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Home My WebLink About2009-00699 - roofing � CITY OF ORONO PERMIT NO.: 2009-00699 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 10/13/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 3468 LYRIC AVE PIN : 17-117-23-43-0075 LEGAL DESC : NAVARRE HEIGHTS : LOT 000 BLOCK 005 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 6,300.00 NOTE: TEAR OFF REROOF APPLICANT pERMIT FEE SCHEDULE 147.50 ADVANCED ROOFING STATE SURCHARGE(VALUATION) 3.15 3601 211TH LANE NW TOTAL 150.65 ANOKA,MN 55303- (763)4642084 Minnesota State License#:20630441 OWNER MURRAY,ED 3468 LYRIC 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 does not grant permission for additional or related work which requires sepazate 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 consWction 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 are requested in conformance with the State Building Code.This permit may be revoked an ti for due cause. �D l �� l ��' ' /ol/ l D Applican ermitee Signature Date Is y Signature Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. `*� ��.-�` 'Q'.TMre{sr�'d%�.",,.� .c.� ' ��' . City of Orono � ,,� Building Permit Application for Internal Work & � �� (windows, doors, siding, re-roof, etc.) iz �-d0�� . �O� MailiPO Bo r66. Permit number: �` Crystal Bay, MN 55323-0066 Date received: 1��,�j °� x^, O`�il\�' O I� Received by: ,� t� ��:��.� ,, Street Address: �. €:;: �'.F,t' , ��xp„ Gti� 2750 Kelley Parkway Plan review fee� � �.� `�gE H�`'� Orono, MN 55356 � ' � .' Total Fee: /�� ^Y ��,.: 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: s: ��! Job Site Address: " �((� � (, 2 i L q-U�, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o � ;,, If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Shuftle bus servrce will be a` '��' required unless applicanf demonstrates sufficient on-site parking is available. Non-permitted events will nof be allowed. t` � � CONTRACTOR/APPLICANT INFORMATION: Name: K19V�,•�c.��D �oF�,,,l� �;� �' State License# "Zv�O3oyy� Expiration Date: � 3� �o� o � �= Phone: 7�3 -- �(r�y- 2��y (office) "?�� g7-c �� (cell) '� �, � �,'; Mailing Address: 3 ��t � i ��-� �rt n��w Cit� ,q„��v_,� ZIP: sj� �� Contact Person: J�>�.� /t.tr,y��L,�r Applicant is: ontrac'tor / Homeowner (CircleOne) � �: Email and/or Fax: ;;� ;�R, `� PROPERTY OWNER INFORMATION: � ,� � � ' Name: QA,ti.qL� �osg � � ` Phone (day): �r5z -�t'll- ��On� �' Address: �u�,�, L�'2, c... �,q.viL City: IN,p�'Z4'i�'� ZIP: SJ ��/ �,,. Email and/or Fax F�� PROJECT INFORMATION: �'� Type of Project: Any earth movement may require '�` � MCWD review&permits -�' "'� ❑ Door(s) ❑ Remodel ❑Water Damage �'- Minnehaha Creek Watershed District(MCWD) ��'. �k ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ' Dee haven, MN 55391 �' �,. p �s� ❑ Si ing ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 � � : Fax: 952-471-0682 �� s ,�; Re-roof ❑ Fire Damage www.minnehahacreek.orq �' �"` Overall Project Description:�� (= �� Estimated Construction Valuation of Project(excluding land) $ (p3o� �� '" �� a' ��; APPLICANT ACKNOWLEDGEMENT: ��.: • Agrees to provide all information required or requested by the Building Department; t:,;` �,�; • 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 enerall cannot be iven to either the ublic or the sub ect of the data. Our � �;�, 9 Y 9� P 1 � 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. ��' �a� _ - ��, Y � Q r� �k ApplicanYs Signature: �- ,� ��:-..,/� Date: (��/3�n�- � �� -: ,..: - �:, Last Updated: 05-04-2009 �P �•.:, � . �` � °: �"��_ .u._�s��r:", �.�..,a:�. �.tix.._� ...�_�_a'�' ..�.__...,� .��,. �.t�*� � y � ��v �;': � � ,� DAT TIME CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED d PERMIT NO.o�DO�I��COMPLETED ADDRESS � OWNER ONTR. i� TELEPHONE NO. 7� 3 - �—�� DESCRIPTION � `� � ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS y ❑ INSULATION ❑ WOOD BURNER/FIREPLACE O ❑ 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 c�n COMMENTS: O r ��i2v�� V�l� (�� a � o � c��l ��e . � I� l T 'F7'o N�S D F' o �� W a Q � z W � W � � d W �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY W �y��RRECT WORK,CALL FOR REINSPECTION TEMPORARY V FORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. � White Copyllnspector's Flle Canary Copy/Site Notice �iq C / I AT TIME V CITY OF ORONO CALLED IN �D �D INSPECTION N TICE SCHEDULED 9 PERMIT NO. �—�D C PLETER ADDRESS OWNER CONTR. G� TELEPHONE NO. � ��7 � � DESCRIPTION l/ � � ❑ FOOTING ❑ MECH ICAL 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP = p PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNOATION/REMOVAL � OWNERICONTRACTO O MEEf YOU:_YES�NO _ � COMME TS: � l W � 0. � J � �T G � �'a�• �• � . � ° ��i�4 t �- '�� s��.S S r�+-.�� t /�3� v Sc� W ' Q �it ! `� D�c IQbc>F, Sl o p�S of � _� �d t a v� G��A-�'. z � W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V �C' PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 2a hours in advance. (952) 249-4600 Owner/Contractor on site: inspector. �J � � White Copyllnspector's File Canary CopylSite Notice