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Home My WebLink About2011-00633 - roofing ,� CITY OF ORONO PERMIT NO.: 2011-00633 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4340 SIXTH AVE N PIN : 31-]18-23-12-0010 LEGAL DESC : SHARON HILLS : LOT 005 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 10,18636 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SCT 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 MUS`I'BE REMOVED. TEAR OFF REROOF-ASPHALT APPLICANT PERMIT FEE SCHEDULE 206.50 FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 5.09 1891 SANDBAR C[RCLE TOTAL 211.59 WACONIA, MN 55387 (612)229-8619 PAID WITH CC# 0978 Minnesota State License#: 20438042 OWNER WILLIAMS,C S WILLIAMS& E R 4340 SIXTH AVE N LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to die 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 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 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 le for assuring all required inspections aze requeste � conforman with the State Building Code.This permit may be revok at any time f due cause. � l Z. l Z6f� �' � � � Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. . „_ City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,d//—Q�� O4v�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: 7 $�`t � Received b � � `-r±� a StreetAddress: Y� �'�n ' '�� ti�' 2750 Kelley Parkway Ptan review fee: t'�Esxo4`'� Orono, MN 55356 - Total Fee: �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application fo�m must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: � O C.O �(� � Will this be a Parade of Homes, Remodelers Showcase Home or other Disptay Home? ❑ Yes No If yes, a special event permit is required with Police Departmenf and City Council approval 60 days prior to the event. Shuttle bus servic will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: }-'�b c�,2t�� L,L L State License# �y�8a y2 Expiration Date: 3-3.-Zpl� Lead Certification Number: _ �_�- _3o3s8- /[- 6!!of� Expiration Date: 3��_ �,�� (for work on homes fhat were constructed prior to 1978 Phone: ��Z_��c�-�(� lC� (office) (cell) Mailing Address: j C� p� � C City: (�f ZIP: S'�'�j� Contact Person: �—�W,L, �'�� Applicant is� on ractor / Homeowner (Circle One) Email and/or Fax: ��..�y Z�\�rt�� PROPERTY OWNER INFORMATION: Name: C.�2,,,qt�,�3 C-��?�4$t�� L:,�i 1 ��✓J� Phone (day): �Z-- �T S= `77(o Address: y2UU C� 2,p City: [��y� ZIP: S"'S'3S"�i 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 ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Re-roof P h one: 952-471-0590 ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ �(�� j �(0 3� � 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; • 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 thi ' mation is to annually update our records and records of other governmental agencies re uired b law. If ou refu o su I t e information,the a (ication ma not be issued. Applicant's Signature: Date: ��/2-Zc�t� Last Updated: 03-01-2011 ,� �/ DATE TIMfE � CITY OF ORONO CALLED IN 7 /� INSPECTION NOTICE SCHEDULED PERMIT NO.��-�� COMPLETED ADDRESS OWNER � --- TELEPHONE NO.��9 CONTRACTOR �� ✓\�� DESCRIPTION � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W 0. o G �'�� Q�`�� C C� � ��l.f � ��' � � v SQ 0 � W � Q � 2 - W � W � � ��Jp`ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4f)�0 OwnerlConVactor on site• Inspector. White Copyllnspector's File Canary Copy/Site Notice �� Dg� TIME � CITY OF ORONO CAlLEOIN 7`� INSPECTION�OTICE SCHEDULED 7- -!/ � PERMIT NO. ��'�� COMPLETED ADDRESS �3�D o�ti'�i �I'U�P /I/ , OWNER TELEPHONE NO. ��Z �Z'Z'g-��9 CONTRACTOR ��5 �G��-S � DESCRIPTION �D� � na.0 � � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 0. o .~C �i'11�"z'.S �'.�.1 f3�-�- � � 0 � W � Q � 2 W � W � � d W ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspector. p � White Copyllnspector's File Canary CopylSlte Notice