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Home My WebLink About2011-00967 - roofing - � k CITY OF ORONO PERMIT NO.: 2011-00967 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/3 U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3060 SIXTH AVE N PIN : 28-118-23-32-0014 LEGAL DESC : LESLIE ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 16,540.00 NOTE: VALUATION OF PERMIT:$16540.00 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 295.00 DCC INC STATE SURCHARGE(VALUATION) 8.27 1620 215TH LANE NW TOTAL 303.27 OAK GROVE,MN 55011- (612)282-9010 Minnesota State License#:20638528 OWNER KOSEK,CHRISTOPHER&HEATHER 3060 SIXTH AVE N LONG LAKE,MN 5535Cr 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 sepazate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This pertnit 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 revo ed at any time or d cause. �, � l 3/ l20/ � �i �a l A plicant Permitee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ' . . , . . ��. "'r t.�":� . � � City of Orono t �� ,k Building Permit Application for Maintenance / Renovation � 4; (windows, doors, siding, re-roof, etc.) / ^� � Mailing Address: Permit number: ��' �G 4�/ � �.,0,� PO Box 66 . �� O �� O Crystal Bay, MN 55323-0066 Date received: a � >>� a, Streef Address: Received by: ¢ �.z�� ,s, ' �ti 2750 Kelley Parkway Plan review fee: L9kESH�4� Orono, MN 55356 Total Fee: �03, a7 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) � ; GENERAL INFORMATION: Job Site Address: � �C7� � � � '�p - Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes,a special event permit rs required with Polrce Departmenf and City Counci!approva/60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �L` � 3N� >' 7�' State License# Expiration Date: � Lead Certification Number: Expiration Date: �� (for work on homes thaf were constructed prior to ?978 �? Phone: ��'��.,��_y=�,�C� (office) (cell) �� Mailing Address: r� ��, / City:�`� G',�G` �= ZIP: S S- / �_ Co ct Person: ` C�N C f��TE�' Applicant is: ontractor� / Homeowner (Circle One) �. Email nd/or Fax: � , c��,,, T:..":, `` PROPERTY OWNER INFORMATION: Name: �n�,��,� ' �� , _ Phone (day): `� ° .� �' _ '',2Z.G � Address: � _ 30� � C' � City ��,��G ZIP: ,� Email and/or Fax E� PROJECT INFORMATION: K�; Type of Project: Any earth movement may require ,� ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: �� Minnehaha Creek Watershed District(MCWD) `� " ` �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deep haven, M N 55391 ' ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � ❑Window(s) www.minnehahacreek.orq �' Overall Project Description: � �_- Estimated Construction Valuation of Project (excluding land) $ f � S'c1� �, � � �� APPLICANT ACKNOWLEDGEMENT: '_ • 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 are solely responsible for submitting a complete application 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 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 generally 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 re uired b law. If ou refuse to su f the information,the a lication ma not be issued. ;� � AppficanYs Signature: � Date: ��/ �O// � jJ Last Updated: 08-Q9-2011 � ,,. ;9� :� � �� ATE / / TIME �/ CITY OF ORONO CALLED IN INSPECTION NOT CE ,�,CHEDULED PERMIT NO. o��/-��cl�� PLETED ADDRESS �� OWNER TELEPHO E N ��-�a' � I� CONTRACTOR �--(� �: DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 a J I � � O - a � � � O � W � Q ti Z W � W � � d � WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CO RECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice ✓ DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.��'b�`�1�7 COMPLETED '� ADDRESS 3a G o S•+�C �v�. � OWNER TELEPHONE NO. CONTRACTOR p�c T nc - � DESCRIPTION �e � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAD�NG/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL � TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �INAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMCVAL 2 OWNERICONTRACTOR TO MEET YiOU:_YES_NO y COMMENTS: � a � .�r.,R,� ^ rta �is?i/ �res�ec�ia.c ��rtta.zt� � J O , � 1?0 -f ca r- o� /�K,D�c L�sc:, r c�o•c2 e..Q O � W Q ��f� � Qa/�?�✓'�i L°�t�.t./l�t� � 2 . W �Jp�r,�,.L� �i�+rA � j O � ❑VNORKSATISFACTORY:PROCEED �PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 2�9-460� Owner/Contractor on site: Inspector. t�r � �� White Copyllnspecto�'s Fils Canary CopylSlte Notice