HomeMy WebLinkAbout2009-00565 - roofing CITY OF ORONO PERMIT NO.: 2009-00565
2750 KELLEY PARKWAY
ORONO,MN 55356- DATE ISSUED: 09/09/2009
(952)249-4600 FAX: (952)249-4616
ADDRESS : 705 OLD LONG LAKE RD
PIN : 36-118-23-32-0006
LEGAL DESC : REG.LAND SURVEY NO. 0988
: LOT 000 BLOCK 000
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : 0/S BUILDING-UNDEFINED
VALUATION : $ 3,500.00
APPLICANT PERMIT FEE SCHEDULE 103.25
DAN NETKO EXTERIORS STATE SURCHARGE(VALUATION) 1.75
25821 168TH ST NW
BIG LAKE,MN 55309- TOTAL 105.00
(612)418-0678 PAID WITH CC# 3591
Minnesota State License#:20060494
OWNER
GOPINATH,MR.&MRS.
705 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.
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Applicant Permit; ' gn tune Date Issued By Sign tune Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
09/08/2009 03: 00 7632631004 DAN NETKO EXTERIORS PAGE 01
.I
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.) _
Mailing Address_ Permit number: 2Ocq.- ,( S
V.lO 4 PO Box 66 q
Crystal Bay, MN 55323-0066 Date received: /9) C9
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` Street Address: Received by:
ill .: 2750 Kelley Parkway Plan review fee:
i 1i�. Orono, MN 55358
__ Total Fee: f
Main; 952-249-4600 Fax: 952-249-4616 www,ct.or no.rpp us 0 �'� _
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION: 106
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Job Site Address: ICA
Will this be a Parade of Homes, Remodelers Showcase me or other Display Home? Yes No
If yes,a specie/event permit is required with Police Department and City Council approval 60 days prior to the event. Snuffle bus service ill
required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed.
CONTRACTOR/AP- !CANT NFORMA ION:
Name: 7110.4.t ,__s ' brS
State License# a-11 ,• ' Expiration Date: 63 i 8
Phone: • office , l ) ;-• , ! cell
Mailing Address: �',^ 1 ,�i Eri 5 ' Cit : ft__, _6. . . ZIP: S 3 0•
Contact Person; �'>�i N_g,k14, Applicant is: figiariO / omeuwner prole one)
Email and/or Fax: Yee-i-ice (i fin -4,..5_, Y1Q*
PROPERTY OWNER FOR T1ON:
Name: a r 61(46-114,,\
Phone(day):
Address: � � _ City: ZIP:
Email and/or Fax '1
PROJECT INFORMATION: /' "o\
Type of Project: l;
0 Door(s) in Remodel ❑Water Damage
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❑Window(s) ❑ Repair 0 Storm Damage
12Siding 0 Restoration ❑Other: (specify) /{ (kw), f‘,.
,„, ,,
Re-roof ( ❑ Fire Damage
Overall Project Description:
Estimated Construction Valuation of Project(excluding land) t
APPLICANT ACKNOWLEDGEMENT: �
• Agrees to provide all information required or requested by the Buildi 1
• Certifies that the information supplied is true and correct to the be rt they
are solely responsible for submitting a complete application being awcw. ,..o, ..r.... ._.._._ ._ __ __, _ 'native
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 generaly 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: 9tQA-_--' }���" _ ` ) Date: g( 1/0 7
CITY OF ORONO CALLED IN /40/ DAT
INSPECTION NOTICE SCHEDULED /D 4 O 9TIME V
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PERMIT NO.QIAD9,)O5A5 Lowy
ADDRESS 7GLS 46.1 Lo Z.4.4_-e- ed, _
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OWNER ONTR. c
TELEPHONE NO. ,4?AL/1/1J' 7�7.73 — o3 - —2A 7z
DESCRIPTION ,.....7ve 7e �I‘j
0 FOOTING 0 MECHANICAL RI 0 EXCAV/GRADING/FILLING
4.y
0 FRAMING 0 MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
Q 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 TREE REMOVAL
0 WALL BD. 0 WATER HOOK-UP 0 SITE INSPECTION
L 0 SEWER HOOK-UP 0 PROGRESS
DEMO-SITE ❑ SEPTIC MAINT. 0 COMPLAINT
v 0 DEMO-FINAL 0 SEPTIC INSTALL. 0 FOLLOW-UP
0 PLUMBING RI 0 SEPTIC FINAL 0 HARD COVER REMOVAL
v 0 PLUMBING FINAL 0 FOUNDATION/REMOVAL
vi OWNER/CONTRACTOR TO MEET YOU:_YES_NO
(1 COMMENTS:
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Wi ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W CICORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V 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
Ot+merlContractor on site: 6-�rQ1�S
Inspector.
White Copyllnspector's File Canary Copy/Site Notice
DATE TIME I
CITY OF ORONO -(,& CALLED IN
t
INSPECTION NOTICE ') SCHEDULED br9rlf
PERMIT NO. COMPLETED
ADDRESS �69z of F t r34s ) A ke .<
OWNER CONTR. N e 1CZ'c7
TELEPHONE NO.
DESCRIPTION g vO ' 'NA-/
❑ FOOTING ❑ MECHANICAL RI ❑ EXCAV/GRADING/FILLING
4.
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORE/WETLANDS
❑ INSULATION ❑ WOOD BURNER/FIREPLACE
0 TREE REMOVAL
Z ❑ WALL BD. ❑ WATER HOOK-UP 0 SITE INSPECTION
Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS
❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT
✓ ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP
_ ❑ PLUMBING RI CISEPTIC FINAL 0 HARD COVER REMOVAL
v CIPLUMBING FINAL 0 FOUNDATION/REMOVAL
‹.--- OWNER/CONTRACTOR TO MEET YOU:_YES_NO
o COMMENTS:
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Lu ❑WORK SATISFACTORY:PROCEED )ROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
U 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.
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White Copy/Inspector's File Canary Copy/Site Notice