The URL can be used to link to this page

Home My WebLink About2011-00755 - roofing � CITY OF ORONO PERMIT NO.: 2011-00755 , . 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 07/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 65 STUBBS BAY RD N PIN : 32-118-23-34-0004 LEGAL DESC : UNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,000.00 NOTE: 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 TI�TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 118.00 K.RANDALL&COMPANY 3801 SUNSET DRIVE STATE SURCHARGE(VALUATIOl� 2.50 SPRING PARK,MN 55384 TOTAL 120.50 �) Minnesota State License#:20637998 OWNER KROEGER,A 65 STUBBS BAY RD N MAPLE PLAIN,MN 55359- AGREEMENT AND SWORN STATEMENT 1'he work for which this permit is issued shall be perfortned according to the approved plans and specifications,applicable City approvals,and the State Building Code. 1'his 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 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 1 SO days of the date of issuance,or if construction is suspended fot a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoke t any time for due cause. `-1 � 2a � � 1 � / Applicant Permitee ture Date Issued y 'g ature te PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . .. City of Orono , • Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 4v�,� PO Box 66 � � Q Crystal Bay, MN 55323-0066 Date received: � ��'`��;�q �, Street Address: Received by: � ; ��y �'.� ` �� ti`� 2750 Kelley Parkway Pian review fee: ��ESHO�`'� 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: rj S��L � � /�� o a� Will this be a Parade of Homes, Remodelers Show ase Home or other Display Home? ❑ Yes No !f yes,a special event permit is required with Police Department and City Council approva!60 days prior to the event. Shuttle bus s rvice will be required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events wi!!not be allowed. CONTRACTOR/APPLICANT INFORMAT�ON: Name: a.Y, r�A. � ¢ �,orti �� ,✓v+ c/ State License# ��j� -� -�c�f x Expiration Date: Z o � Z ��f" Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (o/Z , Z 8( - 7(n 8 3 (office) �'S Z � �.( �? ( .- -7 8 5 9 (cell) Mailing Address: 3 g� �_ _ SUr,s.� � \�n;�.c City: 5��ry��s a��`ZIP: � .5 �g �� Contact Person: K„��.� �oc,E�( s o�.( Applicant is: Contr ctor Homeowner (Circte One) Email and/or Fax: ��Q�N b F!11 C d �G. c a r�. PROPERTY OWNER INFORMATION: Name: /�rn� ��'a lL tz��4�cn Phone (day): Q 5 2 •- �I ? �o - C� �2 C�, Address: (o_� S�}vbl�s \3a.v �,, . City: �rtv�o ZIP: �' � 3 .� c� 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 Phone: 952-471-0590 Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �p�o, o o �� 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 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 ma not be issued. ApplicanYs Signature: � /2 ! Date: �l f Z 8� � � Last Updated: 03-01-2011 ��r�� D TIME ✓ CITY OF ORONO CALLED IN 7' INSPECTION N EE �J SCHEDULED � PERMIT NO. �� I S � COMPLETED ADDRESS �CJ S f��S �GL�1 fF-d N OWNER TELEPHONENO. ��-7�3 CONTRACTOR � a DESCRIPTION �"e�- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J � <-��',�l�� 3 � $ o J . W � Q � 2 W � W � � ��RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑C RECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. o,�o � White Copyllnspector's File Canary CopylSite Notice � 3 A TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED � PERMIT NO. �� —�? COMPLETED ADDRESS •5 OWNER TELEPHONE NO..��,�� CONTRACTOR � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ 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. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEEi YOU:_YES_NO v�, COMMENTS: � W a � J O >. � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�IERING PERMANENT ❑CORRECTUNSAFECANDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 urs in advance. (g52) 249-4600 OwnerlContractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice