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Home My WebLink About2011 - 01355 - roofing CITY OF ORONO PERMIT NO.: 2011-01355 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/31/2011 (952)249-4600 FAX: (952) 249-4616 ADDRESS : 4760 WEST BRANCH RD PIN : 06-117-23-33-0002 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 9,500.00 NOTE: VALUATION OF PERMIT:$9500.00 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 MBB CONSTRUCTION SERVICES INC STATE SURCHARGE(VALUATION) 4.75 9516 ROSEWOOD LANE N MAPLE GROVE,MN 55311- TOTAL 196.50 (612)730-8895 Minnesota State License#:20631830 OWNER RODEWALD,MICHEAL&CARMAN 4760 WEST BRANCH RD MOUND,MN 55364 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 revokedtime for due cat! / // 3 /l /7 /d pL/ / / Applicant Permitee Signature Date IssueIt Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r y City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: a a//-8/.3 C)\ Cr Bax 66 r0 •0 Crystal Bay, MN 55323-0066 Date received: I°/31 1 Received by: "'IS. 040(-7 �, Street Address: y: (� 4,, � ti� 2750 Kelley Parkway Plan review fee: �9kESH�4�G Orono, MN 55356 Total Fee: j ! J,Jjj Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us (J 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: 1/-7 (N, glq,/ A P J Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? I: Yes JNNo 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/APPL,,JC,AANT INFORMATION _ Name: 7' t17e9/7 74 �toa/1 Sem _ i ce5 LG State License# 206"3/q-30 Expiration Date: -3/3/,I z Lead Certification Number: 3v 3 S'?- I / -0021 / Expiration Date: / 1_//h (for work on homes that were constructed prior to 1978 Phone: 5/2'-73.g _1945 (office) (cell) Mailing Address: q5/z 01 e) t r oe c1 L,-, ,ti City: /Pm / �!0,4,t,ZIP: SS 3 G q Contact Person: vzi,`/(p /Me /1 Applicant i(---Contras or / Homeowner (Circle One) Email and/or Fax: .7,--7,J h4kef 7 go //� G / C0,41 PROPERTY OWNER INFORMATION: Name: /%1/�1 t' w9/I Phone (day): 6/Z—7 U3 6109 Address: 4L7`07 LIZ, brItricA toy City: ei',/'erj7 ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCD❑ Door(s) ❑ Remodel ❑ Fire Damage Minnehaha C eeekreview WatershedeDistrct(MCWD) treRe-roof, asphalt 0 Repair 0 Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar 0 Restoration 0 Water Damage Deephaven, MN 55391 Phone: 952-471-0590 0 Re-roof, other(specify) 0 Siding 0 Other: (specify) Fax: 952-471-0682 0 Window(s) / www.minnehahacreek.orq Overall Project Description: tetoe, 1i SN css�d (2) A/rA-/-hrel ,g4.-4,e 5 3.3 51. Estimated Construction Valuation of Project(excluding land) $ 9 5 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 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 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 suppl the information, application may not be issued. Applicant's Signature: ��'�� Date: /b/j //f/ Last Updated: 08-09-2011 DATE TIME V CITY OF ORONO CALLED IN INSPECTION NOTICE — SCHEDULED PERMIT NO. (9-6 -'613 b COMPLETED tel' Sf ADDRESS 4; no to)• ,L3f4,1,c.( ��- OWNER TELEPHONE NO. CONTRACTOR UI (38 co DESCRIPTION Pc- rq6.f k ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL CIMECHANICAL 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 Q ❑ DEMO-SITE ❑ SEPTIC MAINT. FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO a COMMENTS: Q. old '� Svc.& - 110 `tt/ j 1/5/0eC24/64 rertf454`e.0 CC • /fbtt5 e -I a def.,4..g out .b S. — O _ cc rib few-4 f4 144, 616,, r aCa•�czQ— W Q k)o t k a/pve.-4/f !b vvffiete Z _ /02r,q, CC WQ O WORK SATISFACTORY:PROCEED (OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. D PHOTO TAKEN INSPECTOR WILL RETURN `-7 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. 1� White Copyllnspector's File Canary Copy/Site Notice