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Home My WebLink About2009-00723 - roofing � CITY OF ORONO PERMIT NO.: 2009-00�23 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/19/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 4675 CREEKWOOD TR PIN : 30-1 l 8-23-33-0007 LEGAL DESC : PAINTERS WOODS : LOT 005 BLOCK 001 PERM[T TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 20,000.00 APPLICANT PERMIT FEE SCHEDULE 339.25 LEGACY EXTERIORS LLC STATE SURCHARGE(VALUATION) 10.00 12415 SSTH ST.N. LAKE ELMO, MN 55042- TOTAL 349.25 (651)430-3466 Minnesota State License#: 20630634 OWNER B]EK, D& K 4675 CREEKWOOD TR MAPLE PLAIN, MN 55359 AGREEMENT AND SWORN STATEMENT The work for which[his 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 wark shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not conunenced 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 i onformance ith the S[ uildin de.This permit may be revoke t any time for cause. / ' ��`� � / / pplicant Per ite Signature Date Issued y ' nature Dat SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABO � , City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailrng Address: Permit number: �,0,�. PO Box 66 , � � .� � Crystal Bay, MN 55323-0066 Date received: l �'s:��a�. I,� I�"��:.;�;�;� �, i Street Address: Received by: �'.�,� ��"� ��ti 2750 Kelley Parkway Plan review fee: �xE5H��' 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. (P�ease print) GENERAL INFORMATION:. Job Site Address: �' �S ��C�(.c�""-Y�b �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No !f yes, a special event permit is required with Po/ice Department and City Council approva/60 days prior to the event. Shutt/e bus service wil!be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/AP�LICANT INFORMATION: Name: , ¢�C-� �/ , State License# Expiration Date: Phone: - - ,G� ice �,`��/- S- G"-7�f � ell Mailing Address: 'Z- / �� Cit : w;4, ZIP: Contact Person: n� Applicant is: c or / Homeowner (Circle One) Email and/or Fax: S/�- (�'�� ---� PROPERTY OWN FORMATION: Name: v �� Phone (day): _ � - � Address: y�-ZS'" �'F�,�'Ku.bpD `� City: �� ZIP: ��5� 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:�— � �- �C� S Q.et Estimated Construction Valuation of Project(excluding land) $ p �� 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 cation ma not be issued. �� C Applicant's Signature: �� Date: LastUpdated: 05-04-2009 � f DATE , /�/ TIME ITY OF ORONO CALLED IN /� I v ' INSPECTION NOTICE SCHEDULED G' PERMIT NO. a�� _��COMPLETED ADDRESS �D � �� C� r��C� �U�°C`�'°t^�' �� OWNER CONTR. ��--��-� � � t��'LrS TELEPHONE NO. �� I -� �� - � �-I� � DESCRIPTION �� `I— i �� ❑ 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 ❑ 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 � OWNERICONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a O �' � � -f' lr 4 '� � J�-- f v ��7 f M ' � ,. �� .. � 0 � W � Q � z w � w � j d W ❑WORKSATISFACTORY:PROCEED �1 PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C SI SUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. r� pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: ' Inspector. � ,,� (� � White Copyllnspector's File Canary Copy/Site Notice � DAT q TIME � CITY OF ORONO CALLEo iN ��-�/ INSPECTION NOT CE SCHEDULED ! -ZO-d � PERMIT NO.a��06�a3 COMPLETED ADDRESS 7�7-1 � �'r OWNER CONTR.�G�-CG/ �X-�� TELEPHONE NO. �5 /-�30 - 3�p (�S/-775-07}�S- � DESCRIPTION / ��_ �� T � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ 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 ❑ HAFD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � GW �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � C CORRECT WORK&PROCEED '-I ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ C�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN 7 CITATION ISSUED �STOP OROER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. �Gf ,�s�.� � White Copyllnspector's File Canary Copy/Site Notice