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Home My WebLink About2009-00617 (Re-roof) .� ` CITY OF ORONO PERMIT NO.: 2009-00617 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/22/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2355 ABINGDON WAY PIN : 03-117-23-23-0006 LEGAL DESC : ABINGDON GLEN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: TEAR OFF REROOF. APPLICANT pERMIT FEE SCHEDULE 221.25 LEWIS,MR.&MRS. STATE SURCHARGE(VALUATIOl� 6.00 2355 ABINGDON WAY TOTAL 227.25 LONG LAKE,MN 55356- OWNER LEWIS,MR.&MRS. 2355 ABINGDON WAY 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. 1'his 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 goveming this type of work shall be compied with whether or not specified herein.l'his pertnit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consiruction is suspended for a period of 180 days at any time after work has commenced. 1'he applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. r�u.�u� G/ �,� 9 � aa �v� ��3� 0 9' Applicant Permitee Signature Date Iss y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. � � -. City of Orono Building Permit Application for Internai Work ' (windows, doors, siding, re-roof, etc.) MailingAddress: Permit number: Q�7'—�� O�� Cry sal Bay,MN 55323-0066 Date received: 9 � O�j a, Street Address: Received by: �,� y GtiF , 2750 Kelley Parkway Plan review fee: t�.E�og� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 wwrw.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Site Address: _�,3�5 e� bi-r�y�� C�ay �II this be a Parade of Homes, Remodelers howcase H e 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 will be required unless applicanf demonstrates s�cient on-site parking is available. Non permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: - Name: ��e��,�,, � L��s State License# Expiration Date: Phone: l�5� -�73-�69/ (office) (cell) a Mailing Address: _�hov� Ci : ZIP: Contact Person: Applicant is: Contractor / omeowne (Clrcle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: D�`cksoni (,tl 9/ J hvra.h 'V✓�. Lew,�S Phone(day): 9,��-y73_ .��5/ Address: o`�3.h3 i¢6�v�y alo>-i Gt/oui City: �+anc, /-�.,� ZIP: .�,�'>',S'-Zo Emailand/orFax jj�.er,v,'s �L�9 @ qa�/. c�-, " 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 Fa�c: 952-471-0682 I�Re-roof ❑ Fire Damage www.minnehahacreek.or4 Overall Project Description: _Estimated Construction Valuation of Project(excluding land) $ /��-v�,Gb 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 altemative 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 govemmental agencies re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: v'�� G�eG� Date: �/�a/o J Last Updated: 05-04-2009 �� TIME CITY OF ORONO CALLED IN � INSPECTION NOTIC SCHEDULED PERMIT NO.�4�� COMPLETED ADDRESS �.3.� �.�7�✓,2��'t. ��1� OWNER��' CONTR. TELEPHONE NO. � CO/a — a ��l D /I � DESCRIPTION �-y� �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHOREM/ETLANDS 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. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC IIVSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL O HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � a j O � � O � W � Q � 2 W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK E�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURPt ❑CITATION ISSUED �STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Cail for the next inspe�tion 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. ' Nihite CopyMspector's Flle Canary Copy/SRe Notice � O�" ' DATE TIME CITY O ORONO CALLED IN 9 � INSPECTION I T CE SCHEDULED PERMIT NO�� -� �� COMPLEfED ADDRESS ��- OWNER �'�Wl-S CQ R. TELEPHONENO. �543' �73— l'SP�� DESCRIPTION ' �� ^ � � ❑ FOOTING � MECHANIC L ❑ EXCA / DING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKE ORE/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. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � �� Cr�<� �� 0 � 0 � W � Q � Z W � W � � � �Q�W�O�RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W O(:ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPAIdCY 0 ❑CORRECT WORK,CALL FOR REINSPECTIOIV TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR 1MLL REfttRPl ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in a�ivance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/lnsp�tor's Flle Canary Copy/Sfte Notice