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Home My WebLink About2011-01347 (roofing) � • CITY OF ORONO PERMIT NO.: 2011-01347 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 10/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3310 BAYSIDE RD PIN : OS-117-23-14-0008 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT 017 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTTVITY : O/S BU[LDING-LJNDEFINED VALUATION : $ 10,000.00 NOTE: VALUAT[ON OF PERMIT: $]0000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BGING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVGRTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCG WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 191.75 STORM PRO LLC P.O. BOX 218 STATE SURCHARGE(VALUATION) 5.00 MOUND, MN 55364- TOTAL 196.75 (952)513-8667 Minnesota State License#: 20634454 OWNER WOJCIK, JOHN& KIT 3310 BAYSIDE RD 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 specitied 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[he State Building Code.This permit may be revoked at any time for due cause. /�1�.�// t� /C�l `�l l Applic ermitee Signa Date Iss d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � �ity of Orono Building Permit Appiication for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) � Mailing Address: Permit number. 0�0 l�_ j�,�,� PO Box 66 ��, � Q , Crystal Bay, MN 55323-0066 Date received: �� '�� Received b �� '� ��:�,;� s, Streef Address: Y� �� '� ��'„�,'�,, �� 2750 Kelley Parkway Plan review fee: t�g f�'4� Orono, MN 55356 Esxo Total Fee: �9� �� 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: 3�/D �ay �� Will this be a Parade of Homes, Remodelers S owcase Home or other Display Home? ❑ Yes ��o If yes,a specia/event permit is required with Police Department and City Counci/approva/60 days prior to the event. Shuttle bus servi" ce wil/be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events wil/not be allowed. CONTRACTOR!APPLICANT INFORMATION: Name: �'f�.� �rv � ��`�s ZK.c State License# �j �ys Expiration Date: ��/� Lead Certification Number: ,i/ ,¢ Expiration Date: (for work on homes fhaf were c—�cted prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: N a m e: J,��„L I,,,o ,c'��C Phone (day): Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: i Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage ' MCWD review&permits: Minnehaha Creek Watershed District(MCWD) .�Re-roof, asphalt ❑ Repair �Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar .0"Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ /� �� 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 Iare 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 vou refuse to su I the information,the a lication m t be issued. i� ApplicanYs Signature: C��.� Date: /D.—��_ %/ Last Updated: 08-09-2011 DATE TIME �I��F��0�� CALLED IN IFVSPECTION (�QT E � �� SCHEDULED '1 %; � � � " PERMIT IVO. D� � !�� ✓ COMPL Eo ,, 14D�� '� �� -L�'�. �/��-4 l�1AlNER EL PFiC)NE iVO. CONTRACTOR "'�r ti u � DESCRIPTIOfV 'I''�'� -� � � ❑ FOOTtNG ❑ PLUMBING AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ �v1ECHANICA RI ❑ LAKESHORENVETLANDS � ❑ FAAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSU ATION ❑ WpOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � IiVAL ❑ SEWER HOOK-UP ❑ COMPLAINT ❑ DEMO-SITE ❑ SEPTIC P�IAINT. ❑ FOLLOW-UP � ❑ DEMO-FtNAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICOPITAACTOR TO MEEf YOU:_YES_P10 __ __ , � �'�M��N�: , � q *OLD PERMIT - IVO FINAL INSPECTION REQUESTED. � J Q � � -- � i��=�i.��' L t , �� Q � � � � � � � � � �a ;, � 0 J � � ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑ CORRECT WORK 8 PROCEED SUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CAIL FOR REINSPECTPOiV TEMPORARY � �EFORE COVERING pEfiMANENT ❑CORRECT UNSAFE CONDITIOhd WITHIN HOURS. O PHOTO TAKEN INSPECTOR WILL REfURN �STOP ORDER POSTED.CALL iMSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.C�,tL TO ARRANGE ACCESS. Cail for the r►ext ir�spection 24 ho irt acivance, (J5 � Z49�4600 Own�rlContractor on site: '' '� ' Bnspector. - _�' �� White CopyllnspectoPs Fele �� Canary CopylSi3e No4ice � DATE TIME ✓ CITY OF ORONO CALLED IN �� Z � INSPECTION NOTICE SCHEDULED �� PERMIT NO.�� l-C�I 3�1 COMPLETED ADDRESS 3 �� GLLf S 1 GC-2� _ OWNER TELEPHONE NO. � 1 �� ' ��' CONTRACTOR �� >; DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ 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 � COMMENTS: � W � � � O >. � O � W � Q � Z W � W � � � �14(ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on sit : Inspector. White Copyllnspector's File Canary CopylSite Notice