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HomeMy WebLinkAbout2009-00602 - roofing CITY OF ORONO PERMIT NO.: 2009-00602 � 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE ISSUED: 09/18/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2320 DEVIN LA P1N : 03-117-23-22-0014 LEGAL DESC : THE NURSERY : LOT 002 BLOCK 001 PERMIT TYPE : MWOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT D/,S �I� VALUATION : $ 20,000.00 NOTE: REPLACE SIDING AND REROOF APPLICANT PERMIT FEE SCHEDULE 339.25 SONSTEGARD, LOUIS& LOIS STATE SURCHARGE(VALUATION) 10.00 2320 DEV1N LA LONG LAKE, MN 55356 M1SC FEE 0.00 TOTAL 349.25 PAID WITH CC# 0104 OWNER SONSTEGARD, LOUIS& LOIS 2320 DEVIN LA 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 the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separa[e permits. All provisions of laws and ordi ming this type of work shall be compied with whether or specified herei .This permit will expire and become null and v if construction aut rized is not commenced within 180 day of the date of issuanc ,or if construction is suspended tor a per' f 0 days any time er work has commenced. The applicant i esp si le fo s ring a quired inspections aze requested in n man w' the uilding Code.This permit may be revoked at time for e. � l l / C��;l'GC.�''�'J l l pplica Pe itee ignature Date Issued By Sig re SEPA ATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABO . City of Orono • Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Maifing Address: Permit number: j�,�T PO Box 66 � Crystal Bay, MN 55323-0066 Date received: /O .�, O � � i 'y �I,� ����-�;` s,�i Street Address: Received by: �..�- ���'�,L` '� �" G�/ 2750 Kelley Parkway Plan review fee: `�kEsxo4`'� 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: -= 3 Lv`��-� �� � L� � � O <z-� �'� S-S 3 J`b Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes, a special event permit is required with Police Department and City Council approval 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/APPLICANT INFO MATION: Name: j�Yl i� SE^(-�- �p� ,5 � SO N S�'"z G�-2� State License# Expiration Date: Phone: �' y '-, ���� (office) �7 � � �� � '7 v� (cell) Mailing Address: 'Z3Zv���.j � rv L i� ti� City: �G2-� �� ZIP: S3S� Contact Person: � Applicant is: Contractor / �omeow�r (Circle One) Email and/or Fax: (L NS � � 27 cn� i�p • �L O v�n PROPERTY OWNER INFORMATI N: � Name: l_("jvi4 � �G�� �` ��ST��-��2-� Phone (day): � S Z �-F`Z �, s 1 �t� Address: Z J—� v � � L '�C}V� Cit :� /z-u � ZIP: 5 S '3 S(, Email and/or Fax —��,����;� ,��-¢}-<L'�� j��[��� a CG�I 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 B'Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �e-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 2 �; � Q�,(� 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 informatio enerally cannot be given to the public but can be given to the subject of the data. Confidential data is inform � n which nerally cannot be given to either the public or the subject of the data. Our purpose and intended use of thi i rm is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to I e information, the a lication ma not be issued. � ApplicanYs Signature: Date: �/(��( Last Updated: 05-04-2009 �� ✓ DAT TIME CITY O ORONO CALLED IN / � INSPECTION OTI��D� SCHEDULED ` PERMIT NO. �OMPLETED ADDRESS (/ OWNER CONTR. TELEPHONE NO. a" - 73- Sl� � DESCRIPTION /1�������.�C ' ���Z�� � ❑ FOOTING � MECHANICAL R� ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION _�FINAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL OWNE TRACTON OMEETYOU�YES�NO �n NTS: � !'��!%'9 � a � � J O >. � O � ti � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �, PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ SSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on�site: Inspector. �_� ���� �� � White Copylinspector's File Canary Copy/Site Notice TE TIME � CITY OF ORONO CALLED IN `�! INSPECTIONN�TI E SCHEDULED � -d9 PERMIT NO. d -Z�Z���Z COMPLETED ADDRESS a3ao 1�y�2�� � OWNER � SonSt-P�cti,� CONTR. TELEPHONE NO. �o�Z -5��-' 7,37� � DESCRIPTION �L�Cl� �� � ❑ FOOTING � MECHAI ICAL 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 Q ❑ 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 � J O � � O � W a Q � Z W � W � 1` Jry V �W.�WORK SATISFACTORY:PROCEED f� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED � ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on sitg: � . inspector. �.,�.'i r' ( �_.�_5 `. White Copyllnspector's File Canary CopylSite Notice