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Home My WebLink About2011-01102 - roofing _ CITY OF ORONO PERMIT NO.: 20��-01102 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 09/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3265 SIXTH AVE N PIN : 29-118-23-44-0002 LEGAL DESC : UNPLATTED 29 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,800.00 NOTE: VALUATION OF PERMIT:$10,800.00-THEY ARE STARTING WORK ON SATURDAY. 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 206.50 ABLE RESTORATION GROUP STATE SURCHARGE(VALUATION) 5.40 17316 KENYON AVE LAKEVILLE, MN 55044- TOTAL 211.90 (952)378-8000 Minnesota State License#: 20637232 OWNER W[CHMAN, MICHEAL&ANA 3265 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT ,j-� � / The work for which this permit is issued shall be perfonned according to L� � 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 permi[s. 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 wi[hin 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 revoked at any time for due cause. /1� /' i i ��,t v�mc-e;� � �- 2 -� --�P Applicant Permitee Signature Date Issued B y Si gnature Da t e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . City of Orono � �` � �; .��. Building Permit Application for Maintenance / Renovation '�� (windows, doors, siding, re-roof, etc.) � Mailing Address: Permit number: $ �,�,�. PO Box 66 ; .M ;: Crystal Bay, MN 55323-0066 Date received: Sil3 O r Received by: ,� �� , StreetAddress: �,�,� t �� ti 2750 Kelley Parkway Plan review fee: 9kESH��`� 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) F; GENERAL INFORMATION: � Job Site Address: o�(�S �C U/VT� �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No :� If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle 6us servic ill be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ` '� CONTRACTOR I APPLICANT INFORMATION: "'� Name: f�P« Tz�s�rt�� -r.�o� G�ZC�v,� � ,� State License# (,G ��a � Expiration Date: Y_ �- ��j/� �;� Lead Certification Number: Expiration Date: :� (for work on homes that were constructed prior to 1978 `� Phone: �`�,a��—��gU-7 (oifice) (cell) � Mailing Address: f73iC /�C<-/l9`/�/i� �I/� �!C� City: �sq��zz�C ZIP: S��L�L� L� Contact Person: 7J�� -��5.�L Applicant i ontractor /� Homeowner (Circle One) � �---- 4� Email and/or Fax: q S,'�- a5.5- �3! �I a�Fftx� � ��,+��,.6 l�e Z�s-�o�u-�-,��n . c ��" ;, �� PROPERTY OWNER INFORMATION: �:� Name: �ZI�C 1�-�-1-�� r� K";� Phone (day): 7 G 3 � �1/3 - D�G� � Address: ,3Z(,s L�v�l/ l77.� (_ City: G 2 �,�v ZIP: �35 G � Email and/or Fax �"� ::u ,:3 ,� PROJECT INFORMATION: ;� Type of Project: Any earth movement may require °� O ❑ Remodel ❑ Fire Damage MCWD review&permits: `� ❑ Door s ��. �,,,`� Minnehaha Creek Watershed District(MCWD) � �Re-roof, asphalt I'��" ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd '-� ❑ Re-roof, cedar � Deephaven, MN 55391 `�5 ❑ Restoration ❑Water Damage Phone: 952-471-0590 � k� ❑ Re-roof, other(spec�fy) �Siding ❑ Other. (specify) Fax: 952-471-0682 =�a ❑Window(s) www.minnehahacreek.orq £� ,� Overall Project Description: �� Estimated Construction Valuation of Project (excluding land) $ �� 1Q � APPLICANT ACKNOWLEDGEMENT: � • Agrees to provide all information required or requested by the Building Department; `�a • 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 alternative �-� 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 I the information,the a lication a not be issued. A IicanYs Si nature: L��' � �' �� ' Pp 9 � Date: � �. yi:: 4; Last Updated: 08-09-2011 �'' .�� . . _.. . _ .. _, __ _ ... . _._� __a�w DATE TIME V CITY OF ORONO CALLED IN f l' a'�� INSPECTION NOTICE SCHEDULED i� � � PERMIT NO. G�✓�- D1/4� COMPLETED ADDRESS /x fv S� G ��' �^� ,,1/ OWNER l�f�'l�k,%�v TELEPHONE NO.�o��- ��6 ��d 7 CONTRACTOR �Y� ��'�^-- >; DESCRIPTION � -'`�'T�f � -'�'°'`�"'"`�/" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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. ❑ FOILOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � %eizv �. �,� -- ,p�;.�- �-i ��<� ' o �1-�-�- �� rn ..Sa.�- � � � 1��,��1� � W � Q � Z W � W � � � ❑WORKSATlSFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WpRK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail forthe next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. o � White Copyllnspector's File Canary Copy/Site Notice