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Home My WebLink About2011-00592 - roofing CITY OF ORONO PERMIT NO.: 2011-00592 � " 2750 KFLLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 485 STUBBS BAY RD N PIN : 32-118-23-24-0003 � 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-LTNDEFINED VALUATION : $ 21,000.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 354.00 TITUS N. WINGER CONTRACTING INC. STATE SURCHARGE(VALUATION) 10.50 17715 12TH AVE.N. TOTAL 364.50 PLYMOUTH,MN 55447 (763)475-3175 Minnesota State License#: 20270544 OWNER WILL,JOHN&JOCLYN 485 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 Ciry 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 consWction 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 at a�y time for due cause. � T/�� w��B7� � � 2a/� �� Appli t Permitee Signature Date Issu By S�gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono ' Building Permit Application for Internal Work � (windows, doors, siding, re-roof, etc.) MailingAddress: Permitnumber: (�(��—Q(Z�Cf Og,�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: a �� Received b � .;��;� �, Street Address: y� �' ' 9%� �ti�' 2750 Kelley Parkway Plan review fee: ��`�kESHo�`'� 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: � s ��6�j,1 3�y �� Will this be a Parade of Homes, Remodelers Showcase Hom or other Display Home? ❑ Yes �o !f yes,a special event permit is required with Po/ice Department and City Council approva/60 days prior to the event. Shuttle bus service wtl/be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �tvS /U l,J.,1f.e� ��frac�+'Hs �„Lri� State License# �G z �� t�,cj cJ Expiration Date: � - 3�.- /�3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �G� - �/7S- 3% �1 (office) �l z - �' � S"� G j G y (cell) Mailing Address: ( �7�S' f 2 � �,.e_ N City: p fy ,,,,e,,1c� ZIP: .s-l�Y�. � Contact Person: �j-�,s !ti,> h Applicant is: � r or / Homeowner (CircleOne) Email and/or Fax: ��/.,,t ,;,s�� co,�,cs.r f- �c� . PROPERTY OWNER INFORMATION: Name: ,,�1�,� �J , /( Phone (day): 7�3 _ ys'�+_ ;SSS� Address: 4l�d � �S r�d�,s d 4 v �'�. City: �,r o�� ZIP: �-�.�S,�` 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: / r�f- �� ,� �e,- �N C�.� r�-r�� Estimated Construction Valuation of Project excluding land) $ � � Gc,�, . �� 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. � Applicant's Signature: � � �f°� ��' C✓� �ate: � - �-� j� Last Updated: 03-01-2011 DATE TIPJIE , / ��RO�V� CALLED IN v ��PE�TIOI�PIO�I�� SCHEDUI.ED ��RAABTI R��. �«� �S�iZ COAAPLEfED S"6-� .�� -�/SS $�`�6�J l�. �ed= /v �� .��r�� . ��i�� 1I7([t /Y• �NUi�r COh.�/�fe7ira.sZ�?C j eb�SCFiIPTl01V �c— /r�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG � ❑ POURED WALL ❑ MECHANICAI RI ❑ LAKESHOREIWETLANDS � ❑ FRAMIPJG O MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOIC-UP ❑ PROGRESS }.a� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEAAO-SITE ❑ SEPTIC MAIIVT. f?]cEOLLOW-UP � ❑ DEMO-FIMAL ❑ SEPTIC INSTALL ❑ HARD COVEFi REMOVAL � ❑ PLUMBIMG RI ❑ SEPTIC FIPdAL ❑ FOUNDATION/REMOVAL , � �9N�8(ERlCO@dYHACTOR TO FNEEY Y091:_YF�_Pd0 � � ��: �� f��r-O T� /KS��eGL/O.ti, f'2Cp/d/Q.� � *OLD PERMIT — NO FINAL INSPECTION REQUESTED. � � � � ' • ' � _ �/iG 1/cn:��l�to,. Drovr�e� ' � I � i � ' � Wo r K .ee�, /!��,•�/Jl.e.�'L � � � � _ �e�,.�.� <•u/r� � c� d � � � ❑WORK SATISFACTORY:PROCEED �$OJECT COMPLEfE � ❑CORRECT WORiC d�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY o O CORRECT WORK,CALL FOR REINSPECTIOM TEMPORARY o BEFORE CdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN Ifi4SPECTOR WIL�REfURPI �STOP ORDER POSTED.CALL IfdSPECTOR �CITATIOtd ISSUED ❑ IPISPECTION REQUIRED.CALL TO ARRANGE ACCESS_ CBII fOB't19@�B@X4 lYOS�Ct90�124 f60IlI'S irt�CIV�BIC�. �952j 249-4600 �W698B'I�061 40T OP9 S9$�: �@7SF9�CtOP: � /Y`- White Copyllnspector's File Canary CopyiSi4e Wo4ice I