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.
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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
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CITY OF ORONO CALLED IN � a
INSPECTION NOTICE / �CHEDULED / �
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OWNER CONTR G
TELEPHONE NO. ��F�� — ��a ' ��"'�7 3 �S
� DESCRIPTION ��LwC.� �
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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
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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.(
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CITY OF ORONO CA�LED IN � G
INSPECTION NOTI E ���z` /SCHEDULED �Q �
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OWNER CONTR. �'�lS��
TELEPHONE NO. __✓4� �OI Z �3Z 9'3Q�
� DESCRIPTION _/P�� � � C��, 4S�r�
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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
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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