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Home My WebLink About2011 - 00534 - roofing CITY OF ORONO PERMIT NO.: 2011-00534 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 06/28/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 4575 WOLVERTON PL PIN : 31-118-23-31-0007 LEGAL DESC : FOXFYRE ESTATES : LOT 001 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 14,740.00 APPLICANT PERMIT FEE SCHEDULE 265.50 DAN LILLESTOL ABLE RESTORATION STATE SURCHARGE(VALUATION) 7.37 17316 KENYON AVE#103 LAKEVILLE,MN 55044- TOTAL 272.87 (612)280-4807 OWNER JOHNSON,REBECCA L 4575 WOLVERTON PL MAPLE PLAIN,MN 55359- 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 /7-CS 4'C-+ 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. (5))/144t14--- / Applicant 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.) . OI ` 0053 Mailing Address: Permit number U — g,O,4O PO Box 66 O //-- / Crystal Bay, MN 55323-0066 Date received: f�.,„j // i ,1( „,, Received by: 1'', �, Street Address: s�,, r A; 1 •�otiti 2750 Kelley Parkway Plan review fee: Orono, MN 55356 `kESH04 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 INFORMATI p q J`� Job Site Address: � ]_ I V V r l 4 v roKid Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o 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/APPLICANT INFORMATION: l^ /-� Name: D ) fl Li I VS1 4 bI.I� S-n`,t' (/t-hof State License# 9()(to`3- )) Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: a ..• ..`4 0 s Q (office) r� • .S— v 0 O (cell) Mailing Address: Or/ � �I City: i ' Le ZIP: UA a V i” Contact Person: Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: 75 5-s-g /VA PROPERTY OWNER NFORMATION: (,� Name: ( ca -E rIS DO Phone (day): Address: LK-15-001\40r- p) City:Q((n 0 ZIP: 6-6--- s--g Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding 0 Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 '76-roof 0 Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ wi4e mjl /1/, 7 f//� - / 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 refu e to supply the info oration, the application may not be issued. Applicant's Signature: Date: ( , 901/ Last Updated: 03-01-2011 ape '' ?- 7-b TIME V CITY OF ORONO CALLED IN INSPECTION NN,,OTI E ,/ SCHEDULED 7—i 2'(( .) PERMIT NO. o(D/I D' 3 J COMPLETED ,p ADDRESS 7 575 Gv6CT,, OWNER �, TELEPHONE NO. �iz _zgp_ o 7 , i CONTRACTOR 'lA ow ;: DESCRIPTION L't/A Li.. CIFOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL ' OWNER/CONTRACTOR TO MEET YOU: YES NO cn COMMENTS: r/C41-1 61,( ,A4.6 W C CC io�'. ;/ 11,1 A. 0 a CC P 4fc--1 0 P---qreg, ..._ cc z W Lu LU El WORK SATISFACTO• .--ICEED El PROJECT COMPLETE W C1 CORRECT WORK&PROCEED 17 ISSUE CERTIFICATE OF OCCUPANCY 2 RRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT El CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN C1STOP 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 si Inspector. ✓ i White Copy/Inspector's File Canary Copy/Site Notice DATE TIME k,/ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED t� PERMIT NO. COMPLETED --( ADDRESS {/1 L.)0 er-wJ&r pt/lci, OWNER 12 - —16k A Se//��7 TELEPHONE NO. CONTRACTOR /l Ste e o 3 >; DESCRIPTION / /Li ( ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREiWETLANDS ' ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc W o �e e -f-/ r eS l" S 4-ee cc 0 cc z cc ❑WORK SATISFACTORY:PROCEED AROJECT COMPLETE El CORRECT WORK&PROCEED ❑ I SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED El 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_ Lt/£/'f White Copyllnspector's File Canary Copy/Site Notice