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Home My WebLink About2011-01040 - roofing CITY OF ORONO PERMIT NO.: 2011-01040 2750 KELLEY PARKWAY � �` ORONO,MN 55356- DATE ISSUED: 09/12/2011 . 952 249-4600 FAX: 952 249-4616 ADDRESS : 60 STUBBS BAY RD S PIN : OS-117-23-12-0022 LEGAL DESC : BETZ ADDN : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,500.00 NOTE: VALUATION OF PERMIT:$6500.00 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 THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 147.50 LEGACY SERVICES CORP STATE SURCHARGE(VALUATION) 3.25 6390 MCKINLEY ST NW TOTAL 150.75 RAMSEY,MN 55303- (763)712-5656 PAID WITH CC# 5023 Minnesota State License#:20638110 OWNER KROLL,CLEMENT 60 STUBBS BAY RD S MAPLE PLAIN,MN 55359- 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 aRer 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 an time for due cause. / /Z //l l l t Permitee ignature Date Issued By S' ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono t 4 Building Permit Application for Maintenance / Renovation . {windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: � 2750 Kelley Parkway Plan review fee: ��xo�.��' 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 retumed. (Please print) GENERAL INFORMATION: Job Site Address: /� dr-- Sylvb`s � �II this be a Parade of Homes,Remodelers Showcase Home or other Display Home? Yes o lf yes,a specia!everrt permif is required with Police Departmerrt and Cily Council approva/60 days pria to the eve»t ShutHe bus service will be required uNess appNcarrt demonslrates sulficierrt on-site parkirtg is availab/e. Non-permitted ever►ts wiN not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: Gns-- � State License# ap��g��,p Expiration Date: 3 3� �oii Lead Certification Number: a. / -/y�ly- /O- O/o 3L Expiration Date: � joiS (for worK on homes thai were constructed prlor to 1978 Phone: 7�3� 7/) -,f'G�G (offi�) g31•3.�6�G2/� (cell) Mailing Address: G39� �/C" a��✓ CitY: Z�P� ss�o Contact Person: �� f- Appticant is: ontractor / Homeowner �CirckOne) Email andbr Fax: �o",. �/�f� ,(e�,,�,,�o�✓,c�s r•o�,o.c��,., PROPERTY OWNER INFORMATION: Name: C �,,,.iP,,-{- �/r� 1� Phone(day): 9,�rZ -�/73-�-833 Address: Gp S S��LS ,f�,� /L� City: ,ry�aL 60 ,�, ZIP: �3.3�4 Email and/or Fax �—� PROJECT INFORMATION: Type of Project: Any earth movement may requlre ❑Door(s) ❑Remodel ❑Fire Damage MCWD revfew 8�permits: Minnehaha Creek Watershed DisVict(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 ❑Window(s) www.minnehahacreekor�a Overall Project Description: ,Q��o s� � ��g� Estimated Construcfion Valuation of Project(excluding land) E(o5vo'�O 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 altemative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this apptication is classified by State law as either private or confidentiaf. 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 infor lication ma not be issued. ApplicanYs Signature: �:-- "7`-- Date: �i Z zv �c Last Updated: 08-09-2011 � � ��/ � �'J DATE TIME CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED -'��-�-�— -�%�� PERMIT NO. �D//-G'�L`�lD COMPLETED N N ADDRESS �' , �� t �' �"J OWNER TELEPHONE�O! -��'a��n�C�'Zl�' CONTRACTOR �.�"' c c_ - / „ �: DESCRIPTION ��'��--''Z � � � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNER/CONTRACTOR TO MEET YOU:_YES NO c�n COMMENTS�—" � W a � J O >. � O � W � Q � Z W � W � � �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � CORRECT WORK 8 PROCEED n_ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAII INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on ' Inspector White Copyllnspector's File Canary CopylSite Notice Da,�E TIME ✓ CITY OF ORONO CALLED IN � �` � INSPECTION NOTICE SCHEDULED ^� �� PERMIT NO.��'�OlD�D COMPLETED ADDRESS �D S'tZ�'t�"J �Gt:c� �✓ S. OWNER TELEPHONE NO. g5Z 3Slo �zlg CONTRACTOR LP � DESCRIPTION � � �`'� � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILIING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO / c�n COMMENTS: l l�vl. U � a � �� ' ,- � J � o �..� T'�(� �'t� OC�J 0 � W I c..�� - �( � � ,f/. � � � Q � z W � � `�i��tI 1►^✓v� ��h��P � �WORKSATISFACTORY:PROCEED y�PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CANDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WlLL 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 OwnerlContractor on site: Inspector. White Copyllnspector's Flle Canary CopylSlte Notice