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Home My WebLink About2011-00808 - roofing CITY OF ORONO PERMIT NO.: 2011-00808 - � 2750 KELLEY PARKWAY � � ORONO,MN 55356- DATE ISSUED: 08/OS/2011 952 249-4600 FAX: 952 249-4616 ADDRESS � : 350 STUBBS BAY RD N PIN : 32-118-23-42-0006 LEGAL DESC : TAMARAK HILL : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LTNDEFINED 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 THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. TEAR OFF REROOF-ASPHALT APPLICANT pERMIT FEE SCHEDULE 118.00 K RANDALL&CO INC STATE SURCHARGE(VALUATION) 2.50 3801 SLTNSET DRIVE TOTAL 120.50 SPRING PARK,MN 55384 (612)281-7683 Minnesota State License#:20637998 OWNER IVERSON,JERRY&EDITH 350 STUBBS BAY RD 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 dces 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 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 aze req ted in conformance with the State Building Code.This permit may be ev d at any time for du cause. � p� l..t.L�'— / � / O � /6 App icant Permitee Sign e Date ss e y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ;M Cit� of Orono :� �� - Building Permit Appiication for Internal Work � � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: pZ�` , f O�v Q,�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: � l � ��,;- Received by: � � ;,, F Street Address: h �nt � ��ti 2750 Kelley Parkway Plan review fee: '� �Esxo4`' Orono, MN 55356 ,, Total Fee: � ��D,� � 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. � Incompfete applications will be returned. (Please print) � GENERAL INFORMATION: a Job Site Address: �j�j O �-��, �j s 1�a 2��, Q �,(p ►'Y1/'l� " Will this be a Parade of Homes, Remodelers Showcase Ho e or other isplay Ho e? ❑ Yes No � !f yes,a specral event permit is requrred with Police Department and City Council approval 60 days pnor to the event. Shuttle bus se ice will be � required unless applicant demonstrates sufficient on-site parking is avaifable. Non-permitted events will not be aflowed. -� ,'� CONTRACTOR I APPLICANT INFORMATION: Name: � • �,Ca.+-.r�e�,C.! � C.d �,-�� State License# Zd�,3� 9 9 8 Expiration Date: � _3 I - Zo t Z � Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (o�Z_ Z$ � _ ?(� g -� (office) 9 5 Z -�l.l t —7 c�5 9 (cell) Mai(ing Address: 3 0� S �� City: a„� ZIP: 5 3 8 Contact Person: �, ��--� �� Applicant is: n r cto Homeowner �c��ie one� k Email and/or Fax: ,;� . � PROPERTY OWNER INFORMATION: � Name: � T v+� � Phone (day): � S Z - --705 I 2 -759 - �11! j � Address: c� � �� , � City: ZIP: � Email and/or Fax � � ;.��, PROJECT INFORMATION: Type of Project: Any earth movement may require f� ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) � ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Si ing ❑ 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 (excfuding land) $ 5 0 o O, r��j � � 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 appficant recognizes that they � are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternafive � but to reject it until it is complete; � • Some or all of the informafion 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 pubfic 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 refu e to su I the i formation,the a lication ma not be issued. a Applicant's Signature: � � Date: 8 J 1� Last Updated: 03-01-2011 -�� AT TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. b/ O S� COMPLETED ADDRESS �� %G� OWNER TEL HONE NO. CONTRACTOR /✓� ` 7�' � � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINA ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICA�RI ❑ LAKESHOREM/ETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOH TO MEET YOU:_YES_NO c� COMMENTS: � W 0. � � O >. � O � W � Q � 2 W � W � � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR RE�NSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETItRN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (g52) 249-46�0 Owner/Contractor on site: Inspector. tG� /��f�C White Copyllnspector's File Canary CopylSite Notice DATE / TIME � CITY OF ORONO CALLED IN INSPECTION N TICE M CHEDULED � PERMIT NO. � �� —'^' ��OMPLETED ADDRESS D S OWNER TE EPHfaJVE NO. ' ��"7 CONTRACTOR � �,'` �� >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 v ❑ 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 � COMMENTS: � W � � J O � � O � W � Q � Z W � W � j d W� ❑WORK SATISFACTORY:PROCEED �L] ` JECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 Owner/Contractor on site: Inspector. � .c �l ,(�� White Copyllnspector's File Canary CopylSite Notice