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Home My WebLink About2011 - 00921 - roofing CITY OF ORONO PERMIT NO.: 2011-00921 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/24/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1003 WILDHURST TR PIN : 07-117-23-21-0016 LEGAL DESC : MOUNT HOME PARK : LOT 000 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 5,549.00 NOTE: VALUATION OF PERMIT:$5549.00 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 132.75 STATEWIDE CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 2.77 4235 SPRUCE ROAD TOTAL 135.52 ST BONIFACIUS,MN 55375- (612)590-2938 Minnesota State License#: 20447170 OWNER MORGART,HARRIET 1003 WILDHURST TR 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 revoked t any time for due cause. /2171 c� // Issu•j Applic etmitee Signature Date O• ,, J Z2/4/a /.y 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: O2 7/ V �j,0,� PO Box 66 ! v O Crystal Bay, MN 55323-0066 Date received: ��2 (/ `Received by: , I11ti Street Address:2750 Kelley Parkway =Plan-review fee: Total Fee: ��' +^�PSH s, Orono, MN 55356 _ �9kE 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: �0oz S ) ' Sh filJob Site Address: */ `,Z,/ i 1 t\r- S ")� ��L d�r�� 5�� y Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No 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/AWXT NT INFORMATION: Name: >� i-ti`•c C�a,r.. 'rc e State License# Z(.._ ---A0ye>7 � Expiration Date: Z6/ _ Lead Certification Number: ,¢ /�,�ssk:444 . #,412-- 0,c Expiration Date: (for work on home that were consed prior to 1978 Phone: 6Z- S ?it'-- f ice�-4aff (eettr Mailing Address: S/Z S .9(\kc e ek, City: s r :..s ZIP: cc-g).5— Contact Person: /.�,, LJ . �,S-s Applicant is: (Zontracto�/ Homeowner (circle One) Email and/or Fax: �� PROPERTY OWNER INFORM TI Name: ,r�e'r"` c(13 ii` 79 -7 Phone (day): tt Address: /C& l=4/6/11t.\"-J-4-rrt-L City: Ae,.-tA ZIP: t--S3 (, y 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 El Repair 111 Storm Damage 18202 Minnetonka Blvd Re-roof, cedar 111 Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑Re rogf, pter(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 M�f.iL ElWindow(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ 5-57.77-5= 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 su••I theeminformation,the a..lication ma not be issued. _ Applicant's Signature: G 1 - Date: GS Vic.'° / Last Updated: 08-09-2011 V )2e-y‘.. 'b ATE TIME VV CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED LD 7.l /I l ''� PERMIT NOd4��—DO9°2 � COMPLETED ADDRESS /DD 3 W(ldf �h orS _ 7" OWNER TELEPHONE� NO.6/2 -CVO z.7`33 CONTRACTOR aSY Z- f )/ /� >; DESCRIPTION /6231 J 711 W ❑ FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING st 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS h El FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION • ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT LI DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: cc cc O cc O ti W W W CC • ❑WORK SATISFACTORY:PROCEED itted0JECT COMPLETE CC W CICORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR El CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: (0.63'Inspector. White Copy/Inspector's File Canary Copy/Site Notice op ' ' DATE TIME CITY OF ORONO CALLED IN —��' INSPECTION NOTICE i SCHEDULED 1?-13— PERMIT NO.020// 92- COMPLETED ADDRESS /6e 3 U//oliu / 7 OWNER TEELEPHO E"NO._q5Z �7 Z ZZ70 CONTRACTOR 457 �AY 6/Z-ZS"! - 22 S DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING cc cc ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ❑ 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 ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES NO o COMMENTS: W 0 0 U.. O W W CC G� 4r /ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: -r" Inspector. White Copy/Inspector's File Canary Copy/Site Notice