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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. 710 I / // b5/ QYJ'ICe/'/ / 9-7 4� 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 0J ` 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 � � 0�� C ,� ro , 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 i / l) ❑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 6ped PERMIT NO.QIAD9,)O5A5 Lowy ADDRESS 7GLS 46.1 Lo Z.4.4_-e- ed, _ �� A a 4 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: cc Lu 19e t,vim, # 'T A .9 :J v r FC r- 0 17G..k , T k ,.Sr e5 au o-r coAP CC LL aro,o ao(.iC' A 54,E Iie/5k Aife Q rxSe-hci/J Bef0 e &i'c 1 :CA -'u"J Q.'C fii:re S (..Z(DT S v + C ,v, .. .-%—. W cc NIo I-7 A) ‘ ( tveaJ s d 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: cc Q. /t4 ��T vA S, 4-e bj. ""1- �OA *r1) C-I-J r o TUB 7e '9C O cc p. c fL( CS T&) CAU- ®F W Lu cc 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. � i White Copy/Inspector's File Canary Copy/Site Notice