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Home My WebLink About2011-00874 - roofing 1 ' CITY OF ORONO PERMIT NO.: 2011-00874 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/16/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 3065 WATERTOWN RD PIN 04-117-23-22-0033 LEGAL DESC WALNUT CREEK LOT 002 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,519.32 NOTE: VALUATION OF PERMIT:$8519.32 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 177.00 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 4.26 12366 RIVER RIDGE ROAD BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 (612)861-7000 TOTAL 183.26 Minnesota State License#:20593656 PAID WITH CC# 3038 OWNER MANOLES,MR.&MRS. 3065 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 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 odduause. Applicant Permitee Signature Date *ssByignature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. AUCs-1.6-21311 06:50 From: 6785736615 To:19522494616 Page:2/2 City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address, Permit number. O�Q�O Cr Box 66 Crystal Bay,MN 55323-0066 Date received: Street Address: Received by: Gti 2750 Kelley Parkway Plan review fee: Orono,MN 55356 / �� sEs Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.oronc.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: 6 Job Site Address: Vll t' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? LJ Yes 4 No lryes,a special event permit is required with Police Department and City Council approve)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 I APPLICANT INFORMA ION: Name: SiMor C0V\_ 0C o "'I State License# j Expiration Date: J z D'� " a Lead Certification Number. Expiration Date: (for work on homes that were constructed prior to 1978 Phone: l Z • 8 E ` 7000 (office) (cell) Mailing Address: 12 66 13 v d City; �✓y,sv, / ZIP: 5 -2 Contact PersApplicant is: / Homeowner (circle one) Email and/or Fax: PROPERTY OWNER ,��INFORMATION: �yYj `Y- Name: a1,a 145 Phone (day): A IZ- 32-7- 777 41 City: t�y�vLp ZIP: 5 j� Address: W65- I,v�. 356 Email and/or Fax PROJECT INFORMATION: Type of Protect: Any earth movement may require MCWD review&permits: []Door(s) ❑Remodel ❑Fire Damage Minnehaha Creek Watershed District(MCWD) 10 Re-roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Re roof, cedar ❑Restoration ❑ Deephaven,MN 55391Water Damage Phone: 952-471-0590 C]Re-roof,other(specify) ❑Siding ❑Other(specify) Fax: 952-471-0682 C]Window(s) www,minnehahacreek.org Overall Project Description: _TZc, ct 4C- rV0 Estimated Construction Valuation of Project(excluding land) $ "51e_ 3 Z APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Departrnont; • 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 al lmative 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 applicafion may not be issued. Applicant's Signature: - Date: L16/zof/ (� ?— DATE TIME V CITY OF ORONO LED INSPECTION NOTICE SCHEDULED PERMIT NO. 2 _MM COMPLETED ADDRESS ar)1 OWNER TELEPHONE N CONTRACTOR >: DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q E] 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 v ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES NO COMMENTS: W CL O O cc O U_ W cc Q ti Z W z W CC d Wac R<WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN El 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 st e: 11 ,3 Inspector. �/`t I White Copy/Inspector's File Canary Copy/Site Notice DATETIME v CITY OF ORONO CALLED IN .- INSPECTION NOTIC� SCHEDULED 3- —1 Z— J PERMIT NO. 0210 Dj '�i COMPLETED ADDRESS 3065" Gc�GzT-c'�`D"r- ,ed OWNER TELEPHONE NO. '752yS 345Z' CONTRACTOR Fi�a,� e�.o-o7� 9// DESCRIPTION T!r ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ElLAKESHORE/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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO ti COMMENTS: W a J ✓ A c O .. cc W Q 2 W W _ c Wj ❑WORK SATISFACTORY:PROCEED IECT COMPLETE cc W ❑CORRECT WORK&PROCEED ElISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 11 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 Copyllnspector's File Canary Copy/Site Notice