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Home My WebLink About2009-00595 (re-roof) CITY OF ORONO PERMIT NO.: 2009-00595 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 09/16/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1473 BAY RIDGE RD PIN : 10-117-23-34-0005 LEGAL DESC : REG. LAND SURVEY NO. 0192 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 13,865.35 NOTE: TEAR OFF-REROOF APPLICANT pERMIT FEE SCHEDULE 250J5 GRUSSING ROOFING STATE SURCHARGE(VALUATION) 6.93 4305 SHADY OAK RD HOPKINS, MN 55343 TOTAL 257.68 Minnesota State License#: 9212 OWNER MCCUNE, THOMAS 1473 BAY RIDGE RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,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[his 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. ,��"�-�� / / �jl /�oi O Ap ip cant Perm�tee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. . - City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: /.¢,0,�. � PO Box 66 /O ,, O Crystal Bay, MN 55323-0066 Date received: i M�. �',� ��-_.� �, Street Address: Received by: \'�,F, � �� Gti 2750 Kelley Parkway Plan review fee: \ , � Orono, MN 55356 9kESHo4 —=� 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. (P/ease print) GENERAL INFORMATION: Job Site Address: i�-i�`? ';'� � r �;�+ ^�- �>;�.-�(%�, Will this be a Parade of Homes, Rem delers Showcase Home 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 applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP�LICANT INFORMATION: Name: -';� ��;�,�;,1.i„ 1�'. �*,�;7. State License# �,;�, ;,��1 �-- Expiration Date: ��r �� Phone: -�-�1 35-v��S 7 office �'!�-3(� �-7�-�y �' cell Mailing Address: ��,��5 �� C:l��az- /!��t��. City: r��.��lr..��i�S ZIP: Contact Person: (�,�L, ('�S S,�,� Applicant is: : Contr�ctor� / Homeowner (Circle One) • �__ ._-_._...:- Email and/or Fax: � ��1�_t y �,_� �'�,-�aSSi�1t;i'L�'atl��t •t'�`7�z PROPERTY OWNER INFORMATION: Name: ��.�,,p �,;��, �-z� Phone (day): ,'r,� __ y �� , , ,�5� . Address: l�l 3 {�,��'ii,y/,r�' � }�',. City: ('�✓(,Y'J� ZIP: C� �j� Email and/or Fax �r�.�:� �� t ��.�. . �r �� ,.�,G„ . �_ �� -:_ :F��. ';-:�-�-�. 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 Re-roof ❑ Fire Damage www.minnehahacreek orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �;� `�4��, 75 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 b law. If ou refuse to suppl the information,the application ma not be issued. Applicant's Signature: � ,{��,�� Date: ��/ U ��% -' /, � Last Updated: 05-04-2009 9 D�jE/ TIME V CITY OF ORONO CALLED IN L INSPECTION TI SCHEDULED ��- D�' PERMIT NO. `�� COMPLETED ADDRESS � OWNER CONTR. �ruSS��I d l�jj TELEPHONE NO. cl�Ia �,Cg/ �7'-f 7 �J � DESCRIPTION ��L '� �`"� ' � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ 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 � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C 0 1 v�� l� �. �-,� /�GJ � a � W � � Q � z W � W � � d � ❑WORK SATISFACTORY:PROCEED P JECT COMPLETE W ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY � ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL REfURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: tnspector. White Copyllnspector's File Canary CopylSite Notice