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Home My WebLink About2011 - 00756 - re-roof CITY OF ORONO PERMIT NO.: 2011-00756 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/28/2011 (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1125 WILLOW DR N PIN : 28-118-23-41-0002 LEGAL DESC : WILLOW RUN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 10,600.00 NOTE: 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. TEAR OFF -6'ICE BARRIER-TIMBERLINE SHINGLES APPLICANT PERMIT FEE SCHEDULE 206.50 PLYMOUTH ROOFING& INSULATION STATE SURCHARGE(VALUATION) 5.30 17525 CTY ROAD 24 TOTAL 211.80 PLYMOUTH,MN 55447 (763)473-3397 Minnesota State License#: 5358 OWNER LESKINEN, WILLIAM&DENISE 1125 WILLOW DR 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 of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in nformanc with the State Building Code.This permit may be revok any,"fo u a e. ''ems/. ( 7 /,p(/ )// 1/ Applicant `ermitee Signatu --- Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) O4 MailiPO Box 66 ng Address: Permit number: 020// 7 5J /v O Crystal Bay, MN 55323-0066 Date received: 7/28'/ ,� �!' e .; �, Street Address: Received by: Mcg ' ^t;l, _ Gtiti 2750 Kelley Parkway Plan review fee: +1'i1��4w Orono, MN 55356 Esz;o Total Fee: c L/. Ce 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: / Job Site Address: 7/;‘.-5 /%77 j /,1////,4 ./�jr///G 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 I APPLICANT INF`/ORMATION Name: ��cr/Y�r / '5 . '` State License# 3 ,`)7f Expiration Date: ,3.-3/- .2Di..a Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: 76 Z -4/75 - .?fl' 7 (office) 6,42 - 7/(5°-0_53.6 (cell) Mailing Address: /7 , c (a,2d cV y%L� .42/77 c. izIP: .5:5W7 Contact Person: A. ei 4 w y 4 �- Applicant is: contr cto)/ Homeowner (Circle One) Email and/or Fax: PROPERTY ./OWNER INFO/R AT ON: Name: 6% Les ',/ -t) Phone (day): Al, -g S—Dc?/5 Address: //25 4/4/-4 /1/%/0e.) Dr 2/e, City: CJro.e../d ZIP: 55356 Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) 0 Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) 0 Window(s) 0 Repair 0 Storm Damage 18202 Minnetonka Blvd 0 Siding 0 Restoration 0 Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 `�Re-roof 0 Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: 7 — d/ 6 ';Le_ ��y/-24,.-- 7:;;;._.. 4,--/..;,.._.e 5�� 11" Estimated Construction Valuation of Project (excluding land) $ /e, 6',4,..--1.'-3— i. 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 in •rmation is to annually update our records and records of other governmental agencies re•wired b law. If ou refuse to s _Lel t_- infer atio ,the application may not be issued. 1 //.:1 � Applicant's Signature: Date: 7.8 J Last Updated: 03-01-2011 DATE TIME CITY OF ORONO CALLED IN 7 Z i INSPECTION NOTICE �jSCHEDULED 7 � 1,2o.- ,„ ,..„ PERMIT NO. c0/�--CZ)�5/'COMPLETED M1 / ADDRESS � 5 hl/` Dr, ' OWNER TELEP NE Na-7ky7 3397 CONTRACTOR y� UlJ ✓,� !mac - U L� �: DESCRIPTION Lij ❑ FOOTING ❑ PLUMBING FINAL/r ❑ EXCAV/GRADING/FILLING Q ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W CCr) ArckS .� 0 U- W cc Q Lu z Lu cc d W vel WORK SATISFACTORY:PROCEED CI PROJECT COMPLETE CORRECT WORK&PROCEED ❑ 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 ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on si e: Inspector. BMS White Copy/Inspector's File Canary Copy/Site Notice 'Pa I • BATE TIME 1/ CITY OF ORONO CALLED IN INSPECTION NOTIC SCHEDULED •1ii PERMIT NO. o0l t 06 1-570 COMPLETES ADDRESS X/ t)///60 I o r- A / OWNER TELEPHONE NO. (l2) `tr-C k. CONTRACTOR /7 i/ G G //4- / >; DESCRIPTION -7Z-4b0---.e ig.. 1- 4.1 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING ct E POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Lu CI DEMO-FINAL El SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI CISEPTIC FINAL CI FOUNDATION/REMOVAL ' OWNER/CONTRACTOR TO MEET YOU:_YES_NO . COMMENTS:^ �P1(✓ cc e / v/ S � � Ci&-k CC 0 0 0 ct to W z W cc 0 14.1 j ❑WORK SATISFACTORY:PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN 111 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. ` �✓ g-ef White Copylinspector's File Canary Copy/Site Notice