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Home My WebLink About2011 - 01461 - roofing 4 CITY OF ORONO PERMIT NO.: 2011-01461 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11/21/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 50 WEAR LA PIN : 04-117-23-21-0006 LEGAL DESC : ROLLING MEADOWS : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: VALUATION OF PERMIT:$12000.00 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 221.25 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 6.00 12366 RIVER RIDGE ROAD BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 (612)861-7000 TOTAL 229.25 Minnesota State License#: 20593656 PAID WITH CC# 1521 OWNER HILL,DAVID&JEANETTE 50 WEAR LA 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 revoke' at any time for due c,use. fur /, l/ l ?-( l // d lel l // Applicant Permitee Signature Date Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NI i NOL)-21-2011 12:56 From: 6785736615 To:9522494616 Page:2'2 City of Oron Building Permit Application for Maintenance / Renovation (windows, doors, siding, re400f, etc.) Mailing Address: Permit number: c)20/1 p ,// �`4/ #°11.:)) CO taI Ba `�_ `i _�� Crystal Bay, MN 55323-0066 Date received:1, Received by: -- i ' Street Address: a ;� : 2750 Kelley Parkway Plan review fee: �'��i� Orono,MN 55356 � . Total Fee: A q,AS Main: 952.249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all requirled information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: {mom ) h S . Job Site Address: >V L. J Will this be a Parade of Homes, Remodelers Showcase Home or other Display;Home? ■ Yes ►:J No If yes,a special event permit is required with Police Department and City Council approval B0 days prior to the event. Shuttle bus s ice will be required unless applicant demonstrates sufficient on-site parking is availabl . Non-permitted events will not be allowed. CONTRACTOR 1 APPLICANT INF MA ION: Name: 54%,..ov. L0 vC•i-. ..o... ` State License# 5 (, Expiration Date: -3/12 Lead Certification Number: tower 7'356- k Expiration Date: ililc (for work on homes that were constructed prior to 1978 Phone: _(ipL 5 I 000 (office) (Cell) city: >rn5�t lk ZIP: Mailing Address: I'Z3 ./ ;vit..- ► v. 15v - Contact Person: ;,,t 4.,.tia Applicant s: Contractor Homeowner (circle one) Email and/or Fax: Jctq • s f non Cors uC hih4 m •Co + PROPERTY OWNERIN ORM IO i Name: -,...1 ewe Avid CI t 11 Phone (day): _ C� Address: 5D t till, L." 5. City: 0trOO ZIP: 55.-- Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: ❑Door(s) 0 Remodel ❑Fire Damage Minnehaha Creek Watershed District(MCWD) Ill Re-roof,asphalt 0 Repair 124 Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑Re-roof,cedar 0 Restoration D Water Damage Phone: 952-471-0590 o Re-roof, other(specify) ❑Siding ❑Other:(specify) Fax: 952-471-0682 www_minnehehacreek.orq ❑Window(s) Overall Project Description: l.✓ C s h 1 ✓c i0 bA. Estimated Construction Valuation of Project(excluding land) $ I2, 00 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 iis/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 i§ classified by State law as either private or confidential. Private data is information which generally cannot be giv n to the public but can be given to the subject of the data. Confidential data is information which generally cannot be give to either the public or the subject of the data. Our purpose and intended use of this information is to annually update ou records and records of other governmental agencies re.uired b law. If ou refuse to su..1 the information,the application may not be Issued. ..�- Applicant's Signature: _ Date: 11 2lZo �1 f DATE TIME 1 CITY OF ORONO CALLED IN _/6 -/c?INSPECTION NOTICE SCHEDULED PERMIT NO. 02°,/-e/''/ COMPLETED ADDRESS 5O - ea- i_' OWNER TELEPHONE NO. 95,2 395-.a CONTRACTOR `S/tr? >; DESCRIPTION �� '' 4, ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS H ❑ FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP 0 PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO Co COMMENTS: ccLu j O 1-3,6 r� W cc Q CC W ❑WORK SATISFACTORY:PROCEED JRCBROJECTCOMPLETE CCW ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING 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�G'Y 9�(� sy Inspector. (//�,�/ White Copy/Inspector's File Canary Copy/Site Notice