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Home My WebLink About2009-00554 (roofing) CITY OF ORONO PERMIT NO.: 20o9-oossa 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/02/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3770 BAYSIDE RD P1N : OS-117-23-24-0121 LEGAL DESC : OTTOVILLE ON LAKE MTKA : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-ASPHALT D�S �� VALUATION : $ 16,000.00 NOTE: REPAIR STORM DAMAGED ROOF APPLICANT pERMIT FEE SCHEDULE 280.25 TONKA ROOFING STATE SURCHARGE(VALUATION) 8.00 4573 SADDLEWOOD DR. TOTAL 28825 MINNETONKA, MN 55345- (612)598-3116 PAID WITH CC# 3309 Minnesota State License#: 20586668 OWNER III, W[NFIELD STEPHENS 3770 BAYSIDE RD 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 co ormance with the State Building Code.This permit may be revok i r due cause. � ___.._ /��Z-/Q ' / / pplicant Permitee Signature Date Issued By Si ture e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) �� Mailing Address: Permit number: ��,L,0,� �� PO Box 66 /Q O\ Crystal Bay, MN 55323-0066 Date received: � �f 4 Received b i�l a ��' ��,.� s, � Street Address: Y� ��'�n� ��' °��'/ 2750 Kelley Parkway Plan review fee: .y�r� .¢,�� Orono, MN 55356 ESH� 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: ,�.7�v �:,s, ✓� � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No /f yes, a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servic will be required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �� .°��-�4 State License# �S�66�� Expiration Date: 3 �j zp�� Phone: c ,'L � 3� -" office cell Mailing Address: '' ,S<1� ' ;,�rr Cit : � ZIP: �- � Contact Person: �. Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Phone (day): Address: -�� 3��p �� S� , ,P� City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) I�Repair ❑ Storm Damage 18202 Minnetonka Blvd � Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) ' Phone: 952-471-0590 Fax: 952-471-0682 Re-roof I ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: �i Lti� Estimated Construction Valuation of Project (excluding land) $ l6 rjv�l�`' _ ; 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. _.._.._. /f ApplicanYs Signature: Date: ,`� �-ll�s -�— Last Updated: 05-04-2009 �1 � �J DATE TIME CITY OF OR O CALLED IN ` INSPECTION TIC ��j� �CHEDULED PERMIT NO. � (/�/�E COMPLETED _� ADDRESS � � OWNER � C TR. -CC TELEPHONE N0. — � �� DESCRIPTION �/ 1�� ❑ 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 � O DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YE _NO � COMMENTS: � W � � � < < 7��/�C s �1� �3,�� 0 �. � 0 � W � Q � z W � w � � � � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED C' ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED � INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �; � White Copyllnspeclor's File Canary Copy/Site Notice DATE TIME V CITY OF ORONO CALLED IN g'Z-B INSPECTION NOTICE ��,./ SCHEDULED �-2-��' �1 PERMIT NO.c,��Q-��-�'7" COMPLETED ADDRESS 37 70 1��k�� OWNER CONTR. ��Cc �� TELEPHONE NO. � DESCRIPTION l e� �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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 a � � O a � O � W � Q � Z W � W � � a /�� /�WORKSATISFACTORY:PROCEED CI PROJECTCOMPLETE W� C CORRECT WORK R PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�� OwnerlContractor on site: Inspector. l��l—l White Copylinspector's File Canary CopylSite Notice