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Home My WebLink About2011-00830 - roofing � ,,, CITY OF ORONO PERMIT NO.: 20��-oos3o � 2750 KELLEY PARKWAY _ ORONO,MN 55356- DATE ISSUEn: 08/10/2011 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-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,000.00 NOTE: VALUATION OF PERMIT:$6000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 132.75 TIMBERLINE EXTERIORS,INC. STATE SURCHARGE(VALUATION) 3.00 7026 E FISH LAKE ROAD MAPLE GROVE,MN 55311- MISC FEE 0.00 (651)329-6916 TOTAL 135.75 Minnesota State License#: 20633887 OWNER LEDSTROM,RICHARD&GAIL 3465 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. This permit is for only the work described and does 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 consUuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conform ce w' the Sta uilding Code.This permit may be revoked at an ti e or cause � b � l , , Appi' ' e Sig at Date Issued By ature Date S ARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED A OV . �: � C ity of O ro n o = ' t .� � � ' Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) =� Mailing Address: Permit number: O�,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �a . I,� � '� �� , Streef Address: Received by: ; �',�c, ' �°`� �ti 2750 Kelley Parkway Plan review fee: ':: L9kESH�4� 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) `� GENERAL INFORMATION: ,- - Job Site Address: , 1 � �� ;;> Will this be a Parade of Homes, Remodelers Showc Home or other Display Home? ❑ Yes No �` If yes,a special event permit is required wifh Police Department and City Council approval 60 days prior to the event. Shuttle bus s rvice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: • Name: �j��t.�'i.,G�.�� .-Ll�ID�S �;' State License# ��(�, •�3�,;5� Expiration Date: �13� /� ; Lead Certification Number: �� f3�� -( Expiration Date: ��a.��r�' � (for work on homes that were constructed prior to 1978 . Phone: �51-35�-k�SL�2 (office) (cell) ; Mailing Address a City: , ��„�ZIP: j� � Contact Person: �'��y�� Y ��`,�� Applicant is: Contrac o Homeowner (Circle One) Email and/or Fax: ^y�,3 . .y,�� -y��; �; w� ° PROPERTY OWNER INFpRM TIO�� a � ' Name: �; Phone (day): _-r�lp -� � ` � �.�� Address: s� � � City: `,-��Z� ZIP: �� Email and/or Fax � �;' � � s� PROJECT INFORMATION: � �: Type of Project: Any earth movement may require ❑ Remodel MCWD review&permits: � ❑ Door(s) ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) � Re-roof, asphalt ❑ Repair �Storm Damage 18202 Minnetonka Blvd � � Deephaven, MN 55391 " a ❑ Re-roof, cedar Restoration ❑Water Damage ,A Phone: 952-471-0590 Y :i ❑ Re-roof, other(specify) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 �- ^ ❑Window(s) www.minnehahacreek.orq �� „;t t}: Overall Project Description: - � _ �_ -` . - �,� , � r �; Estimated Construction Valuation o oje excluding and) $ �� -� �' ; _ � �� j APPLICANT ACKNOWLEDGEMENT: �� M � �, • 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 s� 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 � z,. 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 t info ation "a lication ma not be issued. _ " Applicant's Signature: ` � ti� Date: � �� ., Last Updated: 08-09-2011 ,„ �' _ a�,. � DATE TIME V CITY OF ORONO CALLED IN ` INSPECTION TICE SCHEDULED f � - __.�✓/ " ''� PERMIT NO. � �COMPLETED � ADDRESS �� CG J �� . 5�� • OWNER TELEPHONE NO. �� 5� ��{ CONTRACTOR � �G? L � �: DESCRIPTION �� 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE C� SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTA ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W 0. � � O a � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REfNSPECTION 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. Call for the next inspection 24 hours in advance. (952) 249-46�� Owner/ConVactor on site: inspector. White Copyllnspector's File Canary CopylSite Notice