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Home My WebLink About2011 - 01447 - roofing CITY OF ORONO PERMIT NO.: 2011-01447 2750 KELLEY PARKWAY • ORONO, MN 55356- DATE ISSUED: 11117/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2600 WEST LAFAYETTE RD PIN : 21-117-23-21-0002 LEGAL DESC : REG.LAND SURVEY NO. 0131 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 17,000.00 NOTE: VALUATION OF PERMIT:$17,000.00 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 295.00 ALBACHTEN ROOFING LLC STATE SURCHARGE(VALUATION) 8.50 8744 78TH STREET NW TOTAL 303.50 ANNANDALE,MN 55302- (612)237-4710 Minnesota State License#: 638834 OWNER RADUN,JEFF 2600 WEST LAFAYETTE RD EXCELSIOR,MN 55331 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 due cause_ , i( / / / i Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono (J-1- ZLI. Building Permit Application for Maintenance I Renovation (windows, doors, siding, re-roof, etc.) ____/—oday„--/ Mailing Address: Permit number: 00::),‘V) PO Box 66 Crystal Bay, MN 55323-0066 Date received: A ; �, Street Address: Received by ��L ' �, 1 � Gtiti 2750 Kelley Parkway Plan review fee: 9kE;001t� Orono, MN 55356 Total Fee: '- 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 /0(.1- )c.") /\ Job Site Address: ,lei( 1 6. D.. Q_Will this be a Parade of Homes, Remodelers Showcase Hothe or other Display Home? ❑ Yes [&YNo 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/APPLJc 1/VT ICNeRAMAT O� ION� Name:ame: �-�, b State License# (0 1),Y'54-( ' Expiration Date: '3--3/._ /0 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (0(d-—):51 — c n/6 (office) (cell) Mailing Address: 77 1/c( "74p-“` 5+ )0c0 City: A�n (ti ZIP: ss Z�- Contact Person: i . A tO• , r 4-. Applicant is: c o / Homeowner (circle One) Email and/or Fax: CX( •c-c-k W Imo , dZ_ I c7h IC t yUQ PROPERTY OWNER INFORMATION: Name: j>L,rP Phone (day): (� Address: (.0(.7C) /0._Pay p lie I,). City:Oro kt_Q7 ZIP: SS 3s 1, Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) 0 Remodel ❑ Fire Damage MCWD review&permits: ❑ F"-roof, as halt Minnehaha Creek Watershed District(MCWD) p ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd •Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) Phone: 952-471-0590 0 Siding 0 Other: (specify) Fax: 952-471-0682 0 Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ / 7(Cie, 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 supply the information,the application may not be issued. fiV— Applicant's Signature: 4-------- Date: 1l — 7.—/( Last Updated: 08-09-2011 E — /D PA' TIME 'I CITY OF ORONO CALLED IN /1 INSPECTION NOTICE '/,/ SCHEDULED PERMIT NO. c::)19//---,N5/// COMPLLETED ADDRESS 2( an W Li OWNER TE - 7(PHONE NO. 4g'1 ` CONTRACTOR d /� - k'A--e DESCRIPTION7( ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNERICONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: CC W CC Pr C4 i <&-( �4C1 0 cc 0 W cc Q W z W cc IQ 0 ❑WORK SATISFACTORY:PROCEEDaiiiir,44.0JECT COMPLETE W ❑CORRECT WORK&PROCEED 17ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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: ` / Inspector. tit/ 6-415 e s White Copy/inspector's File Canary Copy/Site Notice DATE TIME \/ ITY OF ORONO CALLED IN /7-77-11 INSPECTION NOTICE ((// SCHEDULED ///7-1/ PERMIT NO. r Ll t —C7 / 7 T7COMPLETED ADDRESS (D 1)04) f c itt-LC- OWNER TELEPHONE t N . �P/)-a3-7 17/b CONTRACTOR 6 k n DESCRIPTION douL �` t tY6 I W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEP I FINAL 0 FOUNDATION/REMOVAL sT OWN ER/CONTRACTOR TO MEET YOU: X YES_NO oy COMMENTS: cc cc 0 cc 0 CC W W CC Lcti'• WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED L ISSUE CERTIFICATE OF OCCUPANCY CZ0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 Inspector. White Copy/Inspector's File Canary Copy/Site Notice