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Home My WebLink About2009-00151 - roofing CITY OF ORONO PERMIT NO.: 2009-00151 2750 KELLEY PARKWAY , ORONO, MN 55356- �ATE ISSUED: 04/14/2009 .- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2435 COUNTRYSIDE DR PIN : 04-117-23-11-0005 LEGAL DESC : COUNTRYSIDE MANOR : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING - UNDEF[NED VALUATION : $ 28,000.00 APPLICANT PERMIT FEE SCHEDULE 445.25 SUNSET CONSTRUCTION GROUP 5101 HWY 55 STATE SURCHARGE(VALUATION) 14.00 MINNEAPOL[S, MN 55422- TOTAL 459.25 (612)839-1184 Minnesota State License#:20375069 OWNER SWENSON, MICHEAL&CAROL 2435 COUNTRYSIDE DR LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this pemiit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and the Statc I3uildinc Code. "Chis permit is for only the work described and does not grant permission for additional or related work which requires scparatc permits. All provisions of laws and ordinances govcming this type of work shall be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is not convnenced 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 require¢�jpspections are requested in conformance with the State E3uildigg��e.This permit may be revokcd at any time for duc cause. �� ' �`�� `''��` ��, � /� G � ` �� v �`l� `/� ��)�/� � � Applicant Permitee Si na�� Date Issucd By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono , ��'� �' �� Building Permit Application Mailing Address: `� �0 PO Box 66 Permit number: � �� Q�� Crystal Bay, MN 55323-0066 Date received: /� � �� 41{3 � Received b �i,� '`�'�r s, � �,,'; Street Address: y� �'�n ' �f."��.9^ ��i 2750 Kelley Parkway Plan review fee: t.ykEsso�'� 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: -� �-`�`� �Jiv1�/l�y��c� �r� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes g] No If yes, a special event permit rs required with Police Department and City Council approva/60 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 l APPLICANT INFORMATION: Name: 5�:,-,��.fi Co�iS-tr�,cfi�'or2 Gr��;p ��c, State License# �.0 3� ��,� Expiration Date: 3 - l� - a�o Phone: C, I a-� � 3�- i I S�� (office) (cell) Mailing Address: `S 1� ( �-h,tiy �'�' City: _w��'15 Z►P: � `-/1z Contact Person: v��,+t '��c.�� Applicant is: ;-�ntractor_._/ Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �� Y�e ��.,�-8.11 So v� Phone (day): �1s � - �-I�� — `1 a.��— Address: 1�3� ��, ;�-��ys,� Zjr City: Or'orl o 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: �e Q�o�� Estimated Construction Valuation of Project(excluding land) $ � ��'� 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 required by law. If you refuse to supply the information, the application may not be issued. /� �L ,,� � Applicant's Signature: - Date: LC I� DA TIME � CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED — PERMIT NO. o?oo�' - DD/�S/ COMPLETED ADDRESS �T3S ��L''�� OWNER CONTR./�'LC� TELEPHONE NO. 3�— �Q.�''2� 7'S � DESCRIPTION /�-�_ �� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FIL�ING 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 J ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP T ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ P�UMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O ti W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED ri ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN 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. �952� 249-46QQ Owner/Contractor on site: Inspector. l ,� l,f i � White Copylinspector's File Canary CopylSite Notice l��r �� /_ AT/E/ TIME CITY OF ORONO ��CALLED IN L` �7 � INSPECTION NOTICE SCHEDULED �'j' %i '� PERMIT N0. ' J� COMPLETED ADDRESS ��" � � � � OWNER CONTR. �'"�-�--f C'dYY�-f. TELEPHONENO. � a � � �� l� o �� DESCRIPTION � � ,/ �.-I� � ��G� � ❑ 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 J ❑ DEMO-FINAL � SEPTtC INSTALL. Q FO�LOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O >. � O � W � Q � Z W � W � 1\ J GW.:-�7 WORK SATISFACTORY:PROCEED f� PROJECT COMPLETE � ❑ CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. �, pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on site� Inspector. �-ti� �"'��5� White Copyllnspector's File Canary CopylSite Notice