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Home My WebLink About2009-00142 (roofing) CITY OF ORONO PERMIT NO.: 2009-00142 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUE�: 04/08/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3348 BAYSIDE RD PIN : OS-117-23-14-0064 LEGAL DESC : N/A : LOT 000 BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,000.00 NOTE: REROOF HOUSE APPLICANT PERM[T FEE SCHEDULE 73.75 HILL,JEREMEY 3348 BAYSIDE RD STATE SURCHARGE(VALUATION) 1.00 LONG LAKE, MN 55�56- TOTAL 74.75 OWNER HILL,JEREMEY 3348 BAYSIDE RD LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable Ciry approvals,and the State E3uilding Code. "fhis 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 applican[is responsible for assuring all required inspections are reques, in co formance with the State Building Code.This permit may be revoke�a any e or due cause. \_ � �-��E� �Y�� `�l �l � _ ��I � �� -oo� Applican nature Date Iss� By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application Mailing Address: Permit number: O.¢,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ,� � � �� , Street Address: Received by: '�,�, � �titi 2750 Kelley Parkway Plan review fee: L�kEsBof`ti'� 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. (P/ease print) GENERAL INFORMATION: Q ,p� Job Site Address: "�� I.�u SI� f�/I� ON q ��3�tP Will this be a Parade of Homes, Remodelers Showcase Home or ot r Display Home? ❑Yes No /f yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wi/!be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATIO�I:f Name: t Phone(day): -2 - ��- Address: � - Cit : (,,> ' ZIP: 5 Email and/or Fax " y � � PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits 0 Door(s) � Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 �Siding 8 Restoration ❑Other: (specify) Phone: 952-471-0590 , Fax: 952-471-0682 Re-roof ❑Fire Damage www.minnehahacreek.orq Overall Project Description: h�� -��, Estimated Construction Valuation of Proje t(excluding land) $ 2v00,0� 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 informatio is to annually update our records and records of other governmental agencies required by law. If you refuse to su ply the' f mation,the application may not be issued. ApplicanYs Signature: Date: 0� �� U �� Reset Form ,��,; � � _ � � ATE TIME � CITY OF ORONO I��/ CALLED IN INSPECTION OTICE SCHEDULED PERMIT NO.��a��U�� C PLETED � ADDRESS OWNER NTR. TELEPHONE N0. � — S - 3 � DESCRIPTION �� D� � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING y ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS Q ❑ 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 J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTR TOR TO MEET YOU:_YE NO � COMMENT� � W � � J O a � O � W � Q � Z W � W � � d W��WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED �SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL FETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUiRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice A TIME ✓ CITY OF ORONO CALLED IN INSPECTION NO ICE // SCHEDULED PERMIT NO. a�� "a��l`�" MPLETED ADDRESS OWNER CONTR. TELEPHONE NO. � DESCRIPTION — � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FR,4MING ❑ 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 J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q ti 2 W � W � � d W��WORK SATISFACTORY:PROCEED [� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on ite: Inspector. �, , 1 j\ � White Copyllnspector's File Canary Copy/Site Notice