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HomeMy WebLinkAbout2009-00624 - roofing � CITY OF ORONO PERMIT NO.: 2009-00624 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 09/23/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3535 CHRISTINE DR PIN : OS-117-23-12-0019 LEGAL DESC : BETZ ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 28,000.00 APPLICANT PERMIT FEE SCHEDULE 44525 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 14.00 5145 INDUSTRIAL ST SUITE 103 MISC FEE 0.00 MAPLE PLAIN, MN 55359 TOTAL 459.25 (763)479-8700 Minnesota State License#: 3247 OWNER RYAN, MR. &MRS. 3535 CHRISTINE DR MAPLE PLAIN, MN 55359 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 da[e of issuance,or if construction is suspe�ded for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reques[ed in conformance with the State Building Code.This permit may be revo d at any time for due cause. � /.`�3 / / / Applicant Permitee Signature Date Issued By ' nature ate SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRBED ABO . City of Orono ' Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,�,� PO Box 66 Crystal Bay, MN 55323-0066 Date received: '��. 0 1� � Received by: i��,� �'�'���;�` �,�I� Streef Address: �'�� ���;;,0„_�Gti 2750 Kelley Parkway Plan review fee: `�gESKo�' 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. (Please print) GENERAL INFORMATION: Job Site Address: 3S3S C�r,'s���,p ��ive� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �G No lf 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: � o ,.,, State License# �06 3�S�y Expiration Date: 3 3� tI Phone: '�� �{�q $�y (office) (cell) Mailing Address: ..Z� h� S�. Cit : /e c,� ZIP: s"�' Contact Person: R,,.,eK f�,,�T,cL Applicant is: on rac o / Homeowner (CircleOne) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Phone (day): (��2 g ��f2 Address: S.4MC City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: � p �- y�ei,be �o„ c�� — s Estimated Construction Valuation of Project(excluding la .�$ l9D0 "' 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. ApplicanYs Signature: ���;,�t��c�-t�c. �G�v/ .K Date: a Last Updated: 05-04-2009 ���-F� � � 0 A TIME CITY OF ORONO CALLED IN � a INSPECTION NOTICE / �CHEDULED / � PERMIT N0. 'ODf�' ! COMPLETED �- ADDRESS S L�v ��5�� �� OWNER CONTR G TELEPHONE NO. ��F�� — ��a ' ��"'�7 3 �S � DESCRIPTION ��LwC.� � � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q �NAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAI ❑ 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 a � � O �. � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 2Q9-46QQ OwnerlContractor n site: Inspector. l O.( White Copyllnspector's File Canary Copy/Site Notice ✓ Q DA�� TIME CITY OF ORONO CA�LED IN � G INSPECTION NOTI E ���z` /SCHEDULED �Q � PERMIT NO. 7COMPLETED ADDRESS �s35 � .�'L� OWNER CONTR. �'�lS�� TELEPHONE NO. __✓4� �OI Z �3Z 9'3Q� � DESCRIPTION _/P�� � � C��, 4S�r� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL � LAKESHORE/WETLANDS y ❑ 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 Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerfContractor o ite: Inspector. � — White Copyllnspector's File Canary CopylSite Notice