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Home My WebLink About2011-01365 - roofing CITY OF ORONO PERMIT NO.: 2011-01365 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11/01/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3765 TOGO RD PIN : 17-117-23-31-0040 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 010 BLOCK 010 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,731.32 NOTE: VALUATION OF PERMIT:$8731.32 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 ALL ELEMENTS INC PERMIT FEE SCHEDULE 177.00 1347 DUNDUS CIRCLE STATE SURCHARGE(VALUATION) 4.37 MONTICELLO,MN 55362- TOTAL 181.37 (763)314-0234 PAID WITH CC# 1157 Minnesota State License#:BC323540 OWNER HASSE,RENE 3765 TOGO RD WAYZATA,MN 55391- 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 governing 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 are requested in conformance with the State Building Code.This permit may be revoM#at any time for due cause. A icant Pertnitee Signature Date ss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - Nov.- 1. 2011 8; 56AM All Elements Inc. No. 6931 P. 2 City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc. Mailing Address. Permit number: CZ —� O�O O PO Box tib Crystal Bay,MN 55323-0066 pate received: Street Address: Received by. 2750 Kelley Parkway Plan review fee: Orono,MN 55356 Main, 952-24911600 Fax: 952.249.4616 www.d.orono.mn.us Total Fee: 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: 3765' o5n d ro-n4, {'�/i/ S•�35-E Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? ❑Yes ❑No try".a apeoW event perm#is required wRh Poke Department and Cry Coundl approver 60 days prior to the event. shuttle bus service w#I be required unless appikant denwestratss sutrklent on-site pedift is available. Non-pemr#led events w01 not be alkwxd. CONTRACTOR/APPLICANT INFORMATION: Name: l�f� 1 ne,)i-s �c. State License 0 13C 3 2 3 S VQ Expiration Date: 1- 31 - 291Z Lead Certification Number: Expiration Dale: (for work on homes that were constructed prior to 1910 Phone: 76 3 3/y• p 2.3 y (office) 7 6.3-2 o Z-6 3 y6 (cell) Mailing Address: 3 y7 nimd-a tfi,deCity: 40,1 t.cc/o ZIP: .55',762 Contact Person: J uzh,' .Sr1,-1l, Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: =ru�F��s�a ulteler,c�ts►�,c.net PROPERTY OWNER INFORMATION: Name: Bele HASst- Phone(day): q'5 3. - 1.5.1` 01 A 2 Address: 3765 Tope 2d. City. Orono AN ZIP: S,S 3 sd Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Doods) ❑Remodel ❑Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) Re-roof,asphalt ❑Repair `A Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration C1 Water Damage Deephaven,MN 55391 Phone: 952.471-0590 Q Re-roof,other(specify) [3 Siding C3 Other(specify) Fax: 952.471.0682 ❑ www.minnehahacreek,ora Window(s) Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 2731, 32- APPLICANT -73/, 32- 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 govemmental agencies required by law. IF you refuse to supply the information,the application may not be issued. Applicant's Signature: Date: DAT / ( TIME CITY OF ORONO CALLE� nt b INSPECTIONOTICE S SCHEDULED PERMIT NO. "a 0 COMPLET ADDRESS OWNER TELEP ONE N07 n CONTRACTOR DESCRIPTION t4 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: QC W a J O cc O W cc Q y W _. W CC LU J�NRKSATISFACTORY.PROCEED ❑ PROJECTCOMPLETE cc W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR O 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 CopylInspector's File Canary Copy/Site Notice DATE TIME ti CITY OF ORONO CALLED IN 11- 7 INSPECTION NOTICE SCHEDULED / PERMIT NO.ao/l- D/3( 5 COMPLETED ADDRESS 3a5 FD9L7 OWNER _ TELEPHONE NO. 76 712 �3q(b CONTRACTOR / DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W 0- occ C'�✓(rS CC 0 U_ W CC Q Z W W oc Uj ElWORK SATISFACTORY:PROCEED P<gROJECT COMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 1:1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit Inspector. White CopylInspector's File Canary Copy/Site Notice