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Home My WebLink About2009-00252 - roofing CITY OF ORONO PERMIT NO.: 2009-00252 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 05/26/2009 952 249-4600 FAX: 952 249-4616 ADDRESS 220 NORTHGATE RD PIN 36-118-23-41-0051 LEGAL DESC NORTHGATE TWO LOT 001 BLOCK 007 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-CEDAR ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 50,000.00 NOTE: TEAR OFF&REROOF HOUSE WITH CEDAR SHAKES,REPLACE WINDOWS,VINYL/WOOD. APPLICANT PERMIT FEE SCHEDULE 681.75 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 25.00 5145 INDUSTRIAL ST SUITE 103 TOTAL 706.75 MAPLE PLAIN,MN 55359 (763)479-8700 Minnesota State License#: 3247 OWNER SEE,HENRY&GAIL 220 NORTHGATE 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 confo ance with the State Building Code.This permit may be r%yoked at anelly ti e use. N/ v / Applicant Perrnitee 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: 0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: Esso4`� 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: ; �p �Ju(L y^<.,n a( Will this be a Parade of Homes, Remodeleri 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 will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: A 1151 oc_ State License# a0(,3(5 Expiration Date: 3 -31 - /o Phone: -)(D 3-y ?f -b Ivo (office) (cell) Mailing Address: y . Ci /o„. ZIP553-�, Contact Person: P-e LL_(! ,o Applicant is: ontra or / Homeowner (Circle One) Email and/or Fax: ,�3-V 2 5-.&& oU PROPERTY OWNER INFORMATION: Name: 60 ;f , u Phone (day): -L)7 -6 7-.5 Address: City:L��,2"1 , . ZIP: 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) 5Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 [�_Re-roof ❑ Fire Damage www.minnehahacreek.or Overall Project Description: ,,? o, 1c,,4, / Estimated Construction Valuation of Project(exclu ing land) . $ 50 VOCI / APPLICANT ACKNOWLEDGEMENT , Z,7_� ��- • Agrees to provide all information required or requestecT 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 refus upply the information,the application may not be issued. Applicant's Signature: Date: -5) Last Updated: 05-04-2009 / CITY OF ORONO CALLED IN DATE TIME A) INSPECTION NOTIC n SCHEDULED PERMIT NO. '"� p_ M 11 FED ADDRESS OWNERT L PHONE NO. CONTRACTOR /'`p DESCRIPTION 6 g , tW ❑ FOOTING El PLUMBING Fit ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z eINAL TION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ SEWER HOOK-UP ❑ COMPLAINT v SITE ❑ SEPTIC MAINT. ❑ DEMO-FINAL 110 HARD SEPTIC INSTALL HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWN MEET YOU:_YES_No MEN ,L J O 0 W QC Q W W C3 UJ 0 WORK SATISFACTORY:PROCEED ROJECT COMPLETE ❑CORRECT WORKS PROCEED ❑I UE CERTIFICATE OF OCCUPANCY 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 OwneNContractor on site: Inspector. White Copyfinspector's File Canary IyWe Notice