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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. Ior--1//v7 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: cc W 0 o (t' (346)G- a cc 0 W CC W W CC 0 • ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE CC ❑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 O CC O W 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