HomeMy WebLinkAbout2010-00949 - roofing CITY OF ORONO PERMIT NO.: 2010-00949
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 10/05/2010
(952)249-4600 FAX: (952)249-4616
ADDRESS : 470 OLD LONG LAKE RD
PIN : 36-118-23-34-0012
LEGAL DESC : SUMMIT STATION
: LOT 005 BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 29,190.24
NOTE: TEAR OFF AND REROOF HOUSE AND GARAGE
APPLICANT PERMIT FEE SCHEDULE 466.75
WALKER ROOFING CO.,INC. STATE SURCHARGE(VALUATION) 14.60
2274 CAPP RD TOTAL 481.35
ST PAUL,MN 55114-
PAID WITH CC# 4291
Minnesota State License#:4229
OWNER
ENGEBRETSON,PEDER&LINDA
470 OLD LONG LAKE 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
revoked at any time for due cause.
Lei /a 5 / /0 : ' cx-� /D/ 5 l /D
Applicant Permitee Signature Date Issue Ity Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
10/05/2010 10:25 6512510916 WALKER ROOFING PAGE 02
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City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.)
Mailing Address: Permit number: '3 aio GYM 9/9
(').49- ------=---4:3-41)4 f PO Box 66
Crystal Bay,MN 55323.0066 Date received: /D/Jr//711 St eef Address: Received by:''i� ' 2750 Kell Parkway lit Orono,MN 55356 Plan review fee:
Total Fee: 1 /8/ ,e
Main: 952-249-4600 Fax: 952-249-4616 www.ci,orono,mn.us 'j
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 Slte Address: LI-70 OLP L iy4 LJ c (?.o
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? [] Yes il2No
if yes,a special event permit is required with Police Department and City Council approval 50 days prior to the ovent. Shuttle bus service will be
required unless applicant demonstrates sufficient on-alto parking is available. Non permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: WALKF Rnnct, • ,
State License VI WESTWAY EXTERIORS INC Z' Expiration Date: _341142.4t,II,
Phone: " " • 4 (office) ubSl�'���i—d •lId (cell)
Mailing Address: Ci : ZIP:
Contact Person: , , Applicant is: ontra or Homeowner (Circle one)
Email and/or Fax:
PROPERTY OWNER INFORMATION:
Name: P66/4[+(6 l TSos.)
Phone(day): q_.52- 2.3'1-41 1
Address: q7( OLD Lori(( Lor 6 'gyO City: 0j2.0/1JO ZIP:
Email and/or Fax
PROJECT INFORMATION:
Type of Project: Any earth movement may require
❑ Door(s) Remodel MCWD review&permits
rO ❑ ❑Water Damage
❑ Repair El Storm Damage Minnehaha 6 02 Minnetonka Blvd
eek Watershed ct(MCWD)
❑Window(s)
Deephaven,MN 55391
❑Siding ❑Restoration 0 Other:(specify) Phone: 952-471-0590
Re-roof Fax: 952.471-0682
I
❑Fire Damage www.minnehahaoreek.orq
—
Overall Project Description: ' Ef j1.E�Q a MouSE' D C ,
Estimated Construction Valuation of Proje (excluding land) $ 'Lq t I 90, 211
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 date 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•.1 a information,the a•plicatlon may not be issued.
)IIIIr4 '
IO/c QApplicants Signature: [lir Date; v lb
I
Last Updated: 05-04-2009
Ks_j TIME V
CITY OF ORONO CALLED IN :0;?,-;
/DINSPECTION NOTICE SCHEDULED /O
PERMIT NOPE/0-M9 COMPLETED
ADDRESS 1 -0 al ( Z4.
OWNER TE ONE NO.k`/ -33Z-8-24V
CONTRACTOR i ��/
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• DESCRIPTION J'"C.A"` —`i
LAI ❑ FOOTING ❑ PLUMBING FINAL /' 0 EXCAV/GRADING/FILLING
Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS
" 0 FRAMING 0 MECHANICAL FINAL
0 TREE REMOVAL
Z0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION
Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS
0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT
✓ 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP
_ 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL
v 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL
Z OWNERICONTRACTOR TO MEET YOU:_YES_NO
ti COMMENTS:
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kORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U BEFORE COVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN
INSPECTOR WILL RETURN -
❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED
0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-4600
Owner/Contractor on si :
Inspector. i ..S
White Copyllnspector's File Canary Copy/Site Notice