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Home My WebLink About2011-00474 - roofing CITY OF ORONO PERMIT NO.: 2011-00474 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 145 TURNHAM RD PIN 31-118-23-43-0011 LEGAL DESC UNPLATTED 31 118 23 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 6,000.00 NOTE: TAKE PICTURES,SINCE INSPECTOR NOT AVAILABLE FOR TEAR-OFF. LEAVE PICTURES IN BAG ON SITE. APPLICANT PERMIT FEE SCHEDULE 132.75 ADVANCED ROOFING&SIDING STATE SURCHARGE(VALUATION) 3.00 360121 ITH LANE NW ANOKA,MN 55303- TOTAL 135.75 (763)464-2084 Minnesota State License#:20630441 OWNER DETERS,DAVID 145 TURNHAM RD MAPLE PLAIN,MN 55359- 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, of specified herein.This permit will expire and become null anvoi f construction authorized is not commenced w'thm 180 da44 oftie date of issuance,or if construction is suspended Ifoca riod 0 ays at any time after work has commenced. The applici s i r assuring all required inspections are requested i fo the State Building Code.This permit may be revoked time r e ause. Apolidutt Permitee Signature Date Issue— dBy gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work �`✓ r (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 'Qv O � PO Box 66 OO Crystal Bay, MN 55323-0066 Date received: a Street Address: Received by: 2750 Kelley Parkway Plan review fee: t`�kEssoj`� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 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: �?{<.¢� �"�0� k, -( Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YesNo 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: v A Cr Z,L'a CA State License# , Expiration Date: Lead Certification Nu er: Expiration Date: (for work on homes that were constructed for o 1978 Phone: �6 (office) �/ � ~] �LI�3 (cell) Mailing Address: j L City: QAk.C��c,e �'„ 'ZIP: Contact Person: U' O,—d-e Applicant is: ontracto Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: 4 Name: i f, / S Phone (day): Address: j T_ K�l �, City: jam, ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review& permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Deephaven. MN 55391Other: (specify) Phone: 952-471-0590 �Re-ro� ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ WOO., 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 whiVhher lycannot be given to either the public or the subject of the data. Our purpose and intended use of this ` formatio nnually update our records and records of other governmental agencies re uired b law. If ou refuse to I thea n, the application may not be issued. Applicant's Signature: Date: I� Last Updated: 03-01-2011 DA E TIME ALFOWNWO CALLED IN INSPECTION NOTIC _0 7� �6CHEDULED PERMIT NO. `t COMPLETED ADDRESS OWNER TELEPHONENO. 74 - CONTRACTOR 3: DESCRIPTION -1 FOOTING ❑ PLUMBING FINAL ❑ A RADING/FILLING tj 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 ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ElFOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES O COMMENTS: alk UL. j O � C re W Q W cc ❑WORK SATISFACTORY:PROCEED ❑ PROJECT 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. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP 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 site: Inspector. White CopyMspector's File Canary Copy/Site Notice f CITY OF ORONO CALLED IN DATE TIME INSPECTION NOTICE SCHEDULED PERMfT NO.-.2-0 00�a_ COMPLETED r—r.2— ADDRESS Agat /edO OWNER TELEPHONE NO. _ CONTRACTOR Ctdvm eeA-Q DESCRIPTION tjU ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Z ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL O INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 11.z AL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. )&FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT10N/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: ..�� a nko amr - tiles G*/;/ J cc O W 2 cc d WQC ❑WORK SATISFACTORY:PROCEED �p ECT COMPLETE ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING ❑CORRECT UNSAFE CONDITION WITHIN HOURS. PERMANENT p 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- White Copy/Inspector's File Canary Copy/Site Notice