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