Name: C((‘E 41 L2 ( 5)+t—
Phone (day): 95 — e-i / c - 97 Y
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
❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590
Fax: 952-471-0682
esz Re-roof ❑ Fire Damage www.minnehahacreek.orq
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) $ i/ 5-6)C.) a v
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: C ., Date: /0., — /CJ
Last Updated: 05-04-2009
DAT TIME
CITY OF ORONO CALLED IN D
INSPECTION NOTICE co SCHEDULED /l2
PERMIT NO''Ol v— —Sa COM ETE
ADDRESS '075' l`l ,1,6 OIe
OWNER T LEP. •NE NO.
- -�av• 77b
CONTRACTOR `--"41 1otil e
DESCRIPTION iow
4, ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
❑ POURED WALL D MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
OWNERICONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
cc
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Q.
cc
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cc
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WORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE
CC
❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
9 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C.1 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 sit•: Al AS
Inspector.
White Copy/Inspector's File Canary Copy/Site Notice
11 t�� DATE TIME
CITY OF ORONO CALLED IN /0—
INSPECTION NOTICE SCHEDULED /012.'40
PERMIT NO. 11.4/0-ODf.S^S- COMPLETED
ADDRESS t& W5 '//BZcw Vezzi
OWNER TELEPHONE NO. 27-20 57e4,
C0144/1-41-44
CONTRACTOR Com/(�
DESCRIPTION nal ee J
❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
4.
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
• ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
• ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT
0 DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
CC
W
CC
O
CC
U..O
W
CC
W
W
CC
4/ ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
C..) BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on site: JJ 8 .s
Inspector. l
White Copyllnspector's File Canary Copy/Site Notice