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Home My WebLink About2011-01351 - roofing CITY OF ORONO PERMIT NO.: 2011-01351 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/31/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4655 TONKAVIEW LA PIN : 07-117-23-32-0064 LEGAL DESC : REG.LAND SURVEY NO. 1036 : LOT MB BLOCK MB PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: VALUATION OF PERMIT:$8000.00 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 162.25 JAKE OVERCOTT EXTERIORS,LLC STATE SURCHARGE(VALUATION) 4.00 19717 JACKIE LANE ROGERS,MN 55374- TOTAL 166.25 (612)242-5698 Minnesota State License#:639273 OWNER LICURSI,ANGELO&RACHEL 4655 TONKAVIEW LA MOUND,MN 55364- 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 applican is responsible for assuring a quired inspections are requested i n ance with the S uilding Code.This permit may be revoked a me for due / 31 / 21/ 0 Applicant Permitee Signature Date IssueBy 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: Permit number: PO Box 66 — 013,51 �0 Fn Q Crystal Bay, MN 55323-0066 Date received: 10131111 Stre e t A ddre ss: Received by: 2750 Kelley Parkway Plan review fee: \\t9kEs'Ho4`j Orono, MN 55356 l �r Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) __ Job Site Address: ;`� c kj/tiC,�� f c11 �� C:rc,"I C) Will this be a Parade of Homes, Remodelers Showcase Home or other Display Ho e? ❑ Yes "No If 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 events will not be allowed. CONTRACTOR/APPLICANT INFORMATIOW. � Name: K�t� C✓ ( I S—,rki,,C:�`� State License # 9C (,z3 � a7 Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: %�z - y z _ �/� (office) (cell) Mailing Address: ,e City: ZIP: Contact Person: � �_ G✓ �.�� Applicant is: Contract r. / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: t Name: Phone (day): Address: j� I�>1kJ,C�c� City G�Gi�I ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Doo s) ❑ Remodel ❑ Fire Damage MCWD review& permits: Re-roof, asphalt Minnehaha Creek Watershed District(MCWD) p ❑ 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) $ ('C)(0) 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 informa;ion which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of thi information is to annually update our records and records of other governmental agencies re uired b law. If you refuse to the information, the application may not be issued. Applicant's Signature: Date: Qr° 3 /I ? CU '_ast Updated: 08-09-2011 D T CITY OF ORONO CALLED IN TIME INSPECTION NOTICE 3 S SCHEDULED PERMIT NOa=_2 � / ��-- COMPLETED ADDRESS _7_ol_ /-aLpe� � OWNER TELEPHONE NO.&/z ZYZ 5J/ CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ElPOURED WALL ElMECHANICAL RI El LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ElSEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W cc a Q w W / G):s� e cc W ac Q a W z W QC � ORKSATISFACTORY.PROCEED ElPROJECTCOMPLETE LU ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑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 ❑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. C White CopylInspector's File Canary Copy/Site Notice / DAT TIME CITY OF ORONO CALLED IN INSPECTION I SCHEDULED - PERMIT NO. COMPLETED ADDRESS X655 OWNER TELEPHONE NO."3 /0,5� CONTRACTOR Uaie �L � L 3; DESCRIPTION )r W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING % ❑ POURED WALL E-1 MECHANICAL RI ElNV LAKESHOREETLANDS ❑ FRAMING El MECHANICAL FINAL El 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 ❑ HARD COVER REMOVAL r ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W CL cc O cc O U_ W CC Q Z W z W CC GW ❑WORK SATISFACTORY:PROCEED AROJECT COMPLETE Uj W ❑CORRECT WORK&PROCEED 171ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR 11 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 Copy/Inspector's File Canary Copy/Site Notice