HomeMy WebLinkAbout2009 - 00579 - roofing CITY OF ORONO PERMIT NO.: 2009-00579
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 09/11/2009
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 830 WINDJAMMER LA
PIN : 07-117-23-11-0009
LEGAL DESC : PIRATES COVE
: LOT 005 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-CEDAR
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 29,755.00
APPLICANT
PERMIT FEE SCHEDULE 466.75
WESTURN CEDAR SUPPLY,INC. STATE SURCHARGE(VALUATION) 14.88
9700 13TH AVENUE N.
PLYMOUTH,MN 55441- MISC FEE 0.00
(763)541-0304 TOTAL 481.63
Minnesota State License#:20155566
OWNER
STRASSER,MARC&JANIS
830 WINDJAMMER LA
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
revoked at any time for due cause.
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Applicant Permitee Signature Date G •
Issued By nature 0 Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED Alt .
City of Orono
w Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
0,�0 PO Box 66
Crystal Bay, MN 55323-0066 Date received:
-.",°x^"`' Received by:
Street Address:
�n ,„�,. 17 2750 Kelley Parkway Plan review fee:
tykEe�1.ci sxot''. 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: Sap u///),,,/'a,�,yye y ., ,f/ p7-orly r7,7 55,367
Will this be a Parade of Homes, Remodefers Showcase Home or other Display Home? ❑ Yes fI 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/APPLICANT INFORMATION:
Name: C// -,$/rim'!/ G'C', t 7' sd-�7" / rJG
State License# a 0/,S75-6 Expiration Date: O3 -3/ 7'o
Phone: 76,5- _...5y/ o f Oy (office) (cell)
Mailing Address: 5'y , /: ..,, ....+-c Cit : �G i� o 'ZIP:
Contact Person: ,,,W 'ik--- Applicant is: - •ntractor / Homeowner (circle one)
Email and/or Fax: J -3 - 5 5:$7- 5 G8`9
PROPERTY OWNER INFORMATION:
Name: 'Wel- 7.E .5- e:171- _525€ -
Phone (day): 9.s"2 - y9 - v r5
Address: .3Q u/, a-�_,----2�,e y Z.,A., City: e72--e,..--7 c' ZIP: S sJ3
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
Re roof Fax: 952-471-0682
❑ Fire Damage www.minnehahacreek.orq
Overall Project Description: , . p/� 2!>•.p--00,- f"�•� /pvS£
Estimated Construction Valuation of Project(excluding land) $ ,g 9 SSS
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: �_ - l/ td Date: 47- /71- p7
Last Updated: 05-04-2009
, /DATE TIME ���///?)/y
CITYOF ORONO CALLED IN 9Ar
INSPECTION N TICSCHEDULED �lar/ ' ? '�
PERMIT NO. oL� '
S 9 DDS 7 PLETED
ADDRESS P30 -e--�
OWNER . ONTR.
TELEPHONE NO. ekdol- ola - 8 a -9979
DESCRIPTION / W
❑ FOOTING ❑ MECHANICAL RI l� ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
" ❑ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
• ❑ ALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
• ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
• OWNER/CONTRACTOR TO MEET YOU:_YES_NO
a COMMENTS:
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• ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE
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❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
El 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. c} fi8S
White Copy/Inspector's File Canary Copy/Site Notice
TIME
CITY F ORONO CALLED IN �r '
INSPECTION NOTICE SCHEDULED i/�q- AU 02- ao
PERMIT NO0/IDg'DO579 COMPLETED�E
ADDRESS // 330 /i(1,i, (i /�
OWNER CONTR. WatiAevf('
TELEPHONE NO. — 40f. ` oZ� 3 -!n 97 9 `/
DESCRIPTION (teaLS/442AZ)
t.14 ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
cQ INSULATION ❑ WOOD BURNER/FIREPLACE
❑ TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
."4 ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
v ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
Co COMMENTS:
ccLu 5t—hAvcc er5 0 SC qp
CC
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CC
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W
W
CC
UORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
✓ BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN
INSPECTOR WILL RETURN
❑CITATION ISSUED
O STOP ORDER POSTED.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
OwnerIContrao it
Inspector. c
White Copy/Inspector's File Canary Copy/Site Notice