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Home My WebLink About2011-00381 - roofing CITY OF OR NO PERMIT NO.: 2011-00381 2750 KELLEY PA WAY ORONO, MN 55 56- DATE ISSUED: OS/23/2011 � 952 249-4600 FAX: 9 2 249-4616 ADDRESS : 4105 BAYSIDE RD �� P[N : 06-117-23-14-0023 LEGAL DESC : BAYSIDE RIDGE : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCT[ON TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUAT[ON : $ 18,000.00 APPLICANT PERMIT FE SCHEDULE 309.75 AC CONSTRUCTION & RESTORATION SERV 5 HIGHWAY 55 W STATE SUR HARGE(VALUATION) 9.00 BUFFALO, MN 55313- MISC FEE 0.00 (763)682-0770 TOTAL 318.75 Minnesota State License#: 20634132 I OWNER BURKE,NICK& SUE 4105 BAYSIDE RD 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 goveming 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 commcnced within 180 days of tl�e 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 revoke at any time for due cause. � Gv �S ��-- � l� � � Applica t Permitee Signature Date Issued By ig t re Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO City of O ono . Building Permit Applicati n for Internal Work (windows, doors, sidi g, re-roof, etc.) Mailing Address: Permit number: O�v D,�O PO Box 66 �� Crystal Bay, MN 55323-006 Date received: �'� Received b � �� `�'�` a, Street Address: Y� x'� ' '3�„ �ti� 2750 Kelley Parkway Plan review fee: L�ESHO�`'� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci. rono.mn.us This application form must be completed in full and al required information must be submitted. Incomplete applications will be r urned. (Please print) GENERAL INFORMATION: ,_., `� Job Site Address: G ��' S (�cL - �� (c.�.,h l/l�7/l S "3 Will this be a Parade of Homes, Remodelers howcase Home o other isplay Home? ❑ Yes No If yes, a specia/event permit is required with Police Department and City Counci approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is ailable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: .,� u,.� -� Q-,�5 C�„ ,��j �TJ;L-�S State License# �(� � Expiration Date: -3�- � Lead Certification Number: �-� - c-/ � � - �l - �O� ��/ Expiration Date: (for work on homes that were construcfed prior to 1978 Phone: -7L j- (�_`�,,�, c� C� (office) (cell) Mailing Address: � /{w. �,`; City: �c � ZIP: "-� � Contact Person: ��q.�,� Appli ant is: ontracto / Homeowner (Circle One) Email and/or Fax. , (L�, _ - � � PROPERTY OWNER INFORMATION: Name: �� ;n �,� Phone (day): �� - � �� Address: /d � ; � City: ✓l � y��,/� 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) Deephaven, MN 55391 ��e-roof P hone: 952-471-0590 ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: f � S�� - Estimated Construction Valuation of Project(excluding land) � ' C�U 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 f his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aw re 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 pplication is classified by State law as either private or confidential. Private data is information which generally cannot be g ven to the public but can be given to the subject of the data. Confidential data is information which generally cannot be gi n to either the public or the subject of the data. Our purpose and intended use of this information is to annually update o r records and records of other governmental agencies re uired b law. If ou refuse to su I the information,the a fication ma not be issued. ApplicanYs Signature: �I'(� � �/`� Date: �' ��—�) Last Updated: 03-01-2011 � _ __ _ __ _ . i V I J DP�E /� TIME CiTY OF ORONO CALLED IN � �J � INSPECTION �TI E SCHEDULED 7 PERMIT NO. v��— �3�� COMPLETE ADDRESS l0-� �-� OWNER ELEPH .NO? 3� � �� 3�D CONTRACTOR G �: DESCRIPTION ;�� 11� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GR DING/FILLiNG � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHO ENVETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REM VAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSP TION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRES � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAI J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW- P _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD CO ER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT IUN/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � . C' -�-_J /2 � � - c7 � ,,�. � --}-- � 0 � W � Q � Z W � W � � d W ❑WORK SAT{SFACTORY:PROCEED ❑ PROJECT COMPL E � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICAT OF OCCUPANCY �u O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPO ARY V BEFORE COVERING P'ERM ENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (�52 249-46�� OwnerlContractor on site: Inspector. White Co Ilns ector's File Canary Cop I ISite otice PY P � Zi�%�" �� TIME ✓ CITY OF ORONO CALIED IN INSPECTION NOT/ICE SCHEDULED -L � PERMIT NO.�OI�"D�� I COMPLETED k A ADDRESS �OS OWNER TELEPHONE NO.��3 �� 77 d CONTRACTOR C. C��'Ifd�')"U �; DESCRIPTION 'P D � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADI G/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVA Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTI N Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER MOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDA710N/ MOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � V• � � ��. a � � O � � O � ti � Q � Z W � W � � GW�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE WCORRECT WORK&PROCEED n_ ISSUE CERTIFICATE OF OC I PANCY O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ' ❑STOP ORDER POSTED.CALI INSPECTOR ' ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 249- 600 OwnerlContract Inspector. W e Copyllnspector's File Canary CopylSite Notice I