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Home My WebLink About2011-01108 - roofing CITY OF ORONO PERMIT NO.: 2011-01108 �• 2750 KELLEY PARKWAY � ORONO, MN 55356- DA7'E �SSUEn: 09/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3100 RIDGEWOOD CIR PIIv : 04-117-23-23-0023 LEGAL DESC : ROUTSON ADDN : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING- UNDEFINED VALUATION : $ 18,000.00 NOTE: VALUATION OF PERMIT:$18,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DUR[NG THE T[ME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 309.75 DAVID PRICE CONST. INC. STATE SURCHARGE(VALUATION) 9.00 217 SOUTHWOOD DR CANNON FALLS, MN 55009- TOTAL 318.75 (612)685-8891 Minnesota State License#: 20112895 OWNER BURNS,GARY& STACY 3100 RIDGEWOOD CIR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which diis permit is issued shall be performed according[o 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 pennits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permi[will expire and become nuil 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 re d in conformance with the State Building Code.This permit may be e�ked at any time f e ause. ;//,� � I(�'"i � � �� 3� �1 `�� < c��, �i, �� Applicant Permitee Signature Date Issued By Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � j . „ �;�� €��,�.�t 3 �_, � � -v^' � � �f City of Orono � f -�� ,� � x � b �.` �uilding Permit Application for Maintenance / Renovation �y�.r r.��;� ` �: �,' (windows, doors, siding, re-roof, etc.) � � Mailing Address: �,:� '" �,�,�. PO Box 66 Permit number: � , �, � Q Crystal Bay, MN 55323-0066 Date received: �� ' ��' `� r � Received by: }� ��' a � � � �� F Street Address: � �'.�c, � "'�'I� �,ti 2750 Kelley Parkway Plan review fee: �� Orono, MN 55356 �` t`�kEsxos`'' �— Total Fee: '�y Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ;a�=� This application form must be completed in full and all required information must be submitted. '.�� Incomplete applications will be returned. (P/ease print) �� GENERAL INFORMATION: �; � Job Site Address: `� � �0 � .� /-� � n �}�'?� � � 3 �� `l � .�1 JC_-� . � �� Will this be a Parade of Homes, Remodelers Sh case Home or other isplay Home? ❑ Yes ❑ No �`�' If yes, a special event permit is required with Police Department and City Counci/approval 60 days prior to the event. Shutfle bus service will be c� � required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. t_� � � � CONTRACTOR/APPLICANT INFORMATION: � E �,� 1 � �;,:; Name: fl . .; � d ��t C i- � v�, 5� �n.. � �; � State License # �� R C�5' Expiration Date: 3 � �' Lead Certification Number: Expiration Date: :; (for work on homes that were constructed prior to 1978 '�: Phone: � ( �, — (� g 5 — 4�g�' (office) � t �- ��5 — �� (cell) � Mailing Address: o� I � �`' U � l,z; c; 1c� ,C City:C�txv.ev� F'ea� (s ZIP: 5��[;c Contact Person: �R'� �E Applicant is: ontracto / Homeowner (Cirde One) '�-�� . Da�� t � ��, Email and/or Fax: � d � �'4 �, ci.a.v . � ��c c_`, +,` �(�2��c,o � ; G 6 �.1 �` —� .� � ' PROPERTY OWNER INFORMATtON: �� .� �.. Name: 5� ��,c d Lia � t� �, �k Phone (daY)� s� - — ! �'Z� , �; Address: � l O O �ti - w � � C ; R City:�, _ �; ZIP: '` � Email and/or Fax �� PROJECT INFORMATION: �- ,,� ;�. Type of Project: Any earth movement may require �,,; ❑ Door(s) ❑ Remodel MCWD review&permits: s� ❑ Fire Damage �� ; Minnehaha Creek Watershed District(MCWD) �; �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � '' ❑ Re-roof, cedar Deephaven, MN 55391 �� ,�� ❑ Restoration ❑Water Damage ,: Phone: 952-471-0590 ��« ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 '�� ; www.minnehahacreek.orq �'J ❑Window(s) _ �,t; ��_' Overall Project Description: � �oa� �� . �� Estimated Construction Valuation of Project(excluding land) $ � �, (,�'7� C, `� �� f ' APPLICANT ACKNOWLEDGEMENT: E� • 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 n� 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; �� f�'' • 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 enerall cannot be iven to the ublic but can be .; 9 y g� p 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 '` 4 ' �'�� purpose and intended use of this information is to annually update our records and records of other governmental agencies � re uired b law. If ou refuse to su I the infor tion,the a lication ma not be issued. � �� "} ApplicanYs Signature: � � Date: CI (� �,. �,; �..;, ,,;: Last Updated: 08-09-2011 .�; ��;, _ � � ��/�' / TIME / `� � � CITY OF ORONO ALLED IN ��/ / INSPECTION N TICE //� SCHEDULED /O / PERMIT NO. 0 -� � COMPLETED ADDRESS �OD l !S� OWNER ` LEP�IONE NO. - -�8��7 CONTRACTOR �J �; DESCRIPTION �`� � � � FOOTING ❑ PLU BI FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTI FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a o r c f� �- S —�-�� 0 � W � Q � 2 W � W � � � � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on sit . Inspector. / /'J r� White Copyllnspector's File Canary CopylSite Notice