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Home My WebLink About2011-01303 - roofing " CITY OF ORONO PERMIT NO.: 2011-01303 ' 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE �ssuEn: 10/24/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 400 STUBBS BAY RD N PIN : 32-118-23-42-0001 LEGAL DESC : UNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING- UNDEF[NED VALUATION : $ 6,500.00 NOTE: VALUATION OF PERMIT: $6500.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TF;AR OFF INSPECT[ONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF YICTURES 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 COMPLETGD'I'fiE SIGNS MUST BF,REMOVED. APPLICANT pERMIT FEE SCHEDULE 147.50 G C BUILERS STATE SURCHARGE(VALUATION) 3.25 7170 UNION AVE MAYER, MN 55360- TOTAL 150.75 (952)657-2284 Minnesota State License#: 20626549 OWNER STUBBS, RICHARD 400 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 does not grant permission for additional or related work which requires separate pennits. All provisions of laws and ordinances governing this type of work shall be compied with��-hether 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 are requested in conformance with the State Building Code.This permit may be revoked any tim for cause. / � � /� � �Q / 2 `� p ica t er i e Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I � �� 4 � Cit of Orono �1 � 2 � � � �� y � �. � � . Building Permit Application for Maintenance / Renovation � °� ��.,�; (windows, doors, siding, re-roof, etc.) �e� - � Mailing Address: ��.' �,L 0,(�\ PO Box 66 Permit number: O// -�,� � � � Q Crystal Bay, MN 55323-0066 Date received: �� ,; � a � � �.� �� F� StreetAddress: Received by: r �'�, t �'�y �� 2750 Kelley Parkway Plan review fee: � �`�gESKo�`'� 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. �s Incomplete applications will be returned. (Please print) � GENERAL INFORMATION: , �' Job Site Address: -�Q v ,,��z lf�� Will this be a Parade of Homes, Remodelers Showca Home or other Display Home? ❑ Yes � No � If yes,a speciaf event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be "� require unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. �:; ;� CONTRACTOR/APPLICANT INFOF�MATION: '� Name: ��( �i��✓S T1�G � State License# �� (�� Expiration Date: �_��_�.��a Lead Certification Number: �qT,�p��` Expiration Date: M�}yS �o%/ � (for work on homes that were constructed prior to 1978 � Phone: 95 5 -�� '-� 3 (office) cell Mailing Address: �;,.,.� City: p ZIP: � 3- (- ) � Con tac t Person: d,r � � Applicant is: Contractor / Homeowner (Circle One) � Email and/or Fax: � � 'mi PROPERTY OWNER INFOR�TION: � ,� Name: � ' � Phone (day): �tS� �,7?� a �y7 � Address: / - 1�/.Y' �r/a6Gts ,t7w�/ �dCi l City: (��r�NN(� ZIP: . �� Email and/or Fax ' � � PROJECT INFORMATION: Type of Project: Any earth movement may require � ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: :� Minnehaha Creek Watershed District(MCWD) ``� �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd s� ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 :;� ❑ Re-roof, other s eci Phone: 952-471-0590 `= ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � ❑Window(s) www.minnehahacreek.orq "� ,p Overall Project Description: � , � Estimated Construction Valuation of Project(excluding land) $ � � .�.�� , � APPLICANT ACKNOWLEDGEMENT: ;� �� • Agrees to provide all information required or requested by the Building Department; :g; • 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 altemative �° 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 r� f ' data. Confidential data is information which generally cann�ot be given to either the public or the subject of the data. Our '; purpose and intended use of this information is to ually pdate our records and records of other governmental agencies � �� re uired b law. If ou refuse to su I the informat' ,the lication a not be issued. '� `` , � ApplicanYs Signature: � Date: �(��?l��v� �` Last Updated: 08-09-2011 ;� � .a�_ .__.��. „ . ,_. _,._.._,.,rt� � � ✓DATE TIME CITY OF ORONO CALLED IN /v / INSPECTION NOTICE SCHEDULED l� / _�� PERMITNO. o�-��/—D�� COMPLETED ADDRESS �� s7�%1�1T!/S � �� OWNER TE HONE NO�� -y57"S3 CONTRACTOR �---- �; DESCRIPTION � `�--Q� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALI ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � Q.��c e� �e c��-iU�IS c� 0 '' �Gf� � i�� 9 0 � W � Q � Z W � W � j d W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑ ORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p 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. (J52� 249-4600 OwnerlContractor on sit Inspector. �f� White Copyllnspector's File Canary CopylSite Notice 0 TIME �� CITY OF ORONO CALLED IN ��'� INSPECTION NOTIC SCHEDULED 'Z - � .1 "Y" PERMIT NO. —" D COMPLETED� ADDRESS �f�JD �l�l�S CwJ � OWNER TELEPHONE NO. 9T�S7 -5�3 CONTRACTOR �/cL/�LL.� � DESCRIPTION �� " 7 � W ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHtN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. ��,l'� �J -- White Copyllnspector's File Canary CopylSite Notice