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Home My WebLink About2011-00614 - re-roof CITY OF ORONO PERMIT NO.: 2011-00614 • ~` 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUEn: 07/1U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 430 STUBBS BAY RD N PIN ; 32-118-23-13-0005 LEGAL DESC : STUBBS ADDITION : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 20,000.00 NOTE: ROOFING PERMITS ISSUED WITNOUT 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. APPLICANT pERMIT FEE SCHEDULE 339.25 VLADO CONSTRUCTION STATE SURCHARGE(VALUATION) 10.00 7514 STH AVE S RICHFIELD,MN 55423- MISC FEE 0.00 (612)869-8955 , TOTAL 349.25 Minnesota State License#:20630444 PAID WITH CC# 4517 OWNER STROBEL,STEPHEN 430 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 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 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 requested in conformance with the State Building Code.This permit may be revoked at y ti e for due cause. i/� r�� l �� l � l l A licant Permite Signatu Date Issued By nature Date S PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. City of Orono ` ` Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O4v D,�O PO Box 66 Crystal Bay, MN 55323-0066 Date received: a � • -� �, Street Address: Received by: �'�, ' !� �ti`� 2 7 5 0 K e l l e y P a r k w a y P lan review fee: t�ESH�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: �5!;� �5 �f �((� !3 ,� l�t'� k',� L'� c%,�0�; Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-perrnitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: 'i � State License# � �n ^ ��J�y� Expiration Date: 3 2/ ` �J %Z Lead Certification Number: Expiration Date: ' (for work on homes that were constructed prior to 1978 Phone: ��Z � �'f, �I.l`C'' (office) �'/2 ,3 t� �" /yjt' (cell) Mailing Address: 7S'/4 .�`i fN �9Y City: ��L,u�� n ZIP: , �—�''y�� Contact Person: ��,��Q Applicant is: Contractor / Homeowner (Cirde One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��o� Phone (day): �'� � �SD l 6��3.� ,. Address: �.�3(� � %Li l��:�i.5 ti3 c Y �� City: �r'e:'/�/ ` ZIP: �S .3.S� � Email and/or Fax c ° �� f^l�o�_1;r�; —�-=.��5.� 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 �c Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 2.� �� APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information suppfied 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: � � , � (�� f� � � Date: � � ,%/ �' �' Last Updated: 03-01-2011 DATE TIME ✓ CITY OF ORONO CALLED IN INSPEC IO OTIC�f i SCHEDULED � ��s� PERM�� `� ` � COMPLETED ADDRESS��C� �'1 t/,3,� i'�5� �I 1�� OWNER TELEPHONE NO. CONTRACTOR � � �� -U� ��fi >; DESCRIPTION 1 �� r �Z� ��5��'C� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WA�L ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ��. �- � � COMMENTS: ��C �.^ `� � 1 � � I W 4 J r � � � , � � e j-/� 11 _�.ti �'�C :-� ( O a � � ��'C�` r�.�f J �,�, ,�1 •.Fc__,l`_ ��t' �-F-� -1c-��'c�f W � � `� "� Cc��S S Crz-� � Q � � z W � W � � � �WORK SATISFACTORY:PROCEED �` PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on site: Inspector. �`"!' � �'- � White Copyllnspector's File Canary CopylSite Notice