HomeMy WebLinkAbout2009-00755 - roofing � CITY OF ORONO PERMIT NO.: 2009-00755
- 2750 KELLEY PARKWAY
' ORONO,MN 55356- DATE ISSUED: 10/28/2009
952 249-4600 FAX: 952 249-4616
ADDRESS : 2660 MAPLERIDGE LA
PIN : 21-117-23-24-0051
LEGAL DESC : SHORE HILLS
: LOT 020 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEFINED
VALUATION : $ 9,100.00
APPLICANT pERMIT FEE SCHEDULE 191.75
CRAFTSMEN HOME IMPROV INC. STATE SURCHARGE(VALUATION) 4.55
7455 FRANCE AVE S#194
EDINA,MN 55435- MAIL-IN FEE 2.00
(651)430-2244 TOTAL 198.30
Minnesota State License#:20270884
OWNER
YEAGER,KARL&JULIE
2660 MAPLERIDGE LA
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 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 goveming this type of work
shall be compied with whether or no[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 are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
`YYIa.I.� t�t, � � l l
Applicant Permitee Signature Date Issued By S' ature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV
-r��
City of Orono ab
� Building Permit Application for tnternai Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number:
Og,�,�.0 PO Box 66
Crystal Bay, MN 55323-0066 Date received:
`;
a � �"9� s.� Street Address: Received by:
�, �� W� GtiF 2750 Kelley Parkway Plan review fee:
�kESH�g'� 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: ,� �pQ � 0.��� Q
Will this be a Parade of Homes, Remodelers Show ase Hom or other Display Home? ❑ Yes �No
If yes,a specia/event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be
required un/ess appficant demonstrates su�cient on-site parking is avaifable. Non-permitted events will not be al/owed.
CONTRACTOR/APPLICANT INFORMATION:
Name: (XGc�fSV�►P.vi l�btMP ��v1��D1/Pc�,�L►��5, -r1C
State License# �Cj�-7�� Expiration Date: �-,�/-//�
Phone: (?Sl-tf3D-1 3�Ff (office) (celf)
Mailing Address: S'S Ci : ZIP: SS�3S
Contact Person: J�?q,�,� (�,�l;J,� Applicant is: ontractor / Homeowner �c��ae o�e�
Email and/or Fax: �,,� /aS/- �f3� - 3�7p�
PROPERTY OWNER INFQRMATION:
Name: �l � Jl�,�,r�, �P��d'
Phone(daY): 9Sa� �{�l-3�-��>
Address: ��(z� �/p�-i�,��_� City: ��{�"L_ ZIP: ,SS33/
Emait 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
�eephaven, 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.��,,t.-D�� �-�'�-vo� h 9�ssL d-�i ati� �0�1��/>.S
Estimated Construction Valuation of Project(excluding land) q�a�'='
APPLICANT ACKNOWI.EDGEMENT:
• 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.
ApplicanYs Signature: Date: �v'"�"�'' `��
Last Updated: 05-04-2009
O�� TE TIME V
CITY OF ORONO ca�LED IN '� �
INSPECTION OTI E SCHEDULED .Q Q� �
PERMIT NO. ��� � COMPLETED
ADDRESS �ri-�
OWNER CONTR. Q-�
TELEPHONE NO. �S� �3� �3�g
� DESCRIPTION �`eG�(. (1T 1
� ❑ 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
Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
i ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
�
W
a
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�
d
o��RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
W ❑ RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN
INSPECTOR WlLL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Cati for the next inspection 24 hours in advance. (g52) 249-4600
OwnedConUactor on site:
Inspector. . � �' f
White Copyllnspector's File Canary Copy/Site Notice
J '� �►/ ��n DATE � TIME
CITY OF ORONO ^ `ca��E�iN �/� - 7� �
INSPECTION NOTICE SCHEDULED _H__�_ R�
PERMIT NO.��;),�(�j-('k)�]`��connP�E1E�
,`� :
ADDRESS - � � � � •
OWNER � CONTR. �
TELEPHONE NO. � �' f' ���
� DESCRIPTION 'Y1 C� � G� C�
� ❑ FOOTING ❑ MECHANICAL RI EXCAV/GRADING/FIL�ING
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
� ❑ 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. ❑ COMPIAINT
� ❑ DEMO-FINAL ❑ SEPTIC�NSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL
J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES�NO
� COMMENTS:
�
W
C
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE
W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
G INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours irt advance. �95Z� 249-46QQ
Owner/Contractor on site:
� t �
Inspector. ,�o [' �, ��
White Copy/inspector's File Canary CopylSite Notice