The URL can be used to link to this page

Home My WebLink About2009-00638 - roofing � � • CITY OF ORONO PERMIT NO.: 2009-00638 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/25/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 809 BROWN RD N PIN : 27-118-23-34-0006 LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 59,000.00 NOTE: REROOP TEAR OFF HOUSE AND GARAGE APPLICANT PERMIT FEE SCHEDULE 749.25 BERKSHIRE PROPERT[ES STATE SURCHARGE(VALUATION) 29.50 835 PARTENWOOD LONG LAKE, MN 55356 TOTAL 778.75 Minnesota State License#: 20631273 OWNER HAHN, JERAD&LESLIE 809 BROWN RD N 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 goveming this type of work shall be compied with whether or not specified herein.This permi[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 alI required inspec[ions are requested ip onfogtrafl�q wi[h the Stat�Building Code.This permit may be revoked at y tipie for dde c /�� „�� - `�/��/ �� / / A lica Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ,� � �, ity of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: c��'�� v�,�j PO Box 66 �Q ,,\ Crystal Bay, MN 55323-0066 Date received: l 9 i �\� '' �� ' Received b �� <;��,.�. �. Street Address: y: �'�n ��;��, Gti 2750 Kelley Parkway Plan review fee: t�kESH04'� Orono, MN 55356 � Total Fee: '7 ��'' �� 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: � f�. � ,/�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes '� No If yes, a special event permit is required with Police Department and City Council approva160 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: (�/�,�SL�.�_ �{¢��-�2-��w`h'�Pii, State License# aD�'3/�'�3 Expiration Date: �3 ?� -?oi� Phone: !la - 34(�- �2,83 (office) �3 - 4'3�-9.85s (cell) Mailing Address: g� ��( a /�- .� /o Cit : ,�/ �,�-{�� ZIP: SS Contact Person: Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: a.��/e,i- � �,e,,-,�� c�,,-� ��-�� PROPERTY OWNER INFORMATION: Name: (��,�- ,�(Q-��,� Phone (day): �,Sa" ��-_�gcl yY Address: c�o9 N �...�^ Q�� City: L0�„ti, ZIP� �3s� Email and/or Fax 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 e-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: ,,e -� ,� _�� Estimated Construction Valuation of Project(excluding land) $ <j� �-� 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 s I the information,the a lication ma not be issued. ; � � � ,� ApplicanYs Signature: '� Date: �.� ,� ( Last Updated: 05-04-2009 � a " � �� DATE TIME V CITY OF ORONO CALLED IN � U INSPECTION NOTICE SCHEDULED O _�� PERMIT NOP��0�3� COMPLETED ADDRESS �� • OWNER CONTR � � TELEPHONE N��4�` �"c�� " ��cSS � DESCRIPTION �`-�� ' � ❑ FOOTING ❑ MECHANICA RI ❑ AV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J � PLUM8ING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o ��QSSO( `-{ S'�' r.iC�U/e � �[f � � l'?�F' 0 � W � Q � Z W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 24J-46�� Owner/Contractor on site- Inspector. o,�,� � White Copyllnspector's File Canary Copy/Site Notice � � `� TIME p �TY OF ORONO � CALLED IN ��(,,�,� INSPECTION N TICE SCHEDULED /-'��`?�� PERMIT NO.��COMPLETED ADDRESS C�� j / V ° ��l�I OWNER CONTR.��,�_/,�1/� �� TELEPHONE NO. (1> �� ' �� '— ��b� � DESCRIPTION �/ ✓1� � ��d� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL � WALL BD. ❑ WATER HOOK-UP Z ❑ ❑ 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 I / ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:LL YES_NO � COMMENTS: 1� � W � � � O � � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED � 'i�PROJECTCOMP�ETE W ❑CORRECT WORK 8 PROCEED �UE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W4LL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR G INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on site: 1 Inspector. �l ' . � White Copyllnspector's File Canary CopylSite Notice