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Home My WebLink About2011-00999 - roofing , CITY OF ORONO PERMIT NO.: 2011-00999 � ' ' 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 09/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2990 SUSSEX RD PIN : 04-117-23-31-0014 LEGAL DESC : FOX BEND : LOT 003 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 50,000.00 NOTE: VALUATION OF PERMIT:$50,000.00 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 681.75 TIMBERLINE ROOFING&SIDING STATE SURCHARGE(VALUATION) 25.00 5051 HIGHWAY SEVEN SUITE 270 TOTAL 706.75 MINNEAPOLIS,MN 5541Cr PAID WITH CC# 6388 (612)363-6158 Minnesota State License#:20631244 OWNER KELLY,JUSTIN&SUSAN 2990 SUSSEX RD 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 separate 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 wi the State Building Code.This permit may be rev d at any time f due se. � / Il/ / � � � // G Applicant Permitee Si ature Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ` * City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: ��y C ��,�,�.� PO Box 66 Permit number: �1\ Crystal Bay, MN 55323-0066 Date received: �t �,-, �� Received b 1I,� ��t�,� :` �, ' Street Address: Y� �' y��d tii5' 2750 Kelley Parkway Plan review fee: �l �''��4��`�� Orono, MN 55356 �kESH�j -_- 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) GENERAL INFORMATION: Job Site Address: Z�q� SV�� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes No lf 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-permitted evenis will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: '�'l/j'!bt!��1 e a(I��/1 � A��? State License# 20fv�� Expiration Date: 3 '�/ �p/Z„ Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: CtSZ� �Z(i �19�0 (office) (cell) Mailing Address: ( Hj � $✓t+� Z � City: � a�is ZIP: �f'S �(s Contact Person: �C�lqt/ ✓acabs� Applicant i ontractor / Homeowner (CircleOne) Email and/or Fax: 'q,� y t,/�l,� ��y�,�/,LIM PROPERTY OWNER INFORMATION: r Name: t�VS'f!/1 X SUSAn �1�G��r Phone (day): (� (Z�EG�{.. 3 9$6 Address: Z1RQ SvSSGX �• City: ��0 ZIP: ssi3�� Email and/or Fax — PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-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.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ SU� �OD 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 required b law. If ou refuse to su I the inf mation,the ap lication ma not be issued. ApplicanYs Signature: Date: "/ " � ' �! Last Updated: 08-09-2011 ��d 2: (�P Iz.. �� ✓ �DA TIME CITY OF ORON CALLED IN. � INSPECTION OTICE SCHEDULED PERMIT N -� � LETED ADDRESS d�l O �� OWNER - TELEPHO O. r CONTRACTOR � DESCRIPTION � �"� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ E ADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSUTATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q p RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. O FOILOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o � � S �.S' � � 0 � W � Q � 2 W � W � � d W��IORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor site: � Inspector. A�L White Copylinspector's File Canary CopylSite Notice �j,� DAT �� TIME V v TY OF ORONO CALLED IN l INSPECTION TICE SCHEDULED / �/ PERMIT NO. f�" dd� COMPL ED ADDRESS �l �v '� /( � OWNER TELEP NE NO. �0��— �� CONTRACTOR � � � - � �: DESCRIPTION U�/ � � ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O �. � O � W � Q � 2 w � W � j � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WlLL RETURN 0 CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. �� White Copy/lnspector's File Canary CopylSite Notice