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Home My WebLink About2011-01378 - roofing CITY OF ORONO PERMIT NO.: 2011-01378 2750 KELLEY PARKWAY ORONO MN 55356- DATE ISSUED: 11/02/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 525 TONKAWA RD PIN 06-117-23-41-0098 LEGAL DESC MINNETONKA SUMMIT PARK LOT 000 BLOCK 008 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 HOLM, K &MRS. STATE SURCHARGE(VALUATION) 4.00 525 TONKAWA RD � LONG LAKE,MN 55356- TOTAL 166.25 OWNER HOLM,MR.&MRS. 525 TONKAWA 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 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 revoked at any time for due cause. 11 / Z / -zOI( ?�� // /j 24 Applicanf Permitee Signature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. -� City of Orono Cr -ft-_ 551�6 Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: 0 PO Box 66 Permit number: U /O Q Crystal Bay, MN 55323-0066 Date received: Q / a Street Address: Received by: 2750 Kelley Parkway Plan review fee: t�kESHo�� Orono, MN 55356 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: .L5 TohK�tl/L� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 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 INFORMATION: Name: L�nh ,r State License # Expiration Date: Lead Certification Number: Expiration Date: ; (for work on homes that were constructed prior to 1978 Phone: b12-3�t;- j0I (office) (cell) ' Mailing Address: P.0 City: L—P- {-c ZIP: Contact Person: Applicant is: Contractor /' Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Phone (day): CAcd) Address: 5L5 l , City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: I Any earth movement may require ❑ Door(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 ❑ Re roof. other(specify) El Siding Phone: 952-471-0590 g ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.min nehahacreek orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ 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 oft e data. Confidential data is information which generally cannot be given to either the public or the subject of the data. O r purpose and intended use of this information is to annually update our records and records of other governmental agenci s required by law. If you refuse to supply the information, the application may not be issued. Applicant's Signature: J� >l Date: I I-Z-Zy i past Updated: 08-09-2011 T/OF"t TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ji- —1 1 PERMIT NO._,:)W/-L0/,37X COMPLETED ADDRESS a5 T a OWNER Z 79IWn�,1 frurELEPHONENO. l/Z ;M� ��'ol CONTRACTOR DESCRIPTION Tem W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti O El FRAMING ❑ 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 J [I PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W C J O a Oc O W W CICQ Z W z W LuO FORK SATISFACTORY:PROCEED L] PROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT \ i ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN C)CITATION ISSUED ElSTOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on s'te: Inspector. White Copy/Inspector's File Canary Copy/Site Notice / V CITY OF ORONO CALLED IN DATE TIME INSPECTION TI SCHEDULED PERMIT NO. LETED —_ ADDRESS OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANCS '4 ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ I LATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS INAL ❑ SEWER HOOK-UP ❑ COMPLAINT _J ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACT YOU:_YES_NO CO *OLD PERMIT - NO FINAL INSPCTjjON REQUES'..'ED J OI&A. dT -- cclie -- O +L W -- cc Q VAW d W ❑WORK SATISFACTORY:PROCEED R OJ ECT COMPLETE Cr ❑CORRECT WORK&PROCEED CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT RRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑PORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 96 ❑ CTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 ho u n advance. (952), 2"74600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary CopylSite Notice