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Home My WebLink About2011-00917 - roofing CITY OF ORONO PERMIT NO.: 2011-00917 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/23/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 680 TONKAWA RD PIN 05-117-23-33-0010 LEGAL DESC PARTENS POINT 1 ST DIV LOT 005 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED . VALUATION $ 18,000.00 NOTE: VALUATION OF PERMIT:$18000.00 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 309.75 WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 9.00 1984 QUINBALEE RD DEPERE,WI 54115- MISC FEE 0.00 (704)577-5901 TOTAL 318.75 Minnesota State License#:20638654 PAID WITH CC# 5779 OWNER LEE,MELINDA 680 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 fondue cause. Applicant Permitee Signature Date Issued By SIdnature e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO City of Orono Building Permit Application for Maintenance 1 Renovation (windows, doors, siding, re-roof, etc.) �---�. Mailing address Permit number: O, PO Box ss 0 �Oql Crystal Bay, MN 55323-0066 Date received: 8 t Street Address: Received by: �+ 2750 Kelley Parkway Plan review fee: Orono, MN 55356 Main: 952-24SA600 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: 0P -7o-#1 4/,* -Ad, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? 'Yes o If yes,a special event permit is required with Police Department and City Council approval BO days prior to the event Shuftie bus icewill be required unless applicant demonstrates sut8clent on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: j.._ State License# _ �r 2Z Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructedr* to 1978 Phone: l - (office) (cell) Mailing Address: L/ Gi ZIP: Contact Person: ,� t , Applicant is: Contractor 0 Homeowner (circie one) Email and/or Fax: - S71 ^o PROPERTY OWNER INFORMATION: Name: .44� ,� �' ,- Phone(day): , ' Address: fairy, City: ZIP: Email and/or fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: ❑Do r(s) ❑Remodel El Fire Damage p Minnehaha Creek Watershed District(MCWD) e olof,asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 9521171-0590 ❑Re-roof,other(specify) ❑Siding ❑Other. (spedfy) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: Fe- Estimated Construction Valuat on of Project(excluding land) $ Lj&& 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 by law_ If you refuse to supply the information,the application may not be issued. Applicant's Signature: Date: Last Updated: OS-09-2011 V DATE TIME CITY OF ORONO CALLED IN INSPECTION OPTICE d� l SCHEDULED l PERMIT NO. COMPLETE ADDRESS OWNER �> TELEPHONE` NO. CONTRACTOR `"w`_ � ), -U 3Z DESCRIPTION ! ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ FRAMING ❑ MECHANICAL FINAL Q [_1 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 y COMMENTS: W C J O Cc O W W Cc Q f2 2 W W QC SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El 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 Copyllnspectoes File Canary Copy/Site Notice C ✓/ (— r DATE TIME CITY OF ORONO CALLED IN - —& I INSPECTION N TI SCHEDULED `"�-`� -► I -� ar�'y PERMIT NO. TF-009v1 7 COMPLETED ADDRESS o U _Fo" L all OWNER TELEPHONE NO. CONTRACTOR �cY� Df Uri > DESCRIPTION / L ki ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ 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 [I PLUMBING RI E] SEPTIC FIN ElFOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YESVNO to COMMENTS: C'� �Y\4 WSW I� W Q. cc J O cc O U_ W cc Q Z W W CC O W ❑WORK SATISFACTORY:PROCEED .44MOJECTCOMPLETE LU W El WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El El 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 s Inspector. Tii r White CopylInspector's File Canary Copy/Site Notice