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Home My WebLink About2009-00667 - roofing CITY OF ORONO PERMIT NO.: 2009-00667 � ' w 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/02/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 260 HOLLANDER RD PIN : 25-118-23-43-0013 LEGAL DESC : HOLLY ACRES : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 36,500.00 APPLICANT pERMIT FEE SCHEDULE 542.00 WESTURN CEDAR SUPPLY,INC. STATE SURCHARGE(VALUATION) 18.25 9700 13TH AVENUE N. TOTAL 560.25 PLYMOUTH,MN 55441- (763)541-0304 Minnesota State License#:20155566 OWNER PADDON,JIM 260 HOLLANDER 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 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 permiu. All provisions of laws and ordinances goveming 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 time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. XI�,..__� l/,� � l p.�by o � � plicant Permitee �gnature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO ,� � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �v�,�j PO Box 66 /Q k 0, Crystal Bay, MN 55323-0066 Date received: `��.� a ��;` �, Street Address: Received by: 4 �'�c, ' �� ,'.� Gti 2750 Kelley Parkway Plan review fee: t�gESKo�'� 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: �� o/%d�y 2� dyv�o �s, Will this be a Parade of Homes Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No 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 INFORMATION: Name: U/�'�S�<//!'! G�"L�d�� S</Od`y i��' State License# ��/SSS c� �� Expiration Date: � � .-,3/ —/p Phone: g�' ? ,Syl—a��y (office) (cell) Mailing Address: oc� / �/� � Cit : G ovf IP: SS / Contact Person: �/� � Applicant is: ntr c or / Homeowner (Circle One) Email and/or Fax: 7G � .- ��y�— , S'"�'8'q PROPERTY OWNER INFORMATION: Name: �j`.—� �� Phone (day): U ��2 — 8G'8"— ��/ Address: ..�'p s�o//��,o%y y/�� City: „�,S Email and/or Fax l�'' a��' ZIP: 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.orq Overall Project Description: T��y �,G� ��,x13" il�y Sf�.9�f1�5 T'o� �h �P Estimated Construction Valuation of Project (excluding land) � ,��po B— ��5� n��,�,4.� 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. Applicant's Signature: Date: la -- oz —.dP Last Updated: 05-04-2009 /�ATF� TIME � CITY OF ORONO CALLED IN ��` �—� INSPECTION NOTI E SCHEDULED � � PERMIT NO. � 0 COMPLETED ADDRESS v�t.. OWNER CONTR.� /�j�. TELEPHONE NO. CUIO� �'�D �� /7 � DESCRIPTION T�ai( �� ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W a � � O � � O � W � Q .� Z W � W � � d W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORflECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CA�L INSPECTOR �CITATION ISSUED O INSPECTION RE�UiRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�0 OwnerlContractor qn site:� Inspector. � / � White Copylinspector's File Canary Copy/Site NoUce