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Home My WebLink About2011-01136 - roofing ,� CITY OF ORONO PERMIT NO.: 2011-01136 � 2750 KELLEY PARKWAY ' ORONO, MN 55356- DATE ISSUEn: 09/28/2011 t 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 : ROOFMG-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,000.00 NOTE: VALUATION OF PERMIT:$6000.00 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 Tf IE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 132.75 K. RANDALL&COMPANY STATE SURCHARGE(VALUATION) 3.00 3801 SUNSET DRIVE SPRING PARK, MN 55384 MISC FEE 0.00 Q TOTAL 135.75 Minnesota State License#: 20637998 OWNER FORT,JOHN&KRISTIN 585 STUBBS BAY RD N LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for��-hich this permit is issued shall be perfonned according to the approved plans and specilications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for addi[ional 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 construc[ion authorized is not commenced within 180 days of[he date of issuance,or if construction is suspended for a period of l80 days a[any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Buiiding Code.This permit may be revok any[ime for due cause. � � i�� a� _ .. / � '�/ �'� i i Applicant Permitee Si nature Date Issue By ' nature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � ,r� , City of Orono _ Building Permit Application for Maintenance / Renovation ,�; � (windows, doors, siding, re-roof, etc.) �-� Mailing Address: Permit number: � ; ��,�,�. PO Box 66 � , Q � Q Crystal Bay, MN 55323-0066 Date received: .: ' �"'- Received by: ' ,� � ��°-�?`_ �, Sfreef Address: '' �,�, t �� ti 2750 Kelley Parkway Plan review fee: � �✓' L`�hESHog� Orono, MN 55356 �' Total Fee: Main: 952-249-4600 Fax: 952-249-4616 vwuw.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: �`j Q �-�� ,��;� '� �,��o r`�/v° � x3 � �v � "' Will this be a Parade of Homes, Remodelers Show�ase H me or other Display Home? ❑ Yes No If yes, a specral event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se ice wifl be ,� required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. : �� CONTRACTOR/APPLICANT INFORMATION�: f,a Name: ��• /` s�� or.-i � � � State License# � Ex iration Date: � Z(�l0 1 7 4 4� p 3 3 I 1 Z. � Lead Certification Number: Expiration Date: � ;�; x (for work on homes fhat were constructed prior to 1978 a;' Phone: (o � 2 - Z a'/- '7Ca `� 3 �office) q S 2 - � 7, - � S 5 �j (cell) } Mailing Address: 3po d S'vn�c � I�ti�c� , S,vrc`n City: S��,^� �o,,�d�_ ZIP: � 5 3 � r , Contact Person: licant is: Cont ctor / Homeowner Circle One � = /� �.z-�- N��.�-�� P � � � Email and/or Fax: � � y;;. � /Z ri:v/J/.�CLC v Pi -r"i� . L� ,;;� i�'': ,� ,'. ,��` PROPERTY OWNER INFORMATION: ,� Name: `�� I-•r, �� }- � � Phone (day): (4 �� 2 •5 � 4 c�� d � Address: 5$�^�'rv 6t3S 3R `d 12oa�� City:�� p�; � ZIP: � ; 3 � S� Email and/or Fax �� r` � PROJECT INFORMATION: �� Type of Project: Any earth movement may require �� ❑ Door(s) ❑ Remodel MCWD review&permits: �" ❑ Fire Damage �� Minnehaha Creek Watershed District(MCWD) ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � _Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 r� Phone: 952-471-0590 ``� ❑ Re-roof, other(specify) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 ,;:� ❑Window(s) www.minnehahacreek.ora Overall Project Description: �' Estimated Construction Valuation of Project(excluding land) $ (� U�p_ o � A� �� APPUCANT ACKNOWLEDGEMENT: �,, . Agrees to provide all information required or requested by the Building Department; y'' ,x:'s • 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 ,F=�� 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. ;�'� �� d � ApplicanYs Signature: � � � Date: 9 Z �� „ � Last Updated: 08-09-2011 t,} i,� ; ; _ __ _ _ _ _ ��:x �� TIME � CITY OF ORONO CALLED IN � � INSPECTION�D��E o �� 36 SCHEDULED '2�— I 1 Q' PERMIT NO. COMPLETED �(/ ADDRESS 58 S S7� � l�-�� OWNER TELEPH NE NO.�o�Z Zg � 7C��b CONTRACTOR � /��-� `� C� >; DESCRIPTION �a'�-�� /�a-� �7� � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � ✓�r�, �� 0 � w � Q � z W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑C RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED D INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. ..._ White Copyllnspector's File Canary CopylSite Notice D TIME � CITY OF ORONO CALLED IN �� INSPECTION NOTI E SCHEDULED �I —1. � PERMIT NO.aD � D ' COMPLETED ADDRESS SS ��5 N OWNER TEL„EP NE NO. ��2 Z�� 7�53 CONTRACTOR ��'�' >; DESCRIPTION � � ' " " � l� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � ti � Q � 2 W � W � � GW ❑WORKSATISFACTORY:PROCEED ROJECTCOMPLEfE � ❑ CORRECT WORK&PROCEED _n. ISS E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN 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. (952� 249-4600 Owner/Contractor on site: Inspector_ White Copyllnspector's File Canary CopylSite Notice