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Home My WebLink About2011-01114 - roofing 4 CITY OF ORONO PERMIT NO.: 2011-01114 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/26/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 585 STUBBS BAY RD N PIN : 32-118-23-24-0006 LEGAL DESC : UNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILD[NG- UNDEFINED VALUATION : $ 20,000.00 NOTE: VALUATION OF PERMIT:$20000.00 REROOF BARN,OUT BUILDING,GARAGE 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-ADVGIZTISING SIGNS MAY ONLY BE ON THE PROPGRTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERM[T FEE SCHEDULE 339.25 K RANDALL& CO INC STATE SURCHARGE(VALUATION) 10.00 3801 SUNSET DRIVE SPRING PARK, MN 55384- TOTAL 34925 (612)281-7683 Minnesota State License#: 20637998 OWNER FORT, JOHN& KRISTIN 585 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 rclated work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specitied 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 SCate Building Code.This permit may be revok�d at any time for due cause. ��;y.'`. �.�� ,� , / Z / �i ; � �(�, � Ap ant Perm �nature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _ F �. -� _ �- City of Orono � � � �r � �.:A � w.4_ ��. ` ` �' Building Permit Application for Maintenance / Renovation �� g: (windows, doors, siding, re-roof, etc.) '-q� Mailing Address: Permit number: �/l- � ' g,0,�. PO Box 66 � �;, � Crystal Bay, MN 55323-0066 Date received: / q� .� �' , � Received by: y�,;�:� �,� Street Address: �',�, � t ��'� G,�' 2750 Kelley Parkway Plan review fee: � Orono, MN 55356 �EsxoS`` l� �� 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. (P/ease print) � ''p� GENERAL INFORMATION: s > �. Job Site Address � �' � ��`�.� � � � �r,..�� F� J/2 a��ea /"�'a�' ��_�3� � � � e� �. Will this be a Parade of Homes, Remodelers Show se Home or other isplay 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 servrce will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. t; .�;,,; CONTRACTOR/APPLICANT INFORMATION: ''� Name: � /�a�r��'�,�'� y L or� �� ~ � State License# Z�� Z � �� ' Expiration Date: ��-��'� � ,� Lead Certification Number: Expiration Date: � (for work on homes that were consfructed prior to 1978 Phone: ��Z _ �� a_ -��Y � (office) g5Z - `��r - �?�$ j (cell) �' Mailing Address: go� S �� ],.L ,,� City: �, 1� ZIP: S� ��g �,� � 4' Contact Person: �ua.� �u c,�,oc S dti( Applicant is: Cont ctor�J / Homeowner (Circle Onef � ;; _�_.___�. � ,�,: Email and/or Fax: �� p L�_t� � � . � o � ,� �� ': PROPERTY OWNER INFORMATION: � Name: ��',.��. C-o;�-� � Phone (day): (0 1 Z - ZS t - �s�3 � �'� Address: ��S STvf�13S i�A�/ I,Z�a.c� City: �126/�� ZIP: '� a 3 S la `= Email and/or Fax - PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: ❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) �-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 � Phone: 952-471-0590 �� ❑ Re-roof, other(specify} ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 '` www.minnehahacreek.orq �: ❑Window(s) � ,� Overall Project Description: ,�p – T1�,,,� �9 ,f'�� ;� � �,,.,l-? �� - �,�;, y�� Estimated Construction Valuation of P ect excludin land $ `�� 1 ( 9 ) �' Zo_no G� � �>: 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 appfication being aware that upon failure to do so, the staff has no alternative ,� but to reject it until it is complete; 4� s • 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 informafion 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. I# ou refuse to su I the information,the a lication ma not be issued. � �.� g � �� ApplicanYs Signature: -F- � Date: �p�ZCo � a� ��: —T Last Updated: 08-09-2011 '`:i _.9 . r-t� � � C� DAT TIME \ / � v CITY OF ORONO CALLED IN // � INSPECTION NOTICE SCHEDULED 9 / L��-� PERMITNO. ��—Q�� COMPLETED ADDRESS � �� 7�7.I�!� 5 � l�C� OWNER TELEP NE NOL�I °� �a� � `7�� CONTRACTOR V �• >: DESCRIPTION �-2 d-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � � � � J O >. � ° v S C� 1�tT `�i�.� � �cti �-C� � � Q. ��-- C e � � � Q . `' (r. v°� c� '� {� 6 � � �..� � �'n�- � N� e �,c.c' i--�r Jl--��S � � � c�� S��e � � � d � �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN � CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. C� r ��1� White Copyllnspector's File Canary CopylSite Notice f- �DATE� TIME J CITY OF ORONO CALLED IN � I INSPECTION NOTI�j E Q� � � , / SCHEDULED ' ' _� ✓�� PERMIT NO.�0�` — `f� COMPLETED ADDRESS ��5 ��S � OWNER TELEPH E NO.� �Z Z�S� 7lO�Y-3 CONTRACTOR � �: DESCRIPTION �!�`^''� l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h 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 ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O a � O � W � Q � 2 W � W � � d � ❑WORKSATISFACTORY:PROCEED �GOJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING _�pERMANENT ❑CORRECTUNSAFECONDITIONWITH�N HOURS. � pHOTOYAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. (952� 249-460� OwnerfContractor on site: Inspector. White Copyllnspector's File Canary Copy/SHe Notice