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Home My WebLink About2011-01390 - roofing ` �° � CITY OF ORONO PERMIT NO.: 2011-01390 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 1 UO3/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3160 SUSSEX RD PIN : 04-117-23-32-0008 LEGAL DESC : FOX BEND : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION T PE : ROOF[NG-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 18,000.00 NOTE: VALUATION O PERMIT: $18000.00 TEAR OFF AND REROOF HOUSE AND GARAGE ROOFING PERMITS ISS ED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTE ) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. S[GNS-ADVERTISING IGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMP ETED THE SIGNS MUST BE REMOVED. PPLICANT pERMIT FEE SCHEDULE 309.75 MARK T SEASHORE ONSTRUCTION STATE SURCHARGE(VALUATION) 9.00 1523 LAKE PULASKI ROAD TOTAL 318.75 BUFFALO, MN 55313 (763)232-2316 Minnesota State Licens #: CR386373 OWNER CHENITZ, RICHARD&PATRICIA 3160 SUSSEX RD __ LONG LAKE,1VIN 55 56- " � � AGREEMENT ND SWORN STATEMENT The work for which this per it is issued shall be performed according to the approved plans and spec fications,applicable City approvals,and the State Quilding Code.-'Fhis rmit is for uiily the work described and dues not grant permission for ad itional or related work which requires separate permits. All provisions of I ws and ordinances goveming this type of work shall be compied with whet er or not specified herein.This permi[will expire and become null and oid if construction authorized is not commenced within 180 day of the date of issuance,or if construction is suspended for a period of 1 0 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance w th the State Building Code.This permit may be revoked at any[ime for due ause. , �1 , 3 , �� 1�� 3 ��/ Applicant Permitee ign ture Date Iss By Signature Date EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � "�?�' ,��x �:;3°�". �a � � City of Orono � 4 ` � � � �; Building Permit Application for Maintenance / Renovation ' ,~ �:� �� (windows, doors, siding, re-roof, etc.) � Mailing Address: � �,� PO Box 66 Permit number: �� --� � � �: �'' 0 O Crystal Bay, MN 55323-0066 Date received: � , � �w ��-� Received by: ,: � I� �.�._ �, Street Address: �N . ��t t �„�p„ �ti 2750 Kelley Parkway Plan review fee: '� 9 {�� Orono, MN 55356 �, � Esxo; _ , ...: �, __ � _ Total Fee: � / '� #✓ Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� '-� l� �' a'� ' This application form must be completed in full and all required information must be submitted. �� Incomplete applications will be returned. (Please print) � GENE AL INFORMATION: xd �� Job Si e Address: � ��1 S V�X �� Will th s be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �No �� If ye , a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servic�will be � Y, required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONT ACTOR/APPLICANT INFORMATION: `� � Name: �f k �r.s ]..o�e C o r�S�- k State icense# Ex ir � ��2 ��; 373 p� ation Date: -"31- 13 `_ Lead ertification Number: Expiration Date: � (for ork on homes that were construcfed prior to 1978 ,�� ' ' Phone '�7 6"3-232, Z�3 I (office) ��lo �,- SS�3�l 3 (cell) '� �` Mailin Address: �SZ3 P�� S i r�� City: ZIP: � ° Conta t Person: Applicant is: Contractor / Homeowner (Circle One) � Email nd/or Fax: �, �t � fi� ` ' PROP RTY OWNER INF MATION: Name: �� ;� ,�� Phone (day): �� x' Addre s: City: ZIP: �:.. Email nd/or Fax ,� � ,,> PROJ CT INFORMATION: <�� Type o Project: Any earth movement may require �� ❑ Doo (s) ❑ Remodel ❑ Fire Damage MCWD review&permits: � �. Minnehaha Creek Watershed District(MCWD) p '' �Re- of, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ,� ,�'. �,' ❑ Re- of, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ;:� � ❑ Re- of, other s eci Phone: 952-471-0590 '� ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 �P �� ❑Window(s) www.minnehahacreek.orq `� 1,F ��' Overa I Project Description: `�eu� G-f--�- h c �u�s` �- Gh�-< -�- ��. j�, ,� � � _�� Estim ted Construction Valuation of Project(excluding land) $ � d�� . ` � �� APPLICANT ACKNOWLEDGEMENT: M � • Agrees to provide all information required or requested by the Building Department; �� ",i �� • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they ��. �Y:! are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative 4" 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 r� 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. �u; � ��-3 - i� f` Applic nYs Signature: �I� 2 Date: �, ,� Last Upd ted: 08-09-2011 ;y . ._ �_ ._ .�. .. .,. _ ._� DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTI SCHEDULED PERMIT NO. '�a13�D COMPLEfED �� ADDRESS c��6'� G��YC OWNER T LEP NE NO. CONfTRACTOR � � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INS TION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ D MO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEH REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO c�., COMMENTS: � � *OLD PERMIT - NO FINAL INSPECTION REQUESTED, 2 J O �. � O � W � Q � 2 W � W � J d W ❑WORKSATISFACTOR`h.PROCEED PROJECTCOMPLETE � ❑CORRECT WORK 8 PROCEED ❑ IS E CERTIFICATE OF OCCUPANCY W 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. ❑pHOTOTAKEN INSPECTOR W{LL REfURN ❑CITATION ISSUED ❑STOP ORDEFi POSTED_CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. 52) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice INSPECTION NOTICE ✓ ,1�.�- DATE TIME CITY OF ""o� CALLED-IN � p�� SCHEDULED � PERMIT NO. � �� COMPLETED ADDRESS � OWNER/CONTR. ❑SITE INSPECTION ❑MECHANICAL RI ❑REINSPECTION ❑CONC SLABS O MECHANICAL FINAL ❑FOLLOW-UP O FOOTING ❑INSULATION ❑COMPLAINT ❑POURED WALL �TED ASSEMBLY ❑ FIREPLACE ❑FOUND.DRAINAGE UILDING FINAL ❑SPRINKLER SYSTEM ❑FRAMING ❑ EPTIC INSTALL ❑ � ❑SHEATHING ❑SEPTIC FINAL � ❑PLUMBING RI ❑S&W HOOKUP ❑ � O PLUMBING FINAL ❑GAS LINE MANOMETER ❑ o COMMENTS: Z � Q � J W _ J Z O � W a � � O R O W R C � W . W � ._ �._ . _ .... . � FURTHER CORRECTIONS MAY BE REGIUIRED PERMIT FINALED 0 "O VNORK SATISFACTORY: PROCEED ❑ HOTO TAKEN O ❑CORRECT WORK&PROCEED V ❑CORRECT WORK.CALL FOR REINSPECTION BEFORE COVERING ❑CORRECT UNSAFE CONDITION IMMEDIATELY. ❑ STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. TO SCHEDULE YOUR INSPECTIONS PLEASE CALL: (763) 479-1720 Metro West Inspection Services Inc. Owner/Contr. on site: Inspector: