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Home My WebLink About2009-00840 - roofing s � CITY OF ORONO PERMIT NO.: 2009-00840 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1U23/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 25 CYGNET PL PIN : 04-117-23-22-0007 LEGAL DESC : SWAN LAKE ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 30,000.00 NOTE: THIS PERMIT INCLUDES NEW SOFFIT,REPLACE SIDING,(1)DOOR AND TEAR OFF RE-ROOF APPLICANT PERMIT FEE SCHEDULE 466.75 SKOOG EXTERIORS 8600 GRACE LANE STATE SURCHARGE(VALUATION) 15.00 LORETTO, MN 55357- TOTAL 481.75 Minnesota State License#: 20451795 OWNER MCLEAN, SEAN& MARIE 25 CYGNET PL LONG LAKE, MN 55356 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 [he State Building Code. This permi[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 permi[will expire and become null and void if construction authorized is not commenced 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 in conformance with the State Building Code.This permit may be revoked at any[ime for due cause. i i / i�i lj Applicant Permitee Signature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. s , , City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �-�(� —� �,0,� PO Box 66 �� Crystal Bay, MN 55323-0066 Date received: �� Z O ��.� � ��'-��` �,'� StreetAddress: Received by: s. �L�� '�,n �� "'� ti 2750 Kelle Parkwa o Y Y Plan review fee: t�kESH��'� Orono, MN 55356 — Total Fee: p', �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 0 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: 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 wi/l be required unless applicant demonstrates sufficient on-sife parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Sllcr�c� Cx-�� v.�s State License# S S Expiration Date: Phone: S�hN (O t � � ��'v - 3 i 1 � (office) �:,�„ �i,y�- �°tv -3=��7 (cell) Mailing Address: �� r'�,�,�e i.��,� Cit : ZIP: Sj'�S J Contact Person: �oHn � j4;oc� Applicant is: ontract / Homeowner (CircleOne) Email and/or Fax: - PROPERTY OWNER INFORMATION: Name: sc�,-, �'1c(ta.-� Phone (day): Address: �s �yq�IL� Cit :��q�7� 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.ora Overall Project Description: �/�y, �e��"` , �Hy . 4,�K� l �Q,,` � Estimated Construction Valuation of Project`(exclu ing 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 re uired b law. If ou refuse to su I the information, the a lication ma not be issued. A IicanYs Si nature: � �%��G�t2 �� -C� pp 9 .ti� Date: � 4 LastUpdated: 05-04-2009 DATE TIME V CITY OF ORONO CALLED IN � INSPECTION NOTI E SCHEDULED 0 PERMIT NO � -� COMPLETED �� ADDRESS o,15 -l� , ��Q. OWNER TELEPHONE NO. ��Z ��d ��7 CONTRACTOR ��K� �� • �; DESCRIPTION /�.� �' ��L�- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � j � �WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 24Q-46QQ OwnerlContract it Inspector_ White Copyllnspector's File Canary CopylSite Notice