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Home My WebLink About2011-00458 - roofing CITY OF ORONO PERMIT NO.: 2011-00458 2750 KELLEY PARKWAY a. ORONO, MN 55356- DATE ISSUED: 06/13/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 684 TONKAWA RD PIN 05-117-23-33-0011 LEGAL DESC PARTENS POINT 1ST DIV LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 5,600.00 NOTE: TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 132.75 WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 2.80 1984 QUINBALEE RD DEPERE, WI 54115- MISC FEE 0.00 (704)577-5901 TOTAL 135.55 Minnesota State License#:20638654 PAID WITH CC# 5779 OWNER GILBERTSON,WELDON&MARCIA 684 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 isresponse �u l equired inspections are requested in confo ce with the State Buil i Code.This permit may be revok any ti a cause. _.App hc erm' a — Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: a. PO Box 66 Permit number. D l 00 Q Crystal Bay, MN 55323-0066 Date received: hl StreetAddress: Received by: c~ 2750 Kelley Parkway Plan review fee: Orono, MN 55356 `Main: 952-249-4600 Fax: 952-249-4616 w_ww.ci,orono.mn.us Total Fee: This application form must be completed in full and all required information must be submitted. Incomplete a�cations will be returned. (Please print) GENERAL INFORMATION: Job Slte Address: Will this be a Parade of Homes, Remodels Showcase Home or other Display Homed U Yes El No If yea,a special event permit is required w>th Police Department and City Coundl approval 60 days pdor to the event. Shuttle bus sennas will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR l APPLICANT INFORMATION: Name: (A l b A'T V*E 2 --T k1 ]E)c TE P/0 R S State License# Ib6, 6 c� Expiration Date: 3 3/ Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: 577-S?e/ (office) (cell) Mailing Address: �Dl //7 ha le� City: ZIP: // Contact Person: 4all JA Applicant is: Contractor / Homeowner (circa one) Email and/or Fax: (, g -� ��1?7 PROPERTY OWNER INFORMATION: �1 Name: i A) E L IN y gy r- R E Q T 5 a Phone(day): �'�, _ r - r , P3 Address: y 'I of K ev9 Vo City:&7 ZIP; 5 25"� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑Remodel ❑Water Damage MCWD review&hermits: ❑Window(s)s Minnehaha Creek Watershed District(MCWD) wO ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd i]Siding ❑Restoration ❑Other:(specify) Deephaven,MN 55391 XRe-roof ❑Fine Damage Phone: 952-471-0590 Fax: 952-471-0682 wwww.minnehahacreek.om _Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ d 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 ' rmation which genera cannot be given to either the public or the subject of the data. Our purpose and into use of thi ' ormation is to a wally update our records and records of other governmental agencies required b law. ou refuse to su I he info do the applicaWn mav not be issued. Applicants Signature: r Date: Last updated: 03-01-2011 Tay.. i r To: Building Permit FAX NUMBER: (952) 249-4616 FROM: Dan Jansen WEATHER-TITE EXTERIORS FAX NUMBER: 888-511-0387 i 5113 West 98th St#176, Bloomington M N 55437 � DATE: 6/13/2011 3:07:59 PM REGARDING: Roofing permit •ice PHONE NUMBER FOR FOLLOW-UP: (704) 577-5901 COMMENTS: Permit for Weldon Gilberston 1 DATE TIME V CITY OF ORONO VVV CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. COMPLETED ADDRESS : 2�ILaJGt-, OWNER EPHONE NO. A '� 7 CONTRACTOR a DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q [I POURED WALL El MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS El FINAL E] SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Z ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W C IIA cc (ju J O O U_ LU ►��-F�� 1 z W z W cc Z) O W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Lu W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Ci BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24ho rs in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice DA-11t TIME CITY OF O ONO CALLED IN AP-/INSPECTION bjQTICE SCHEDULED 4a 149 PERMIT NO. /—�� COMPLETED ADDRESS 0 a� OWNER 19 TEL.EPWtSIE N CONTRACTOR IZ141 DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q El POURED WALL El MECHANICAL RI ElLAKESHORE/WETLANDS CT ❑ FRAMING ❑ MECHANICAL FINAL Q 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR T"EET YOU:_YES_NO / COMMENTS:CC W C O CC O U_ W CC Q Z W W CC LIJ ❑WORK SATISFACTORY.PROCEED IrAQOJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector_ A White Copy/Inspector's File Canary Copy/Site Notice