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Home My WebLink About2009-00751 - roofing CITY OF ORONO PERMIT NO.: 2009-00751 ^ 'R 2750 KELLEY PARKWAY ORONO, MN 55356- DATE [ssuEn: 10/26/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 2699 KELLY AVE PIN : 21-117-23-23-0041 LEGAL DESC : WALTERS PORT : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -� ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 20,000.00 NOTE: THIS IS NOT ASPHALT SHINGLES THIS IS A COMMERCIAL ROOF ON A RESIDENTIAL YROPERTY. DOING A COMPLETE TEAR OFF DOWN TO THE INSULATION. APPLICANT pERMIT FEE SCHEDULE 339.25 W.F. SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 10.00 6585 SO. SAUNDERS LAKE DR. TOTAL 349.25 MINNETRISTA,MN 55364- (952)472-6539 Minnesota State License#: 5309 OWNER UPHOFF, DARYL& LUCY 2699 KELLY AVE EXCELSIOR, MN 55331 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 permi[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 time after work has commenced. The applicant is responsible for assuring alI required inspections are requested in conformance w h the State B Iding Code.This permit may be rev ed at any tim for due ause. � ltS / �? �� I � �CJ/ ��j (/ A �cant Permi ee Signature Date I d By Signature Date SEPARATE PERMITS REQU[RED FOR WOR THER THAN DESCRIBED ABOVE. . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) —�� Mailing Address: �D� 4v�,�� PO Box 66 Permit number: 0 ,� � �� Crystal Bay, MN 55323-0066 Date received: �� 2 f0 D 'l� ��:�� •� �� ^` s. ! StreetAddress: Received by: i t' .e;E� �'� ` '�.�°`� ti 2750 Kelley Parkway Plan review� L�kESH 4'�G Orono, MN 55356 2 ^ Total Fee: �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. (P/ease print) GENERAL INFORMATION: Job Site Address: �C>�'��J G L(��-i U Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No lf 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: VV•-t Sr��,�-�t-� �'cs,�-S� State License# S_�o�j Expiration Date: � -�1 � / v Phone: �S-� _ �7,�, ��-_3� office )� ��E �� i� cell Mailing Address: �s � �_ � ,, - tK �� Cit _;_ - tivn,4s�,'s- ZIP: s s � G�_ Contact Person: � �,� Applicant is Contractor Homeowner (Circle One) Ernail and/or Fax: -� c�s�--��-6 s�� PROPERTY OWNER INFORMATION: Name: _ l7� �t �, r, c �/P/�o /� 1� Phone (daY): �, S� -�s ) a- - ��. � ! Address: _ City: ZIP: 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 Re-roof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 2�v,� O c5 - 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 t infor ation, the a lication ma not be issued. �� Z � - o `-' Applicant's Signature: � Date: � � ) Last Updated: 05-04-2009 DATE TIME V CITY OF ORONO ALLED IN INSPECTION �TI� �� SCHEDULED � PERMIT NO. � COMPLETED ` � ADDRESS a�9 q ��(�/ �'11� OWNER CONTR. C�(J� 'SN'�.f.��t.. TELEPHONE N0. �� Z ��v 7 3 I I 7 (�� DESCRIPTION _ T�a-C-�� ❑ 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-FINAI ❑ SEPTIC INSTALL. ❑ FOLLOW-UP _ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL � ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � j d W� �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. rJ- pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR � INSPECTIOIV REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 2Q9-46QQ OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice