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Home My WebLink About2009-00678 - roofing f . t CITY OF ORONO PERMIT 1Y0.: 2009-00678 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEu: 10/06/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 22 HACKBERRY H[LL PIN : 33-118-23-44-0027 LEGAL DESC : DANIELS LONG LAKE HEIGHTS : LOT 008 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 1,600.00 NOTE: TEAR OFF/REROOF. PARTIAL COST OP THE SHINGLES WILL BE PAID FOR E3Y THE COMPANY THAT HAD ORIGINALLY SUPPLIED "I�HEM AT THG TIME THE ROOF WAS REPLACED. TI IIS VALUATION IS THE COST LEFT TIiAT[S THE HOMEOWNERS RESPONSIBILITY. APPLICANT PERMIT FEE SCHEDULE 60.75 ERNHART, M& T STATE SURCHARGE(VALUATION) 0.80 22 HACKBERRY HILL LONG LAKE, MN 55356 TOTAL 61.55 PAID WITH CC# 4152 OWNER ERNHART, M& T 22 HACKBERRY H1LL LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT Thc 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 permit 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[ime atter work has commenced. The applicant is responsible for assuring all required inspections are requeste in conformance with the State Building Code.This pennit may be revol� t any time tbr due ca ' - � ^,.1 � ��ti-"`_k�l �l/ l � / / npplicant Permitee 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: �D0�'/-�G (07 �,�\ PO Box 66 �0 �\ Q , Crystal Bay, MN 55323-0066 Date received: �C� �o ��:FUT. �i� ��a ��'��,�s:-�<` a'I StreetAddress: Received by: � � 4`c�+� �,n � '��ry'��"�� 2750 Kelley Parkway Plan review fee: L9xESIiOg'�G Orono, MN 55356 Total Fee: �pl ,�j �j� 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: ,22 }-}C�C-►�--b�.ti'"r 4 N 1 �� `� �"�- �;� ti Will this be a Parade of Homes, Remodelers Showc se Home or other Display Home? ❑ Yes �No /f yes, a special event permit is required with Po/ice Department and City Council approva160 days prior to the event. Shuttle bus service wi/l be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �a\�� l �Z�r^cs4 �Irr 1�rti,r't' State License# Expiration Date: Phone: 52- -7 3 -�Z-7uG ,� (v� --72 0-�? �j�' cell Mailing Address: Z -�\� Cit : � ZIP: �; - �- Contact Person: i� � �,r T�e �. Applicant is: Contractor / meowne �c��ie one� Email and/or Fax: ��.� (�Z c�� r„o � C e;� � PROPERTY OWNER INFORMATION: Name: 4'11�k� � �1��^�S� ��4"��1(3��"� Phone (day): c�� Z- �}�3 -- t-��,c� Address: ZZ ��C�c. r- ' �� Cit : C� ��r� ZIP: J�3�(�- Email and/or Fax I '� � ,n�� (�2 c�� C�1 c��r�,� 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 e-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: _Estimated Construction Valuation of Project(excluding land) $ d(��= 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. � / ApplicanYs Signature: � .`'(�-�� Date: /� � (c -� ro � Last Updated: 05-04-2009 / DAT TIME V CITY OF ORONO CALLED IN f� INSPECTION NOTI 7 SCHEDULED - '" PERMIT N0.(��` �COMPLETED ADDRESS � C� � OWNER ,��/7/�' NTR. TELEPHONE NO. �lG� , �a� ��/ � DESCRIPTION __ �l�� ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � �%��'Yl.v! � a � __...._ � �. __.._. O '' � �c�`u.� � � 0 � w Q �; �-� iL- u�- ,- t�A 5 G,�n�_�C?c�-", �� Z , r2L 2t C.v.A� �'I�c� �-rc�cJY� (.-J �l f I W � W � � � a � ;�,WORKSATISFACTORY:PROCEED C; PROJECTCOMPLETE W ❑ CORRECT WORK�PROCEED �] ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN 0 STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: Inspector. �i '� � ' White Copyllnspector's File Canary Copy/Site Notice