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Home My WebLink About2009-00656 - roofing � CITY OF ORONO PERMIT NO.: 2009-00656 . 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 10/OU2009 952 249-4600 FAX: 952 249-4616 RF.PRINTED ON 10/1l2009 ADDRESS : l00 CRYSTAL CREEK RD PIN : 33-118-23-33-0009 LEGAL DESC : CRYSTAL CREEK : LOT 003 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 25,400.00 NOTE: TEAR OFF REROOF HOUSE AND GARAGE APPLICANT PERMIT FEE SCHEDULE 423.75 AMERICAN BUILD[NG CONTRACTORS STATE SURCHARGE(VALUAT[ON) 12.70 2960 JUDICIAL RD#100 TOTAL 436.45 BURNSVILLE, MN 55337 (952)707-6959 Minnesota State License#: 20169383 OWNER WENINGER,MARK&JUILE 100 CRYSTAL CREEK DR LONG LAKE, MN 55356 AGREEMENT AND SWORIV STATEMENT 1'he 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 wi[hin 180 days of[he 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 in conformance with the Stale Building Code.This permit may be revok any time for cause. �/ / /(� / / Applicant Permite t nature Date Issued I3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � • � � 111 ' City of Orono Building Permit Application �_—__� Mailing Address: oa�_� ��4.,O,j�. PO Box 66 Permit number: , � Crystal Bay, MN 55323-0066 Date received: U d/ O ��'"�� - Received by: a ; �' ��.;r:,. �. Street Address: �.�,L' '� '+�� ti 2750 Kelley Parkway Plan review fee: 9kESH04� Orono, MN 55356 \ ' / � - Total Fee: / Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us � 4�� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: a� C�,. St � C�`�.�r� ^ � /\o� , Job Site Address: 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 Counci/approva/60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP�ICANT INFORMATION: Name: !�}VYIeV'�� C�v� ✓�u�'�c�c`r? COY1'}�a� taYS, Tti'lC . State License# C9 I b q 38� Expiration Date: ' i ' �) Phone: ,Z— p' _ office cell Mailing Address: b0 d�Zc� ,:ti- �1 Ci � y,j/� ZIP: Contact Person: �l� � - Applicant is: Contracto / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATI N: Name: /�'�Q r h� �!,(.� f�2 j/l//�./1 i✓l g`�i`"L- Phone (day): 6t�— QN5- a9 �s J Address: %Oa �'x s,�Q l L' re ei� i�o( - city: OroMc� ziP: S.5 35,6 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 8 Restoration ❑Other: (specify) Phone: 952-471-0590 „ Fax: 952-471-0682 ,�Re-roo ❑ Fire Damage www.minnehahacreek.orq verall Project Description: 'j��:.r � ' ��y'D� h;;(,��. Z � , jj4 S S. Estimated Construction Valuation of Project(excluding land)� $ �S d0 �-C' 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. ApplicanYs Signature: �� -�.�"�" Date: �—�'� Reset Form i� � / o�� QD/��I TIME CITY OF ORONO CALLED IN � � INSPECTION OTI SCHEDULED �9 �►'L PERMIT NO. ��d�� COMPLETED ADDRESS /DO CJ G;Y?�� OWNER CONTR.�^�,� TELEPHONE N0. �� " �-��) 7D7— lD 9S� � DESCRIPTION i�Zi�/LlL�' — ��T� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCA 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 v ❑ DEMO-FINA� ❑ 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 � � � a � � O � W � Q � Z W � W � � a W� ❑WORKSATISFACTORY:PROCEED Q�PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED IISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site• Inspector. �^,�` �, White Copyllnspector's File Canary CopylSite Notice �� DATE TIME � CITY OF ORONO CALIED IN � INSPECTION NOTICE / SCHEDULED C � � PERMIT NO. '�d �� —C,C�r�l!�COMPLETED ADDRESS I C� � I�..j '(,'t � JG^sE'C'K /Zr� OWNER CONTR. f �-��'� '1 r�'rr�"l �IC� TELEPHONE NO. �^�� ' ��^ �I�C I K Ir: � � DESCRIPTION ��C�-f��L 1 � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING � ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS O ❑ 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 ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W C � � O >. � O � W � Q � Z W � W � � � d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMP�ETE W RRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECTUNSAFECONDITIONWITHIN HOURS. L 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�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice