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Home My WebLink About2011-00673 - roofing �, CITY OF ORONO PERMIT NO.: 2011-00673 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 07/18/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3465 SIXTH AVE N PIN : 29-118-23-43-0011 LEGAL DESC : CRADDOCK LEDSTROM ESTATES : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 39,500.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGI t NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLE7'E 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 57425 TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 19.75 7026 E FISH LAKE ROAD TOTAL 594.00 MAPLE GROVE, MN 55311- (651)329-6916 Minnesota State License#: 20633887 OWNER LEDSTROM, RICHARD&GAIL 3465 S[XTH 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 specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does ❑ot gran[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."I his 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 conf rmanFe with the State Building Code.This permit may be revoked ay�a y t' e f due cause. a�� ,� i�_ � ' , � � � I ,�_ �i ,: b�� crYn�c�'� , , � .....__._ ,. Appk� t er itee Signature ate Issued By Signature Date � ' , �� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. �► City of Orono . ��,� Building Permit Application for Internal Work � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. �� - �(p � �'�. �,L,�,� PO Box 66 . Crystal Bay, MN 55323-0066 Date received: � O �`� �, O Received b � � �?, a, Street Address: Y� �' ' "�' �ti�' 2750 Kelley Parkway Plan review fee: �t`�kEsHo�`'`� Orono, MN 55356 C � Total Fee: � � L�� 0 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: ' � �; ' ,-,�, - �� r`/ Will this be a Parade of omes, Remo elers Showc e ome or other Display Home? ❑ Yes o !f yes,a special event permit is required with Police Departmen and City Council approval 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: , � Name: �� : � �.GY<tY � �'lC=. State License# - � "��' Expiration Date: �� , .,, Lead Certification Number: 1 y1{j�•��j _ ( Expiration Date: �' • �) ; (for work on homes that were constructed prior to 1978 µ Phone: ' ��- � �� (office) (cell) � Mailing Address: Ua � " � �. City: �. , � . ,z��(ZIP: r�J/ � Contact Person: Applicant is: Contrac or / Homeowner (Circle One) � Email and/or Fax: �j,.�_ ,t/��, _ r-j�b � PROPERTY OWNER II�FOR ATION: �? Name: �� Phone (day): � . �j .. � � Address: _.` , " , � , City: �,yl �q,`� ZIP: �J`��,�(� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair �torm Damage 18202 Minnetonka Blvd Restoration Deephaven, MN 55391 ❑ iding ❑ Other: (specify) Phone: 952-471-0590 Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq � Overall Project Description: ~' - ;� - ,,� � , � . , -'a-�'- , � _� Estimated Construction Valuation of P ' ct(e uding land) $ � � _. � 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 alternative ;,� but to reject it until it is complete; ,7 ,, • 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 informati n is to annually pdate our records and records of other governmental agencies re uired b law. If ou refuse to su I the nform 'on, t lication ma not be issued. �'' � �� ApplicanYs Signature: � �� Date: i � Last Updated: 03-01-2011 � t � 0�0//-ao��3 � DAZF TIME v CITY OF ORONO . CALLED IN l� INSPECTION NOTICE SCHEDULED 7' � � PERMIT NO. COMPLETED ADDRESS �3`�',�5 �� T"t � OWNER TELEPHONE NO. CONTRACTOR �!m ber I/�� t�/"/O�"s � DESCRIPTION (..�� '� � TPC�f OJ� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTtON 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 ❑ SEPTIC FINAL � FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: � W a � � � � � ✓•� � �� 0 � W � Q � 2 W � W � � � WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W �RRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR 1MLL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlConiractor on site: Inspector. White CopyllnspecloPs Flle Canary CopylSite Notice DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOT E SCHEDULED ;,�,�f�� PERMIT NO. � �6 � coMP ED ��' `� . ADDRESS S � OWNER TELE NE NO. CONTRACTOR � � � DESCRIPTION r 41 ❑ FOOTING ❑ PLUMBING L � ❑ EXCAV/GRADING/FIWNG y ❑ POURED WALL 0 MECHANICAL RI ❑ LAi(ESHORENVETI.qNDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PRQQRESS � INAL ❑ SEWER HOOK-UP ❑ COMPLAINT � � DEMO-SITE ❑ SEPTIC MAINT. _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL �OLLOW-UP ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FpUNbATION/REMOVAL Z aM ONTRA O MEET YOU:._.YES_NO � MMENTS: � /, — ' • .. � J � �O .. � O - W QC � Q Sn _. fr W W � j O W� ❑WORK SATISFACTOR�PROCEED PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING ❑CORRECTUNSAFECONDITIONWITHIN HOURS. PERMANENT INSPECTOR WFLL RETURN �PHOTO TAKEN ❑STOP OFlDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRAN(iEACCESS. Call br the next(nspectfon 24 hours in advan�. 49-46�� OwnerlContractor on sne: Inspector: Whits CopyllnspectoPs Flle Canary CopylSke Notke