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Home My WebLink About2009 - 00801 - roofing CITY OF ORONO PERMIT NO.: 2009-00801 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 11/10/2009 (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2500 WOODHAVEN DR PIN : 33-118-23-41-0006 LEGAL DESC : LEVERINGS WOODHAVEN : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 21,700.00 NOTE: THIS PERMIT IS FOR A TEAR OFF REROOF AND RESIDING APPLICANT PERMIT FEE SCHEDULE 368.75 SCHMIDT ROOFING INC. STATE SURCHARGE(VALUATION) 10.85 13401 COUNTY RD 5 BURNSVILLE,MN 55337- MISC FEE 0.00 (952)888-4889 TOTAL 379.60 Minnesota State License#:20177859 OWNER HYDE,TODD&LIESL 2500 WOODHAVEN 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 St to Building Code.This permit may be revoked at• tim- forgo u cause./ V n � �Y I / I\ / t 11 / O-/l) T ' , ermitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. e City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) l 8-6 Mailing Address: Permit number: e,e2 --00 CBax 66 0%'°111.-- O Crystal Bay, MN 55323-0066 Date received: i/ 009 i4 Street Address: Received by: 1, 1ik ilk ��Gy.4 2750 Kelley Parkway Plan review fee: ` Elmo Orono, MN 55356 Total Fee: 3 7 9, 60 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: O 300 Wohio V& '9r Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? El 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 will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: rn �-i- r State License# O i ' R n7 '4oj J Expiration Date: I 31 //Q Phone: a . gc-- L(�CC1 (office) (cell) Mailing Address: 1310%LrG, City:, _d• vi Ile ZIP:3533'7 Contact Person: _ LLA r• Applicant is: alp, • / Homeowner (circle one) Email and/or Fax: PROPERTY OWNER I RMATI Name: 'lb d et hyd-e Phone (day): Or0.. ,_2p1 - S(_o Address: 6 QC LO odd h0.�r1 Of City:QqQ ZIP:`C 535 Lo Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) 0 Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) 0 Repair 0 Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 Siding ❑ Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof 0 Fire Damage www.minnehahacreek.orq Overall Project Description: WS i 4. (tine* C Estimated Construction Valuation of Project(excluding land) $ a , I lap 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: Obrejf�..e3alilLSOn(.... Date: 1 I I 161 I 69' Last Updated: 05-04-2009 � DATE , TIME (/ CITY OF ORONO CALLED IN / �'> i / L INSPECTION NOTICE SCHEDULED 4 / C c`/ c C fr 11 PERMIT NO.<.)uc i- cu . I COMPLETED ADDRESS - t^L C; y'1 l�f� OWNER CONTR. Olfric 1 f TELEPHONE NO. 1`D.) ?� -_ 4g DESCRIPTION r ;- 1_ — - L_� s r Ii 7 LLJ ❑ FOOTING ❑ MECHANICAL RI 0 EXCAV/GRADING/FILLING_J ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS V3 ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP 0 PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP -C ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO CO COMMENTS: 66�\ cc W CC O CC O W CC W W CC LUIDWORK SATISFACTORY:PROCEED - PROJECT COMPLETE ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI 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 s'te: • Inspector_ I - R,s White Copyllnspector's File Canary CopylSite Notice