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Home My WebLink About2011 - 01024 - roofing CITY OF ORONO PERMIT NO.: 2011-01024 2750 KELLEY PARKWAY .'" ORONO,MN 55356- DATE ISSUED: 09/07/2011 • (952) 249-4600 FAX: (952)249-4616 ADDRESS : 160 WEAR LA N PIN : 33-118-23-34-0014 LEGAL DESC : ROLLING MEADOWS 3RD ADDN : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 NOTE: VALUATION OF PERMIT:$10,000.00 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 191.75 THREE PINES CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 2876 MIDDLE STREET TOTAL 196.75 ST PAUL,MN 55109- (763)244-9199 Minnesota State License#:20598207 OWNER HELLING,MATTHEW&CAROLINE 160 WEAR LA N 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. 80 days at any time after work has commenced. The .pplicant' r....nsible for assuring all required inspections are r<q'1-sted in c f, , ance with the State Building Code.This permit may be rrv• d at. i Le sr l.e,ause. I 10 / 1 ' i ►�, /1 /zoo' Vc _wY�v'1 -7 l/ J ..lic. P- di ee Sig ature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) . Mailing Address: Permit number: PO Box 66 `)\ Crystal Bay, MN 55323-0066 'Dateteceived: it,,' � Street Address: Received by: ^ f ti 2750 Kelley Parkway Plan:review fee: v � '�G Orono, MN 55356 t9kESHov- TotafFee: 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;. f � r Job Site Address: C' \ J c ' Ly1 M 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/APPLICANI.4NFORMAT_ION: Name: t� IvIkc (e -�s nac.l- c_- State ,State License# 20'1 Expiration Date: 2t` Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: -G51-3N?"---ii cl ti (office) (cell) Mailing Address: C� City: ZIP: /7 Contact Person: 1 (/� Applicant is: (L`ontractor / Homeowner (circle one) Email and/or Fax: L'S( • PROPERTY OWNEFIJNFORMATIOC: Name: FV6. EV.0 irteAl kv� Phone (day): 992— 41 -- 139 -3 p� Address: 1( 0 �,+�-' Gt: �. - . City: ()folio Lir ZIP: ,5 , Email and/or Fax PROJECT INFORMATION: Type of Project: Any 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 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ /(,CC C ` 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 whi'h •-nerally cannot be given to either the public or the subject of the data. Our purpose and intended usiifc1 t is informa on o annually update our records and records of other governmental agencies required by law. If you re9i.lat t suply the i o 'o ,the application may not be issued. Applicant's Signature: l4 '( h Date: " 7rC' Last Updated: 08-09-2011 DATE TIME ti CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. .2.40A'DICelite COMPLETED ADDRESS /(O t Le OWNER TELEPHONE NO. CONTRACTOR I Ad-•{ A,es 45,c5-z • DESCRIPTION �_ 1^0c3f IQ 0 FOOTING ❑ PLUMBING FINAL 0 EXCAV/GRADING/FILUNG Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS " ❑ FRAMING ❑ 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 ❑ DEMO-SITE 0 SEPTIC MAINT OLLOW-UP ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO V) COMMENTS: cc Let Oa) "r ivt — _do ffiife. 1 els/eCZ`io.c fettle—S.4W J O N 1 n O W Att Ic Vd4b,/ (e).t, pyo / e,0 lr (A)e r k Gipp04r5 al.►,4P/0-71e- W / mi-e 444/00 • 0 WORK SATISFACTORY:PROCEED aQJECT COMPLETE CC 0 CORRECT WORK&PROCEED 0 ISSUE CERTIFICATE OF OCCUPANCY OO 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ 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 DATE TIME CITY OF ORONO �LLED IN ��-i / , INSPECTION NOTICE SCHEDULED -f'� 2: / I I I / PERMIT NO.cxc 1I o Li COMPLETED ADDRESS 1 I \i• OWNER TELEPHONE NO. (r5( _/(1 CONTRACTOR I IVB = P� 11G,D (c-not DESCRIPTION `t I r r 1 not t 44 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ 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 0 HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU: 1 YES_NO • COMMENTS: -i✓C 1r t-l.i rt" j 0 cc 0 U- W CC W W CC d WCC ClWORK SATISFACTORY:PROCEED e"PRSJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY tj BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CI 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 e: Inspector. White Copy/Inspector's File Canary Copy/Site Notice