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Home My WebLink About2009-00193 - roofing � - , CITY OF ORONO PERMIT NO.: 2009-00193 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: OS/OU2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 460 NORTH ARM DR PIN : 06-117-23-31-0004 LEGAL DESC : VICTORIA ESTATES : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS � PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 16,400.00 NOTE: TEAR OFF AND REROOF HOUSE AND GARAGE APPLICANT pERMIT FEE SCHEDULE 295.00 AMERICAN BUILDING CONTRACTORS STATE SURCHARGE(VALUATION) 8.20 2960 NDICIAL RD#100 TOTAL 303.20 BURNSVILLE,MN 55337 (952)707-6959 Minnesota State License#:20169383 OWNER WANNER,THOMAS& SUSAN 460 NORTH ARM DR MOUND,MN 55364 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 separate 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 wnstruction 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 responsi ing all required inspections aze requested in con nc S 'ding Code.This permit may be revoked at 'ne ue c s � � � �1>/ lO Date Issu d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. � - � 1�a� City of Orono Building Permit Application Mailing Address: Permit number: p�� —�� Og,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ��O/ O a, ; s, Street Address: Received by: 's,�, �titi 2750 Kelley Parkway Plan review fee: ,�j r9kESSO4'� Orono,MN 55356 � Total Fee: � Q�j, �Q 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: � . .�'. 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 approval 60 days prior to the event. Shuttle bus service wi 1 be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Phone: office cell Mailing Address: p �t'�,,1 ` Cit : �/' �E ZIP: �j Contact Person: - c Applicant is: ontrac or / Homeowner �ci►�ie o�e� Email and/or Fax: Glc�-`t p�_C�G��„� PROPERTY OWNER INFORMATION: Name: �OVYIAS '� $c,�$�i�'l �JI�G�f'1,1'12Y" Phone(day): �r-z��.:D¢�(1 Address: �(o�- �, �-m Qr. City: �u.f'ld ZIP:Fjrj3(p'� 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 8 Restoration ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 Re-roof ❑Fire Damage www.minnehahacreek.orq Project Description: �' y• . �$S ! Estimated Construction Valuation of Project(excluding land) $ � 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 required by law. If you refuse to supply the information,the application may not be issued. Applicant's Signature: ��I�IN�' �� Date: �'�� , ��"`��r � �� b'r�� " � � _'• �� a �. �� b � nh'. ��P�� -� ��u�� i-�. �v DAT TIME CITY OF ORONO CALLED IN U � �� INSPECTION NOTICE SCHEDULED .—f�'F�� PERMIT NO�UI�I'9`�U�f� COMPLETED ' 1 ADDRESS � OWNER CONTR. TELEPHONE NO. � � � " �"l� 75� � DESCRIPTION ' � ❑ 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 ❑ WARD COVER REMOVAL J ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W a � � O ). � O � W � Q � Z W � w � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORREC7UNSAFECONDITiONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site• Inspector. �il, ./"Z �\ White Copyllnspector's Flle Canary CopylSite Notice �� I1!/' /a[� TIME v CITY OF ORONO CALLED IN v r � INSPECTION NOTICE SCHEDULED PERMIT NO.�� —�� COMPLETED ADDRESS �� N ' �m De • OWNER CONTR. �`lYYL/"lC�f� �� TELEPHONENO. ��a �o� ��cl � DESCRIPTION ��n� � � ❑ 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 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 y COMMENTS: � W C j O � � O � W � Q � 2 W � W � � � � / ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ I6SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � ` � White Copyll�spector's File Canary CopylSite Notice