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Home My WebLink About2009-00559 - roofing CITY OF ORONO PERMIT NO.: 2009-00559 � 2750 KELLEY PARKWAY . ORONO, MN 55356- �ATE IssuEn: 09/08/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 760 DICKEY LAKE DR PI l� : 27-118-23-33-0009 LEGAL DESC : RINGERSWOOD : LOT 006 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENT[AL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEF[NED VALUATION : $ 23,317.00 APPLICANT PERM[T FEE SCHEDULE 398.25 HOME VALUE [MPROVEMENTS STATE SURCHARGE(VALUATION) 11.66 13756 REIMER DR MAPLE GROVE, MN 55311- TOTAL 409.91 (763)425-9500 Minnesota State License#: 20464927 OWNER THOMAS, ABRAHAM 760 D[CKEY LAKE DR LONG LAKE, MN 55356 AGREEMENT AIYD 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 separate permits. All provisions of laws and ordinances goveming this type of work shall be compicd with whether or no[specified herein.This permit will expire and become nuil and void if construction authorized is no[ commenced within 180 days of the date of issuance,or if construction is suspended or a period o days at any time aRer work has commenced. The appli nt is respon ible or assuring all required inspections are re n conforma ce ith t State Building Code.This permit may be �,,/J evoke any time f r e ca e. //�{' �—� �� , ' �� 0' � �L��: ��-�c� �i ��`I �'�-�-�e-S"� ��y��;�/? � � plicant Permite Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono . Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) ��\ Mailing Address: Permit number: / �., ,�\ PO Box 66 � Q ; ��, Crystal Bay, MN 55323-0066 Date received: �� Received b � ��'��`;;,. �� Street Address: Y� � oti 2750 Kelley Parkway Plan review fee: � L9�xog,� 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: 7 ,�� . " �}� �_ �;� `";�},,� ,. Will this be a Parade of Homes, Remodelers Showcase Home or other Dis lay Home? ❑ Yes No /f yes, a special event permit is required with Police Department and City Councrl approva160 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 IN�ORMATION: Name: ��VY� � ;��.,u-�- � ti �, `� .�� State License# 'Z b �.f-�,��-1 Expiration Date: ;�/ zo L Phone: � -- � � office � - - �f�� ' cell Mailing Address: ��' - Cit : Contact Person: �' - �,�c ZIP: t , "� % � - � � Applicant is: Contrac r / Homeowner (Circle One) Email and/or Fax: ��.•� 2� ��.v,,�� , .� C''�: ,,t.l.�,�::n C �.,._,� PROPERTY OWNER INFORMATION: Name: ��.,'�-�'k,.i;ti� �� vv►I�� Phone (day): Address: (c�0 �L��-`� C � �� El�Q� City� �"�)Ctl(�Ci ZIP� c�j�-��C.� 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. r Overall Project escription: �" - �. � ,,.� ��c S �-� �,v� , � _ Estimated Construction Valuation of Project(excluding la d) $ �, �� -7 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 I the informat , the a lication ma not be issued. . �, ApplicanYs Signature: ',�-1� Date: ��r � ^� �� Last Updated: 05-04-2009 � � �� O/ �� DAT /� TIME � CITY OF ORONO CALLED IN � U7 � INSPECTION TICE QSCHEDULED � _Q� PERMIT NO. -aa`SS/ COMPLETED ADDRESS � � OWNER CONTR. � TELEPHONE NO. � ��.3 " �Q7— / �7� � DESCRIPTION � ❑ FOOTING � MECNANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION _ �EI�IAL ❑ SEWER HOOK-UP ❑ PROGRESS � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT � ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP Q _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � —;�_�� < ,- � , ,4 ... � � r r 0 a � 0 � W � Q ti Z W � W � � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR n CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 2Q9-46QQ OwnerlContractor on site: ` - C' Inspector. �� t/� � White Copy/inspector's File Canary CopylSite Notice Cj� 4�� i��.. CITY OF ORONO CALLED IN � /� INSPECTION NOTIC �,,��; SCHEDULED ` PERMIT NO. " �' l�� COMPLETED ADDRESS ��.�_�� ,i�� /C.�c.� [ ,� �P OWNER CONTR. ��'1Q �/� , TELEPHONENO. �LU � � 6 C� � �� 7 � DESCRIPTION �.� � ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS � ❑ 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-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINA� ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O a � O � W � Q � Z W � w � � a � ORK SATISFACTORY:PROCEED f:� PROJECT COMPLETE W ❑C RECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. G PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on sit • Inspector. � White Copyllnspector's File Canary Copy/Site Notice