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Home My WebLink About2009-00369 - roofing CITY OF ORONO PERMIT NO.: 2009-00369 � 2750 KELLEY PARKWAY • � ORONO, MN 55356- �ATE ISSUED: 07/OU2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 1921 FAGERNESS POINT RD PIN : 17-117-23-23-OO10 LEGAL DESC : FAGERNESS : LOT 018 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 5,945.00 APPLICANT PERMIT FEE SCHEDULE 132.75 ERNST ENTERPRISES LLC STATE SURCHARGE(VALUATION) 2.97 PO BOX 457 WATERTOWN, MN 55388- TOTAL 135.72 (612)210-7891 PAID WITH CC# 7292 Minnesota State License#: 20630424 OWNER PETERSON, MR& MRS DARRYL 1921 FAGERNESS PT RD WAYZATA, MN 55391 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 permit is for only the work described and does not grant permission for additional or rela[ed 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 within 180 days of the da[e 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 time for d c se. ` �G/-�'� 7 / / / � / / Applicant Permitee Signature Date Issued B gnature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . ' 7 City of Orono . Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) ��;, Mailing Address: Permit number. � ��+0,�� PO Box 66 /Q .: Q\ Crystal Bay, MN 55323-0066 Date received: I S� � 1, �� ? �_.`'� � ! Street Address: Received by: x � � �, �,� ; 2750 Kelley Parkway Plan review fee: \��`¢,�i Orono, MN 55356 ESH� 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: ) � -�r��SS P �� . c,� ` Will this be a Parade of Homes, Re odelers Showcase Home or othe Display Home? ❑ Yes No f; lf yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wi�e � required un/ess applicant demonstrates sufficient on-site parking is available. Non-perrnitted events will not be allowed. � � CONTRACTOR/APPLICANT INFORMATION: Name: ��Ns� r�,�f✓D��jc'.s L L C State License# �06 3O y� y Expiration Date: 3-3i-/0 Phone: (�t��lU- (office cell Mailing Address: Cit : � _fz,. ZIP: S� ` Contact Person: ��; � ��K,�. Applicant is: ontracto / Homeowner (CircleOne) Email and/or Fax: ,< PROPERTY OWNER INFOR ATION: Name: f /a,�e ��y,c-� Phone (day): ��- �/Jl- 9/6 Address: r4�r 1�4�r,uss P�- City: �� x,/G ZIP:S�S.j�j Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review 8�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 Re-roof Fax: 952-471-0682 ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding fand} $ � �j YS " 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 altemative ' 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. ApplicanYs Signature: �� r.% Date: �� '�D / Last Updated: 05-04-2009 � DATE TIME V CITY OF ORONO CALLED IN 7- � INSPECTION NOT,,,I/�E / SCHEDULED 7-Z�`� �� PERMIT N0. 0��7'OD3F�� COMPLETED ADDRESS _ �gZ-� �a-�h��.2-6�J �f � OWNER CONTR. �%?�'14-� �� . TELEPHONE NO. �� 2- Z�D _Z 0 � � � DESCRIPTION e�l__ �� ❑ FOOTING � MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � d W ORK SATISFACTORY:PROCEED Cl PROJECT COMPLETE W � ❑CORRECT WORK&PROCEED �_ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. � . J� l'/ - � �r White Copyllnspector's File Canary CopylSite Notice