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Home My WebLink About2011-01140 - roofing CITY OF ORONO PERMIT NO.: 2011-01140 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 3045 WATERTOWN RD PIN 04-117-23-22-0028 LEGAL DESC AUDITOR'S SUBD.NO.230 LOT 000 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 11,000.00 NOTE: VALUATION OF PERMIT:$11000.00 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 206.50 HOME STREET 3957 BRUNSWICK AVE. S. STATE SURCHARGE(VALUATION) 5.50 ST. LOUIS PARK,MN 55416 MISC FEE 0.00 (612)490-7671 TOTAL 212.00 Minnesota State License#:20378124 OWNER HALL,MR.&MRS. 3045 WATERTOWN 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 pr isions of ordinances gove this type of work shal comp' whether or not specified herein.Thi ermit will ex re d me null and void'f construction authorized not co me c ithin 180 days of a date of issuance,or if con truction is s pend eriod of 1 ys at any time after work h commenced. e appli t le assuring all uired inspe ions are queste m n rm c the State B ddi g Code is permit may be voked t y t ause. up licant Petmitee Sign&U Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. f City of Orono rt Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: DDw* PO Box 66 q Crystal Bay, MN 55323-0066 Date received:Street Address: Received by: 2750 Kelley Parkway Plan review fee: Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us TI}is�applica ' n form must be completed in full and all required information must be submitted. G� Incomplete applications will be returned. (Please print) GENERAL INFCRll ON: Job Site Address: 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/ APPLIC NT INFORM TION: Name: LO State License # -7 ' Expiration Date: ( 3 Lead Certification Number: n/ f-- �J-1 Expiration Date: 2 (for work on homes th t were constructed rior to 1978 Phone: Z- CJ(]� 7( (office) (cell) Mailing Address: C7,5 7 f- n1yVV-1(< +Vf City: j ZIP: /Z, Contact Person: /Vl Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORM T!� ION: Name: 9\ C �.�(,( Phone (day): C�t�2-7-0 --7 0 S-,(, Address: yyt�e City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: IAny earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review& permits: Minnehaha Creek Watershed District(MCWD) Re-roof, asphalt ❑ 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 1 ❑Window(s) c2nr www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ o 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 cation is classified by State law as either private or confidential. Private data is inform tion which ge not be given to public but can be given to the subject of the data. Confidential data is informa ,on which rally cannot be given to el er the public or the subject of the data. Our purpose and intended use of this nfor ation is to a Ily update our ords and records of other governmental agencies required b law. If you refuse to s I the i orma on,th on may not be issued. Applicant's Signature: Date: mast Updated: 08-09-2011 .,6ATE TIME CITY OF ORONO ICALLED IN INSPECTION,��NQQTICEEDULED PERMIT NO. "BUJ /—, l PLETED ADDRESS z2 OWNER LEPHONE NO. CONTRACTOR 2� DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y O El FRAMING El MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL 1-1SEWER HOOK-UP El COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: CC W cc a C Le�� - �Q �crs --rte. M 0 LL W cc Q Z W Z W CC d WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W W ❑CORRECT WORK&PROCEED 11ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 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 site- Inspector. . / /7 Rr White Copy/Inspector's File Canary Copy/Site Notice /DDTIME L� CITY OF ORONO CALLED N ( J INSPECTION NOTffSCHEDULED PERMIT NO. "C , D////`�'�O COMPLETED ADDRESS L30 X15 OWNER TELEPHONE NO.Z Z Y O 76 71 CONTRACTOR �J 1-W eej I C-6 DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ElFINAL ❑ SEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W cc a 0 � ; � t LAC e_(4 W CCQ z W Z W CC LAj ❑WORK SATISFACTORY:PROCEED 9_PROJECTCOMPLETE cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN 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 Copylinspector's File Canary CopylSite Notice