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Home My WebLink About2009-00184 - roofing • � CITY OF ORONO PERMIT NO.: 200�-oo�s4 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 04/28/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3475 LIVINGSTON AVE PIN : 17-117-23-43-0068 LEGAL DESC : NAVARRE HEIGHTS : LOT O10 BLOCK 005 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 15,000.00 NOTE: TEAR OFF AND REPLACE EXISTING ROOF. APPLICANT pERMIT FEE SCHEDULE 265.50 RALPH'S BUILDING&REMODELING 6090 312TH STREET STATE SURCHARGE(VALUATION) 7.50 STACY,MN 55079- TOTAL 273.00 (651)80&1818 PAID WITH CASH 273.00 Minnesota State License#:20591644 OWNER ALLEN,MR.&MRS. WILLIAM 3475 LIVINGSTON AVE 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 dces not grant permission for additional or related work which requires sepazate permits. 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 aRer work has commenced. The applicant is res ' le for assuring all required inspections are requested in co prfance with the Building Code.This permit may be revoked at �me or due se. F_ _ _-- /�V / � / l/ / � plicant P tee Si ature Date I ued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. + . City of Orono Building Permit Application Mailing Address: o-�i j—� O.g,O,�.O PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: a� >, St►eet Address: Received by: �s,�, �titi 2750 Kelley Parkway Plan review fee: l��og� Orono, MN 55356 Total Fee: Main: 952-249�600 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 retumed. (Please print) GENERAL INFORMATION: Job Site Address: 3475 Livingston Ave. Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes ✓ No ff yes,a specia/event permit is required with Police Department and City Council approva!60 days prior to the event. Shutt/e bus service will be required un/ess applicant demonstrates sutficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANt INFORMATION: Name: Ralphs Buildinq and Remodelinq L.L.C. State License# 20591644 Expiration Date: 03/31/10 Phone: (651)808-1818 (office) (cell) Mailing Address: 6090 312 th Street Citv: Stacv ZIP: 55079 Contact Person: Ralph Anderson Applicant is: Contractor / Homeowner �ci�o�,a� Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Judy Allen Phone(day): (952)471-9825 Address: 3475 Livinqston Ave. Cjty: Wayzata Z�p; 55391 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑Door(s) �Remodel ❑Water Damage ❑Window s Minnehaha Creek Watershed District(MCWD) ( ) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 �Siding B Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 �Re-roof ❑Fire Damage www.minnehahacreek.orq Ovet'all ProjeCt DesCflptfon: Tear-off and Replacement of existin roofin Estimated Construction Valuation of Project(excluding land) s 15,000.00 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 altemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is dassified 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 subjed of the data. Confidential data is information which generally cannot be given to either the public or the subjed of the data. Our purpose and intended use of this inforrnation is to annually update our records and records of other govemmental agencies required by law. If you refuse to supply�formation,the application may not be issued. .�`� Applicant's Signature: �',:,�/,� /' Date: 04/27/09 Reset Form � DA TIME ✓ �CITY OF ORONO CALLED IN � INSPECTION OTnICE/��/'� SCHEDULED _S y.�, '� PERMIT NO. �7'L/t/ COMPLEfED ADDRESS � i� �(�- OWNER ` CONTR. / � � c.<< j� TELEPHONE NO. � J 0 S�a'r.�c � DESCRIPTION - � ❑ FOOTING ❑ MECHANICAL RI EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL Z ❑ WALL BD. O 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 FINA� ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO y COMMENTS: � W o_ � � O �. � O � W � Q � Z W � W � � d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ItJSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: rn Inspector. 1 r-i Y ) �S White Copyllnspector's File Canary CopylSite Notfce � —� �� DA TIME � CITY OF ORONO CALLED IN G INSPECTION NO ICE SCHEDULED D� -��U PERMIT NO � �� COMPL Ea ADDRESS �S OWNER CONTR. TELEPHONE NO. � —�� gl� Y � DESCRIPTION �l6--�� 1 � � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS y ❑ INSUTATION ❑ 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 ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS � G�� a � ! �� 0 a � 0 � W � Q � Z W � W � � d �� W� ❑WORKSATISFACTORY:PROCEED VL9,PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED , ❑ 13SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice