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Home My WebLink About2011-01543 - roofing CITY OF ORONO PERMIT NO.: 2011-01543 y 2750 KELLEY PARKWAY � � ORONO, MN 55356- DATE ISSUED: 12/13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2600 SIXTH AVE N PIN : 28-118-23-42-0003 LEGAL DESC : FAZENDIN FOREST : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,625.00 NOTE: VALUATION OF PERMIT:$12625.00 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 DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 236.00 COATES ROOFING STATE SURCHARGE(VALUATION) 6.31 5812 WOODDALE AVE. S. EDINA,MN 55424 MISC FEE 0.00 (952)929-8141 TOTAL 242.31 Minnesota State License#: BG 201766 OWNER CARROLL,MR&MRS THOMAS 2600 SIXTH AVE N 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. 1'his permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming 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 consWction 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 a any time for due cause. � - � i /,�3 /2+0� ��., /"�� Applicant Permitee Signature Date Issue y Signature Date / SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �'R.F _ �_ - �i�y► �f O�-��o ,,: ��; � �,t: ��. � ' �uif�iing Permit �ppii�a�Eior� for IV�ainte�an�e / Re�o�a�ion � � (window�, doors, siding, re-roof, etc.) Mailing Address: �' /�,L+o,� PO Box 66 Permit number: � —Q� J �" �� Q Crystal Bay, MN 55323-0066 Date received: / /� � a ��_� ,a '��i� s, � Street Address: � Received by�: t. ��n �� ,� 2750 Kelley Parkway � Pian review fee: �� kEsxo4`�� Orono, MN 55356 '' Total Fee: L% � / Main: 552-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� , This appfication form must be completed in full and all required information must be submitted. >�; Incomplete applications will be returned. (Please print) `' � GENERAL INFORMATION: �r� �`�� Job Site Add�ress: .� � �`'�? �C"z�� G�,�/� � <� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No r;, If yes,a specia/event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus servrce wil/be ; required unless applicant demonstrates sufiicient on-site parking is available. Non-permitted events wil/nof be allowed. � �� CONTRACTOR/APPLICANT INFORMATIO�l: ,� �� =4 Name: �� • p i�r/G --�tJ�, R:a � . State License# �C � ��7 -� Expiration Date: Q - �� Z � 3 � Lead Certification Number. �_ Ex iration Date: �j�Zy�ZO/ �� /1/QT �/�Z�i —/ P �_�_� � (for work on homes that were consfructed prior to 1978 Phone: 'J�SZ '�Z�-- �/y/ (office) �/L—Z7�— 2�1 y� (cell) �, Maifing Address: Z p � - vC City: _ y� ZIP; S—��Zy ,�' Contact Person: �/C—�� 'O�T� Appficant is: ontractor / Homeowner (Circle One) F : Email and/or Fax: �` ;<a ��' PROPERTY OWNER INFORMATION: {„ �„' Name: %j 2-� L/.1i2�Zvl! �x � , €:: Phone (day): GISZ—L/�b3_/,�5�7 � ? � �� Address: Z� �"G� f�v,�1rS� 2.� �= City:/�ti'c, G 11/1� ZIP: �S 1��' �:3 Email and/or Fax � �, . �k.�: �� PROJECT INFORMATION: �� rq Type of Project: Any earth movement may require A� ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: � Minnehaha Creek Watershed District(MCWD) �y �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cecEar ❑ Restoration ❑Water Damage Deephaven, MN 55391 �' ❑ Re-roof, other(specify) ❑ Sidin Phone: 952-471-0590 � g ❑ Other: (specify) Fax: 952-471-0682 � ❑Window(s) www.minnehahacreek.orq " � s Overall Project Description: �'��7 �� CZUQ��L�,.(�l.�,G4'� ,�¢7� ,C�� ,�/�� Esfirnated Construction Valuation of Project(excfuding land) � `� �'2 4 z�s o c� ,v . , � APPLICANT A�KNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; �:� • Certifies that the informafion suppfied is true and correct to the best of his/her knowfedge. The applicant recognizes that they � are solely responsibfe for submitfing a complete appfication being aware that upon failure to do so, the staff has no alternafive � but to reject it until it is complete; :� • Some or all of the informafion that you are asked to provide on this application is classified by State law as eitner private or � confidenfial. Private data is information which qenerally cannot be given to the public but can be given to the subject of the �� data. Confidential data is information which generally cannot be given to either the pubfic or the subject of the data. Our �� purpose and intended use of this information is to annualfy update our records and records of other govemmental agencies ,;� _ re uired b taw. If vou refuse to sup I the information,the a licafion ma not be issued. ApplicanYs Signature: �_�� Qato: z _ `�� ,;;Y �b /� % Last Updated: 08-09-2011 � '�D I� TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED 3- ( � � PERMIT NO.��l�O/�� COMPLETED ADDRESS °Z�OD t..T�?�1 (� N OWNER TELEPHONE NO. CONTRACTOR �Gl—t�'S� �UU�I �'`� �; DESCRIPTION / ��'�- �� ❑ FOOTING ❑ PLUMBING 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O >. � O ti W � Q � Z W � W � � d � �/ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED !7 ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTfON REQUIRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (J52� 249-46�� OwnerlContractor on site: Inspector. � ,� J i/ �!� � White Copyllnspector's File Canary CopylSite Notice C�� DATE TIME `� CITY OF ORONO CALLED IN la� INSPECTION NOTI E SCHEDULED .1a a7-// PERMIT N0.0�bI��0 � � �COMPLETED ADDRESS a�OO �J �/�L'r?'L- � /V ' OWNER ELEPHONE NO. ��a a 7� �� 5� CONTRACTOR �: DESCRIPTION �l�� DD � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA� ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � �i � �� '� �3/^I �r O a � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED .A�ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING 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� 249-46QQ OwnerlContractor on site: Inspector. _ White Copyllnspector's File Canary CopylSite Notice