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Home My WebLink About2009-00317 - roofing R- CITY OF ORONO PERMIT NO.: 2009-00317 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 06/15/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 265 HOLLANDER RD PIN : 25-118-23-43-0016 LEGAL DESC : HOLLY ACRES : LOT 003 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATIOI�1 : $ 42,000.00 APPLICANT PERMIT FEE SCHEDULE 595.75 PLYMOUTH ROOF[NG& INSULATION STATE SURCHARGE(VALUATION) 21.00 17525 CTY ROAD 24 PLYMOUTH,MN 55447 TOTAL 616.75 (763)473-3397 Minnesota State License#: 5358 OWNER DOEPKE, MARK&CONSTANCE 265 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 permits. All provisions of laws and ordinances governing this type of work shail be compied with whether or not specitied herein.This permit will expire and become null and void if construction authorized is no[ 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 conformance w t S ata Building Code.This permit may be � revo t a e f r d ca e.� ) � i I�i�C�� i i Applicant Pe itee ignature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. � � City of Orono � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 'Qv 0,� PO Box 66 � Crystal Bay, MN 55323-0066 Date received: � � ,� �sv�"� O 1,I '✓`��;�`� �, ; StreetAddress: Received by: �' 1� "�" � ' 2750 Kelle Parkwa � �, Y Y Plan review fee: L�kESH�4� 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: ;�(c�5� L L� P\�� =C�(?� �C��'Z �,'j� � � �� 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 approva/60 days prior to the event. Shuttle bus service will be required unless applicanf demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: -� Name: L`� �-t�l.� � ��,��Iv��`t-�-I�1S L, Ce�- -�ttC State License# �3 �y Expiration Date: 3 . �; � Phone: - - _3-- � office -7 j, �-�� -� , cell Mailing Address: � S , - � Cit : ' `-�-�,�� ZIP: �� — Contact Person: Applicant is: ntracto�� / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: _ _��-1-j°C� (� ��C��-� Phone (day): �' '-�- _ �/ ' Address: �, " '��1_ , f'� , �� L�� Cit : �-lJQ_'� Z ZIP: �5.�� 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 R roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: � �V - ��''-�,�; � `) Estimated Construction Valuation of Project(excluding land) $ �C� L�(} -� 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 u date ur records and records of other governmental agencies re uired b law. If ou refuse to su I the information, the lic ' n n t be issued. � � Applicant's Signature: �� Date: �� -� � Las'Update� 05-04-2009 - - - - - - �� ATE TIME CITY OF ORONO CALLED IN ��'/�� I L� INSPECTION N TICE SCHEDULED f�� PERMIT NO. � ' -� '��7 COMPLETED ADDRESS � Cr' �� -�'l��- � �2 l�t�- OWNER CONTR. (C ''Z��r'1 ��`Y:� ��.� , n �. . TELEPHONE NO. /_��lr�j,(/J �" lo� - �l�"" ��% � DESCRIPTION ��Ct.�'� c )�L�' � ��;� , � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING /j( Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS �� y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE Q ❑ 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 � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � d ��A ��/// W� �RKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. CPHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on s'te: , Inspector_ �7 White Copyllnspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORONO CALLED IN � � INSPECTION NOTIC SCHEDULED PERMIT NO. —d�3� 7 COMPLETED ADDRESS a�� OWNER CONTR. —d� TELEPHONE NO. �/� 7l� �✓��3� � DESCRIPTION �DD� �j /2� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORFJWETLANDS 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 _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PIUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � � O � � O � W � Q � Z W � W � � �n// � ❑WORKSATISFACTORY:PROCEED ��ROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CO�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on s' e: Inspector. � White Copyllnspector's File Canary Copy/SNe Notice