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Home My WebLink About2011-00766 (roofing) • CITY OF ORONO PERMIT NO.: 2011-00766 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE IssuEn: 08/OU2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3780 BAYSIDE RD PIN : OS-117-23-21-0005 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT 052 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 8,000.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE POR TEAR OFF INSPEC"1'IONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPGCTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THF,'1'[ME"1'I IE ROOF IS f3ElNG DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPL[CANT PERMIT FEE SCHEDULE 162.25 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 6541 SYCAMORE CT N TOTAL 166.25 MAPLE GROVE,MN 55369- (763)427-9696 Minnesota State License#: 20637010 OWNER WICKLUND, MR. &MRS. 3780 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 specitications,applicable City approvals,and the Sta[e Building Code. This permit is for only the work described and does no[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 hereia 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 construc[ion 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 revo ed any ti r ca� �/ � / �/ pplicant Permitee Signature Date � �� . Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . City of Orono Building Permit Appiication for Internal Work (windows, doors, siding, re-roof, etc.) Maifing Address: � f� _�(�� O�D,�.O PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: .� � ^,,��+� F StreetAddress: Received by: x'�c, ' "�� ti 2750 Kelley Parkway Plan review fee: t`�Esxo4`'� Orono, MN 55356 Total Fee: � ��, � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This appfication form must be compfeted in full and all required information must be submitted. fncomplete applications will be returned. (Please print) GENERAL INFORMATION: ,� ��.� C� (� � / Job Site Address: �>> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes, a special event permit is required with Police Department and City Councif 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 INFOR�TION: Name: ,1�t,,�G�G✓�5:� �jf �j State License# ��.�,`��•� ? 7 Expiration Date: � 3- 3�-�� Lead Certification Number: Expiration Date: (for work on homes thaf were constructed prior to 1978 Phone: � � --�� (office) (cell) Mai(ingAddress: �`� (�S�( ��'��o.�. �, Cit�c��yc-� ZIP: �j�� Contact Person: v„z ,� � Applicant is: Co tractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��•� c-✓i�C(C ((/vIG� Phone (day): �� -y 7�_ Qo 6,� Address: �_3 7�0 � �f�s,2� �� City: C�� 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 Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑ Other: (specify) Phone: 952-471-0590 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Ovecall Project Description: j�c��{� - �v6� Ov� � y,�,tf� Estimated Construction Valuation of Project(excluding land) $ ��p 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 app(icant 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 informafion that you are asked to provide on this application is ctassified by State law as either private or confidentia�. 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 t s I the information,the a iication ma not be issued. ApplicanYs Signature: Date: ��C �� Last Updated: 03-01-2011 �� / 1/ D E TIME v �.�� CITY OF RONO CALLED IN INSPECTION N.QT�,�.F��r� SCHEDULED PERMIT NO. �«J l F�" COMPLETED � ADDRESS OWNER c TE PHOAIE NO.��/��J��.�7a� CONTRACTOR� � >: DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y 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 Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � ' G �'� � --ir/�� i��- 0 � � �" f�� "� �/1 � Pz'�.�:7 �zf./l�S' Q 1�/P �!�/-�� v v lf � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED � OJECTCOMPLETE W ❑CORRECT WORK&PROCEED r ISSU ERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: ' � Inspector. � White Copy/lnspector's File Canary CopylSite Notice � � � � � � � TIME CITY O ORONO � CALLED IN ( INSPECTION NOTICE //—SCHEDULED � �- PERMIT NO.�� I ��7�"Y� MPLETED ADDRESS ` � � OWNER � T PHONE NO. - �' — �9 CONTRACTOR b j� � a DESCRIPTION �--- � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O '� !� ��/l�.e --�— /�;��C� � � � � �n L7�.� ;7)� �L'�--� � W � Q � Z W � W � � d W� �ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN �NSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. �952� 249-460� OwnerlContractor on si e: Inspector. � White Copyllnspector's File Canary CopylSite Notice