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Home My WebLink About2010-01031 - roofing CITY OF ORONO PERMIT NO.: 2010-01031 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/19/2010 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 490 OLD LONG LAKE RD PIN : 36-118-23-34-0010 LEGAL DESC : SUMMIT STATION : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 64,913.69 APPLICANT PERMIT FEE SCHEDULE 794.25 WALKER ROOFING CO.,INC. 2274 CAPP RD STATE SURCHARGE(VALUATION) 32.46 ST PAUL,MN 55114 TOTAL 826.71 (651)251-0910 PAID WITH CC# 4291 Minnesota State License#:4229 OWNER WIKEN,LAWRENCE&BARBARA 490 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. / ar7W-,4 /07?0/7 Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 10!19/2010 13: 20 651 251 091 6 WALKER ROOFING PAGE 02 City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc. Meiling Address: Permit number: '&1/0-0 /(;3 4g,� \\ PO Box 66 o, Crystal Bay, MN 55323-0066 Date received: I C / /Q / /(- .� �„ ,- Street Address: Received by: ", j�/ C \ i `,.;.;.:41,.. ° i 2750 Kelley Parkway Plan review fee: .1 1, Orono, MN 55356 Main: 952-249-4600 w, Fax: 952-249-4616 wwci.orono.mn.us Total Fee: F2 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: 4110 0t- D Lo -)c 1..A- k C Rb 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 Pollee Department and City Council approval B0 days prior to the event. Shuttle bus service will e required unless applicant demonstrates sufficient on-site parking Is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICANT INFORMATION: Name: j j AL IS-0'e- 12-00 15.I/Jc-t State License# e-I 2?�1 Expiration Date: 3 /511 2r- Phone: fir,L -2,6\ _pct t D (-office) (cell) 2?7 y ( Mailing Address: a'tf f 9J) Cit : 7.11.004-JL ZIP: SSI 1 qContact Person: Applicant Is: ontract / Homeowner (Circle one) Email and/or Fax 4- ,g• ,01-10 t'nr,AhLlr- CO*? PROPERTY OWNER INFORMATION: Name: BAUB31198 i K Phone (day): 40_r-t-1 7L-0.• Z, Address: _t __91;) of Q 1-/R46 R.C2., City: Q-' it ZIP: 55 3q1 Email and/or Fax PROJECT INFORMATION: Typo of Project: I Any earth movement may require MCWD review &permits Cl Door(s) ❑ Remodel ❑ Water Damage Minnehaha Creek Watershed District(MCWD) ❑ Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding G" ❑ Restoration n Other: (specify) Phone: 952-471-0590 ,� Re-roof Fax: 952 471-0682 ❑ Fire Damage wvvw.minnshahacreek,orq Overall Project Description: 1-6---(1 ,O 112-0-00-r o r e. 1--bJs- Estimated Construction Valuation of Project(excluding land) $ 6, 9,3, Li 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 suPely the Information,the a. lication ma not be issued.4Thif7 Applicant's Signature: --ADate: /t7 9 ti I 0 Last Updated: 05-04-2009 D-T /, TIME r/ CITY OF ORONO CALLED IN �r� INSPECTION IC _D/� SCHEDULED ).11 = PERMIT NO. ` COMPLETED ADDRESS V .0 /�0 � ( r • / / - OWNER /� i I TEL • d•NE NO. 5`-.�3g'S 0749 CONTRACTO-ffl�MfAir — v DESCRIPTION z. , � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADIN ILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC W V e 0 cc 0 W Q W z Lu cc WCC YORK SATISFACTORY:PROCEED CIPROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: /� Inspector. L.16-1 23 _._S White Copy/Inspector's File Canary Copy/Site Notice