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Home My WebLink About2011-00789 (Roofing) f � CITY OF ORONO PERMIT NO.: 20ll-00789 2750 I�ELLEY PARKWAY ORONO, MN 55356- �ATE IssUEn: O8/03/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1416 BALDUR PARK RD PIN : 08-117-23-34-0015 LEGAL DESC : BALDUR PARK : LOT O11 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : ROOFING-ASPHALT ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,400.00 NOTE: ROOFING PERMITS ISSUED WtTHOUT 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 INCLINE EXTER[ORS INC STATE SURCHARGE(VALUATION) 2.70 26175 BIRCH BLUFF RD TOTAL 135.45 SHOREWOOD, MN 55331 (612)471-9065 Minnesota State License#: 20168831 OWNER MARCIA PETERSON, JEFFREY ULKU/ 1416 BALDUR PARK RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. 1'his permit is for only the work described and does not gran[permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permi[will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction is suspended for a period of I 0 days at a time afte wark has commenced. The applican is responsib for assuri g ll requir d inspections are requested in nformance th the St e uilding ode.This permit may be rev ed a[an time for du cause. / / �/ ��j / �.i Ap i t Permitee Signature � Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. i - r City of Orono �� J` Buiiding Permit Appiication for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: _. �J � / Og,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: � ,� 9 �-�'' �, Street Address: Received by: ��',�c, ' �� titi 2750 Kelley Parkway Plan review fee: L�ESHO�`� Orono, MN 55356 Total Fee: �l�J-�, �� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This appfication form must be completed in full and all required information must be submitted. Incomplete apptications will be returned. (Please print) GENERAL INFORMATION: ) Job Site Address: � `�� )C�t�`� ,�� ct Will this be a Parade of Homes, Remodelers Showcase Home or other Dispfay Home? ❑ Yes No !f yes, a special event permit is required with Police Department and City Counci/approval 60 days prror to the event. Shuttle bus s rvice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR 1 APPLICANT INFORMATION: Name: `� f1 CG��r;L �.c�}�y''jp!'��i ��C State License# �v��;,�� Expiration Date: / =5 Lead Certification Number: Expiration Date: (for work on homes that were constructed rior to 1978 ,� Phone: �S; - ��-�C G�S (office) U ,J-� --5�� S' `r� 7 7 (cel�) Mailing Address: ��?_;" �'>. ^ � � ,�'j v� � - City: � �a�y,,'x� ZIP: �--�3 5 I Contact Person: _ y) Applicant is: � Co� ntracto / Homeowner (Circte Onej Email and/or Fax: ��.;� - y �� - / 7�� PROPERTY OWNER IN O MATtON: Name: y �� l�'�� Phone (day): ��7�-- �� " Address: City: ZIP: 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 ❑ Restoration ❑ Other: (specify) i Deephaven, MN 55391 Phone: 952-471-0590 [�Re-roof ❑ Fire Damage Fax: 952-471-0682 �� www.minnehahacreek.orq Ovecall Project Description: •-�-cZ�,.� � �,� ,� !� �;�,. Estimated Construction Valuation of Project(excluding land) $ _�yG�� — APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information suppfied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete appfication being aware that upon failure to do so, the staff has no alternafive but to reject it until it is complete; • Some or all of the informafion 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. Confidenfial data is informatio which nerally cannot be given to either the public or the subject of the data. Our purpose and intended use of this inf rmation�i to annu�( y update our records and records of other governmental agencies re uired b law. If ou refus o su I the infb mafion, a fication ma not be issued. � App(icanYs Signature: r Date: � �" �� Last Updated: 03-01-2011 DATE TIYViE V �I.�O��l U�`�� CALLED IN �f��`Y'@�6� ��' � ,/ SCMEDULED ��f�4��'�R6�� r /��I co�nP��r� �P.dld'�I:ow3oD�/�/ ��G/A � '`L( T �v,li�PTai�'l�E'A A L��W�tl'�&� tl��. / ! ff �� ,��r - DAT TIME V CITY OF ORONO CALLED IN INSPECTION C SCHEDULED PERMIT NO. —�D'��COMPL TED ADDRESS � � OWNER TELEPHONE NO � l� � CONTRACTO >; DESCRIPTION � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � 4i � Q � Z W � W � � GW .. ORK SATISFACTORY:PROCEED [_� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT �CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (95Z� 249-46�0 , OwnedContractor on site: � n i`- t Inspector. White Copyllnspector's File Canary CopylSite Notice