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Home My WebLink About2014-00483 (re-roof) CITY OF ORONO PERMIT NO.: 2011-00483 , • 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSVE�: 06/17/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 3500 BAYSIDE RD PIN : OS-117-23-13-0015 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT 024 BLOCK 000 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 50,000.00 APPLICANT PERMIT FEE SCHEDULE 681 JS MN ROOFING&REMODELING STATE SURCHARGE(VALUATION) 25.00 6260 LAKELAND AVE.N. BROOKLYN PARK, MN 55428- MISC FEE 0.00 ��63)zog-�8i9 TOTaL �o6.�s Minnesota State License#: 3983 PAID WITH CC# 5024 OWNER BANGERT, MR. & MRS. 3500 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 Yor 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 hetein.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 at any time for due cause. /�`' � � / / Ap ican Permitee Signature Date Issued By gnature ate SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO Jun 16 11 01,25p Minnesota Roofing 763-208-7879 p.� 1 � :� . , Ci#y of Orono Building Permit Application al Work (windows, doors, si ng, re-roof, etc.) ��—\ Mailing Address; ermit number, j� �� PO Box 66 !O � ��`, Crystal Bay, MN 55323-0066 Date received: �� SfreefAddress: Received by: (�a �, �::`+' �. � \\�,�, ' '- �^� G�/ 2750 Keliey Parkway Plan reviewfee: ��kESKa4,,� Orono, MN 55356 Total Fes: Main 952-249-4600 Fax: 952-249-4616 uvvvw.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 lNFORMATION: Job Site Address: DO � 1�f Will this be a Parade of Homes,Remodelers S owcase Home or other Display HomeT Yes ❑ No !f yes,a specia�event permit is r�quired wrth Police DepaRment and City Council approval 60 days pnor fo the event. Shutfle bus servlce will be required unless applicant demortstrates suf/icient on-site parking is available. Non-permitted events wrll nof 6e aJlowed. CONTRACTOR/APPLICANT FORMATION: /� / fVame: �fd �1�/� � /Ge.s�o dP/..ri� State License# -' Expiration Date: 3 _ 3/ -�Z Lead CertiFication Number: �}T f Or O(3 - � Expiration Date: 2. �z - Zo/G (tor wark on homes that were constructed prior to 1978 Phone: ��,� �08' -�g � c� _ (office) _6� 6,� Q �� (cell) _ Mailing Address: p f}iee��n U ��tY= � ,v A�+e Z�P= � SS5�28 Contact Person_ �'�aN 5.�,,ty�-`� Applicant is; ontractor / Homeowner �CircleOne) Email and/or�ax: de n c�n ro��,�,a � (/�ahoo . Co++� T—'— PROPERTY OWNER INFORMATION: Name: ��ei�l� �fhU�3'e�r Phone (daY): �SZ y7� Z!f 9 Address: ?,,,L�po r3,g..•,s. n 2 (�ie,, City: Q�QO,tI� ZfP: JrS'3 S� Email and/or Fax PROJECT �NFORMATION: Type of Project: Any earlh mavement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCW�review 8 permits: Minnehaha Creek Watershed District(MCWD) �Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka 81vd ❑Siding ❑ Restoration ❑ Other: (spec�fy) Deephaven, MN 55391 P h o ne: 952-4T 1-0590 ,�Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ $'p,t70U APPLICANT ACKNOWLEDGEMENT: . Agrees to pr�vide all infortnation required or requested by the Buifding Department; • Certifies that the inforrnation supplied is true and correct to the best of his/her knowledge. The applicant recogn�zes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternabve but to reject it until it is complete; • Some or'alf of the information that you are asked to provide on this applicatian is classified by State law as either private or c�nfidential. 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 annuafly update our rec,Qrds and records of other governmental agencies re ulred b law. If ou refuse to su I the i rmation the a ticatian ma not be issued. Applicant's Signature: � Date: ,�— �.6— �o/! Last Updaied: 03-01-2011 � �� V 7 ATE // TIME CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED PERMIT NO. D - OO � COMPLETEp ADDRESS �� -�'� �� OWNER TELEPHONE NO��-s�� CONTRACTOR,�"[ >; DESCRIPTION � W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS h 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � j GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHtN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (J52� 249-46�0 OwnerlContractor on site: Inspector. �.�� S White Copyll�spector's File Canary CopylSite Notice � � ` DATE TIME V CITY OF ORONO CALLED IN � � INSPECTION NOTICE �SCHEDULED � PERMIT NO��'" D� � COMPLETED ADDRESS SD� � OWNER L PHONE NO.�� " � " $��T" CONTRACTOR 1 ��- >; DESCRIPTION �a-� � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � o �t� �� e��t. �f� ��Jf�rJ� � 0 � W � Q � Z W � W � � O � ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP OROER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIONREOUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. o� � �� White Copyllnspector's File Canary CopylSite Notice