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HomeMy WebLinkAbout2009-00494 - roofing CITY OF ORONO PERMIT NO.: 2009-00494 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/17/2009 952 249-4600 FAX: 952 249-4616 ADDRESS : 581 NORTH STREAM RD PIN : 25-118-23-34-0005 LEGAL DESC : NORTH STREAM : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 93,713.00 6 APPLICANT PERMIT FEE SCHEDULE 1,011.75 J BENSON CONSTRUCTION STATE SURCHARGE(VALUATION) 46.86 3230 GORHAM AVE ST LOUIS PARK,MN 55416- TOTAL 1,058.61 (612)920-0717 Minnesota State License#:4740 OWNER LARSON,DAVID&JANIS 581 NORTH STREAM RD 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 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 all required inspections are requested in conformance with the State Building Code.This permit may be revo d at anytime f�dune cause. Q _ 7 Y/--r i17i09 �Q Applicant Ifermitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 'gv 0,11 PO Box 66 0 Crystal Bay, MN 55323-0066 Date received: a Tl a, Street Address: Received by: 2750 Kelley Parkway Plan review fee: r�gE8H04Orono, 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. GENERAL INFORMATION: Incomplete applications will be returned. (Please print)Job Site Address: .5-g'/ /) e, f4 S41-e C •.,7 eo 4 cI Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes D�] 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 will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICAANT INFORMATION: Name: -eo sc)n C_ k State License# 7t/,o Expiration Date: - 3 Phone: C)52- q,-O- 07 office 2- 3 9 3 -99/ e cell Mailing Address: /c) elrCity: Z-O,, a ZIP: S Contact Person: C Applicant is: Contractor / Homeowner (circle one) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Da V, d L a,/ s rah Phone (day): (,/2 _ 7 R 4 2 Address: / n v.- b d City: oeoh o ZIP: SS3 9 J Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ElDoor(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 e-roof ❑ Fire Damage www.minnehahacreek.o Overall Project Description: 4e-o, r © { Y00 Estimated Construction Valuation of Project(excluding land) $ 9`34 -7)3 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. L' Applicant's Signature. � ' Date: Last Updated: 05-04-2009 AT - TIME V CITY OF ORONO '4kCALLED IN 9� / INSPECTION NOTICE SCHEDULED - PERMITNO. a�g-OUk-pCOMPLETED pp ���� ADDRESS �_,S-�-J/�G�'y1 /� OWNER CONTR. TELEPHONE NO. q a ®- �, � �° cedar �ail� DESCRIPTION �-(TC�"r ❑ 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 v ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ FOLLOW-UP ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ HARD COVER REMOVAL ❑ PLUMBING FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU: YES—NO y COMMENTS: W a j O a O W W cc Q W W ccORKSATISFACTORY:PROCEED ElPROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY rj BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Cornractor on site: en Inspector. White CopyllnspectoPs File Canary Copy/Site Notice 0 K_ DATE�� TIME v TY OF ORONO CALLED IN y J'�!,)� INSPECTION NOTICE SCHEDULED oggpe—n PERMIT NO. COMPLETED ADDRESS _Ad OWNER CONTR. 'ass. ) TELEPHONE NO. DESCRIPTION ❑ FOOTING ❑ MECHANICAL RI ❑ EXCAWGRADING/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 ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP i ❑ PLUMBING RI ElSEPTIC FINAL ElHARD COVER REMOVAL v ElPLUMBING FINAL E) FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_,�NO o COMMENTS: ac W a O O a Cc O LL W Ct Q Z W Z W rx- Z) LUEl SATISFACTORY.PROCEED <PROJECT COMPLETE W El CORRECT WORK&PROCEED UE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN El CITATION ISSUED 11STOP ORDER POSTED.CALL INSPECTOR G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. l White Copy/Inspector's File Canary Copy/Site Notice