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HomeMy WebLinkAbout2009-00779 - roofing t _ CITY OF ORONO PERMIT NO.: 2009-00779 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11102/2009 (952)249-4600 FAX: (952)249-4616 ADDRESS : 525 ORCHARD PARK RD PIN : 31-118-23-14-0002 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 11,420.00 NOTE: TEAR OFF AND RE ROOF HOUSE AND GARAGE APPLICANT PERMIT FEE SCHEDULE 221.25 CAPSTONE BROS.CONTRACTING INC STATE SURCHARGE(VALUATION) 5.71 216 N.RIVER RIDGE CR. BURNSVILLE,MN 55337- TOTAL 226.96 (952)882-8888 PAID WITH CC# 8955 Minnesota State License#:20609967 OWNER AL,RANDALL WEESTRAND ET 525 ORCHARD PARK RD LONG LAKE,MN 55356 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 revs d at an time for due cause. A. itee Signature Date Issued By Mature �� Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABA E. Nov 02 09 11:53a CAPSTONE BROS 9528828885 p.2 r City of Orono i Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. 0.�, s Cr Box 66 Crystal Bay,MN 55323-0066 Date received: ,s Received by: A Street Address: \ '��J',i s 2750 Kelley Parkway Plan review fee: •V 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) GEN - L INFORMATION: ` Job Site 'ddress: �j�-5 0 r61 o rd FOtr' -- 9_a . Will this i e a Parade of Homes, Remodelers Showcase Home or other Display Home? 0 Yes No 'f yes, = •ec/al event permit is required with Police Department and City Council approval 60 days prior to the event, Shuttle bus service will be requited unless applicant demonstrates sufficient on-ale parking is available. Non-permitted events will not be allowed. CONTRA TOR l APPLICANT INFORMATION: Name: Ccs ,-toric n{os. COn\- ac\-71m ITn.0. State U - se U 70 vOcl Q tril- Expiration Date: 3--20[- 2-010 Phone: q5a- 8•'D.- 8: '8 (office) -i91a--564,- L4.1 13 (cell) Mailing A, •ress: . to . ' ",v ' 'cl•. CI rat. Ci : ?aA a S -MR- ZIP: ��j3'� Cor tact - rson: AMMER - * Applicant is: • ' -ctor / Homeowner (throe) Ell an• or Fax: coo( #- Q J-D- - 8'8 7-- 8 2 g PR9PE- OWNER INFORMAT ON: Na e: ondy We e ..sk-rcknd Ph (d-,): g-- , - O (0S Ad P�,�-5 0 r actor- Bark- Col City: 0Y-0,1'10 ZIP: 55 551=. E il an• or Fax PRQJE a INFORMATION: Ty p li of • •Ject Any earth movement may require MCWD review&permits ❑ or(s) 0 Remodel 0 Water Damage Minnehaha Creek Watershed District(MCWD) ❑ o s) ❑Repair ❑Storm Damage 18202 Minnetonka Blvd Deephaven,MN 55391 ❑ ding 0 Restoration 0 Other. (specify) Phone: 952-471-0590 ` Fax 952-471-0682 ww 'r1`ICf ro•' ❑Fire Damage w.minnehahacreek.oro Ov II • • ectDescription: 'Tea r 0-4 And R.- fcoc• V1ou�e.. o. AC.roi$2. i a Construction Valuation of Project(excluding land) $ 11 i tJ 9 tr. 00 V APRLIC • T ACKNOWLEDGEMENT: T -=s to provide all information required or requested by the Building Department; ' - iles that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they k a solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no alternative b to reject it until it is complete; • e or all of the information that you are asked to provide on this application is classified by State law as either private or -• 'dental. Private data is information which generally cannot be given to the public but can be given to the subject of the d, =. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our p ,••.,= and intended use of this information is to annually update our records and records of other governmental agencies _. ired by law. If you refuse to supply the information,the application may not be issued. � �1 App nt' Signature: Date: \1� d_ 0 Last ... =' 05-04-2008 ILj1,����� DATE TIME "!: IT OF ORONO CALLED IN 1/_ INSPECTION NOTI 9 SCHEDULED //_3 -CA l,6V PERMIT NO.4706777 COMPLETED ADDRESS 5 05 r(-__ ' A )CSS ll Pd OWNER CONTR. 00- ty `0 t -&20 �-/p TELEPHONE NO. 5 a `Z� O ?„5 DESCRIPTION ,7 4, ❑ FOOTING ❑ MECHANICAL RI '' XCAV/GRADING/FILLING ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ LAKESHORENVETLANDS 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ TREE REMOVAL • ❑ WALL BD. 0 WATER HOOK-UP ❑ SITE INSPECTION Q ❑ FINAL ❑ SEWER HOOK-UP ❑ PROGRESS ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ COMPLAINT Q ❑ DEMO-FINAL ❑ SEPTIC INSTALL. ❑ FOLLOW-UP ? ❑ PLUMBING RI ❑ SEPTIC FINAL 0 HARD COVER REMOVAL ❑ PLUMBING FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: CC W 0.. CC O CC O W CC W W CC d IQ WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE IAA ❑ ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. LI 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. LJ -( l S White Copyllnspector's File Canary Copy/Site Notice O pe ` ]DATE TIME \/ CITY OF ORONO CALLED IN !a-3 INSPECTION NOTICE SCHEDULED fa- —D PERMIT NO.d —0"779 COMPLETED .DJ ADDRESS 5 t5 Orc & Pik- 1O OWNER Klf CONTR. CapSV`nfte TELEPHONE NO. 4 S2 "1-742 ,224 E DESCRIPTION Fina( i - f/ L ❑ FOOTING 0 MECHANICAL RI 9 EXCAV/GRADING/FILLING Q 0 FRAMING ❑ MECHANICAL FINAL 9 LAKESHORE/WETLANDS H 0 INSULATION 9 WOOD BURNER/FIREPLACE 0 TREE REMOVAL Z 0 WALL BD. 0 WATER HOOK-UP 9 SITE INSPECTION Q 0 FINAL 0 SEWER HOOK-UP ❑ PROGRESS 0 DEMO-SITE 0 SEPTIC MAINT. 0 COMPLAINT ✓ 0 DEMO-FINAL 0 SEPTIC INSTALL. 0 FOLLOW-UP 0 PLUMBING RI 0 SEPTIC FINAL 0 HARD COVER REMOVAL 9 PLUMBING FINAL 0 FOUNDATION/REMOVAL I( OWNERICONTRACTOR TO MEET YOU: YES_NO u,• COMMENTS: cc cc cc W cr Q W W O Ai W� ❑WORK SATISFACTORY:PROCEED G�ROJECT COMPLETE W CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT O 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 OwnerlContractor on site: Inspector. f i 16 I rL 0LJ White Copy/Inspector's File Canary Copy/Site Notice