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Home My WebLink About2009-00677 - roofing M CITY OF ORONO PERMIT NO.: 2009-00677 } . 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 10/08/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 35 GOLDEN VIEW DR PIN : 33-]18-23-43-0010 LEGAL DESC : PETERMAN 2ND ADDN : LOT 001 BLOCK 001 PERM[T TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 14,350.00 NOTF: TEAR OFF AND REROOF APPLICANT PERMIT FEE SCHEDULE 265.50 WALKER ROOFING CO., INC. STATE SURCHARGE(VALUATION) 7.18 2274 CAPP RD I ! MN 55104- �jf-�� «`1 MAIL-IN FEE 2.00 O TOTAL 274.68 Minnesota State License#:4229 OWNER ANDERSON,M& K 35 GOLDEN VIEW DR 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 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 time for due cause. ��ZZQ� � / / / / Applicant Permitee Signature Date Issued By gnature SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . ' City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) g� Mailing Address: Permit number: ,(V.�\ PO Box 66 / � Crystal Bay, MN 55323-0066 Date received: � ��"�,""'�' � � Received by: ,� !''� �,� Street Address: 's'�, � � 9�:� �ti% 2750 Kelley Parkway Plan review fee: t9kESH04� Orono, MN 55356 — Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www ci.orona.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: JobSiteAddress: � S ��% ie�✓ �el�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes .0'1Vo If yes,a special event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORM�TION: Name: G1,1�� z=,2_ /<<,u�_�.1. � State License# y z z� Expiration Date: 3 3� i� Phone: �r�� - 2 - 0 0 office cell Mailing Address: �-2 � C�►/�P R� Cit : ' - �` ZIP: s:sr- S�-ii Contact Person: ��C Applicant is: C / Homeowner (Circle One) Email and/or Fax: kq�'��n�� t.,,c, I�Fr�uo�: -,ti �v=M PROPERTY OWNER INFORMATION: Name: fl�fil��-t �2� 5�� /-�,,,o�rz j'�...� Phone (day): t;,�'i- �S�� - �$��F l Address: '�S c��..-��c,-- pa�.�� City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) emodel ❑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-Q682 e-roof ❑ Fire Dama e www.minnehahacreek.orq Overall Project Description: -�.iL o j�- �+- � 2�u�= Estimated Construction Valuation of Project(excluding land) $ f , 3 S- - "— 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 �d to provid on this application is classified by State law as either private or confidential. Private data is information wtt�generally c not be given to the public but can be given to the subject of the data. Confidential data is information �f'ch generally c not be given to either the public or the subject of the data. Our purpose and intended use of this ation is to a y update our records and records of other governmental agencies re uired b law. If ou refuse to the informati ,th a lication m e issued. A licant's Si nature: � � , Date: �D � / pp 9 \ Last Updated: 05-04-2009 � �� LICENSE �'�.-_n �� State of Minnesota Construction Codes and'Licensing Division Department of Labor and Industry Telephone: (651) 284-5065 - _ - 443 Lafayette Road N. E=mail address; tlii;Gcense@state.mn.us ,��:� ` St. Paul, MN 55155 Website address: ;www.doli.state.mn.us RESIDENTIAL BUILDING CONTRACTOR LIC�NSE Legal Name: WALKER ROOFING COMPANY Business Structure: DBA: C�RPORATION Address: 2274 CAPP RD Sl'PAUL,MN 55114 License Identification Number: 4229 Qualifying Person: NATHAN REESE License Expiration Date: 03/31/2010 Continuing Education:7 hours duaby 03131/2010 DATE TIME CITY OF ORONO CALLED IN �� C INSPECTION NOTICE —7 SCHEDULED l� 7 !/C! � PERMIT NO. � / COMPLE�T T ADDRESS ^ J� `� �--�G �� l.J /� `P�.�--� �12- OWNER CONTR. I� J� I ��.�Z,�OCU� , TELEPHONE NO. �� v� ^`� � Q� � � DESCRIPTION �C�C�J� !`� ah- ' � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRAD G FILLING Q ❑ FR,4MING ❑ 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 � ❑ 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: � W a � � O � � O � W � Q � Z W � w � � GW . G�VORK SATISFACTORY:PROCEED C� PROJECT COMPLETE W ~�CORRECT WORK 8 PROCEED C! ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor o site: � Inspector. �V1L � i� � � White Copyllnspector's File Canary CopylSite Notice �'� � ��-� A � TIME CITY OF ORONO CALLED IN INSPECTION �O I E SCHEDULED ` PERMIT NO �� O0 � COMPLETED ADDRESS V /, / � OWNER CONTR. vV � � TELEPHONE NO � DESCRIPTION ��l�'�' � ❑ FOOTWG ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ IAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVA� Z ❑ ALL BD. ❑ WATER HOOK-UP ❑ SITE INSPECTION Q 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o :i ' ��t�� T�.;� CS�1�',� �. � 0 � W � Q � z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � � � W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. �, pHOTO TAKEN INSPECTOR W{LL RETURN ��i CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor on site: � Inspector. � �� .� White Copyllnspector's File Canary CopylSite Notice