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Home My WebLink About2011 - 00754 - roofing if „As CITY OF ORONO PERMIT NO.: 2011-00754 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/28/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 990 WILLOW VIEW DR PIN : 28-118-23-41-0014 LEGAL DESC : WILLOW VIEW : LOT 004 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 10,000.00 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 REROOF-ASPHALT APPLICANT PERMIT FEE SCHEDULE 191.75 MIDWEST SIDING ROOFING&WINDOWS STATE SURCHARGE(VALUATION) 5.00 6451 SYCAMORE CT N TOTAL 196.75 MAPLE GROVE,MN 55369- Minnesota State License#:20010277 OWNER SMITH, GREGG&MELANIE 990 WILLOW VIEW DR 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 conformance with the State Building Code.This permit may be revoked atany time for du ause. 7/ 281/ 65/ /, 7 / / / / Ap cant Permitee Signature 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.) N Mailing Address: Permit number: ,.,2b I f_dh 7`�j ef #0,4 PO Box 66 0 Crystal Bay, MN 55323-0066 Date received: 7/Q7$/// `°"` Received A � 6a;: A., Street Address: by: 'S' ' , ;(w*�i I G '9IfESH04 titi 2750 Kelley Parkway Orono, MN 55356 Plan review fee: �t ' ti Total Fee: / Cp —7,5 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: ,' �4ll t ( i Job Site Address: CI 40 ( t G C b l,✓ 1".'e w ()l`i vi 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 INFORMATIO 1 Name: /LZ/U'''^re 'ill& otulGA Q^ State License# j/0277Expiration Date: .`3/3/ /ZQ/� Lead Certification Number: 4/4. l,- `�o?'P5 —/ Expiration Date: 4 y /5— 2,5` (for work on homes that were c•• cted prior to 1978 46 6 Phone: 4i s ` , -4/27-a1 (office) 7,, - , -/ 22 (cell) Mailing Address: ..i:,;--,-f-'19 41 p,r. fr N City: i , e 6,-ve ZIP: 57—?6/ Contact Person: / �.� Applicant is: . ra •r / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATJON: Name: 4-7 1/ i/ '}'- Phone (day): 6 /2- s7g- tor-4z Address: q4 D 1-111view D&f}} _ City: eJ'6wl-t, ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: ❑ Door(s) 0 Remodel 0 Water Damage Minnehaha Creek Watershed District(MCWD) 0 Window(s) 0 Repair 0 Storm Damage 18202 Minnetonka Blvd 0 Siding ❑ Restoration 0 Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 53 Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: re,// r i,/,/ ,4/PL Estimated Construction Valuation of Project(excluding land) $ 1 Dom.6-op 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 re•uired b law. If ou refuse to su•; the information,the application may n ' sued. Applicant's Signature: Date: . /41 Last Updated: 03-01-2011 DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.gCV-G'7S7 COMPLETED ADDRESS 910 kli/fob liter. ) ,O r" OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION Re.- reo ❑ FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP 0 COMPLAINT Q 0 DEMO-SITE 0 SEPTIC MAINT. eg FOLLOW-UP lit ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO /./• COMMENTS: cc (Perr..t faLay g;40 • - :ia/( f - 0 Cts 14,5/e, - cc 0 46 fea.. - IP 101-4/ tag retr_o r®4.0CC - 7#/ rel4A �/`a✓4049 14, Valle /Iesej /o,i. f4 LAJ cc e-M r 4414/ • ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE CC W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN (=I CITATION ISSUED O 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. 9:-/ "1/41— White Copyllnspector's File Canary CopylSite Notice "` TIME CITY OF ORO O CALLED IN al' v INSPECTION NOTICE �/� SCHEDULED %g /•1P-'�4 PERMIT NOLO//-o07�5 COMPLETED = ADDRESS 9 •0 ///7/0 (2/�C�c OWNER D ,, TE PHONE NO7(4 . -R. _1 CONTRACTO a,-€ L/ // /9 -1401 • DESCRIPTION 7 al / / I-.� ❑ FOOTING ❑ PLUMBING FINAL / ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ✓ ❑ DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP _ ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO <---- O COMMENTS: IL P 'ccc � IL CC 0 CC 0 W CC Q toW Z W cc r 0 14 4 ❑WORK SATISFACTORY:PROCEED �PAOJECT COMPLETE W 111CORRECT WORK&PROCEED / ID NSUE CERTIFICATE OF OCCUPANCY C) ElCORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. CI PHOTO TAKEN INSPECTOR WILL RETURN CISTOP 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: ac Inspector. White Copy/Inspector's File Canary Copy/Site Notice