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Home My WebLink About2011-01242 - roofing CITY OF ORO O PERMIT NO.: 2011-01242 2750 KELLEY PAR WAY ORONO, MN 553 6- DATE ISSUEn: 10/13/2011 952 249-4600 FAX: 95 249-4616 ADDRESS : 4165 BAYSIDE RD PIN : 06-117-23-14-0019 LEGAL DESC : REG. LAND SURVEY NO. 0748 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 18,000.00 NOTE: VALUATION OF PERMIT: $18000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INS ECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING T E TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT F E SCHEDULE 309.75 AC CONSTRUCTION& RESTORAT[ON SERV STATE SU CHARGE(VALUATION) 9.00 12510 FLETCHER LANE SUITE L ROGERS, MN 55374- TOTAL 318.75 (763)682-0770 Minnesota State License#: 20634132 OWNER ALT, JAMES&MARIE 4165 BAYSIDE RD MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this pennit 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 la�+�s and ordinances governing 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 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 al]required inspections are requested in conformance with the State Buiiding Code.This permit may be r oked at any ti for due cause. � � /U/ .� / �� Applicant Permi Signature Date Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. Oct. 13, 2011 9: 24AM AC Construction & Restoratio� No, 5584 P. 1 � City of Or no Building Permit Application for M intenance / Renovation (windows, doors, siding re-roof, etc.) Mailing Address: '�Q.� PO Box 66 P��t nu�nber; L .-�/aZ Q Q Crystal Bay, MN 55323-0066 Dete;Feceived: / � . a Streef Address: Received by: �� 2750 Kelley Parkway Plan review fee; , k�H� Orono,MN 55356 Main; 952-248-4BOD Fax: 952-Z49-4616 www.ci.or no.mn,us Totsl.Fee; .. �,� � �� This application form must be completed in full and all r quired information must be submitted. Incomplete appllcations will be ret rned. (Please pnnt) GENERAL INFORMATION: Job Site Address: �'�� '� S� � e Q��„ Will this be a Parade of Homes, Remodelers Showcase Home or ther Display Home? Yes No lf}res,a spe�ial event permn is requlrod with Pollce Depertmant and C/ty Councfl proval 6a d9ys prior to the ewen! Shuttle bus servtiae wlll be required un�ess eppllcant demonstrates su�cient on�slte paricing ls a ilable. Non permhted evenfs wlll not be allowed, CONTRqCTOR!APPLICANT INFORMATION: Name� � e�5'�'rL� c : ei,n• ��•es State License# V 3 Expiration Date: '3- 3 �- i 3 Lead Certification Number: (� _ � Expiration Date: -1�y.�- ( �, (for woik on homes that were conatrricted prior to 9976 Phone: (;Q '�,. 3 f� �O- �SO (office) cell � ) Mailing Address: �� v F I�r�,,�,� L�, Ci : � Z�p: �•s�-�y Contact Person: '�vr.► � �oN Appli nt is; Contracto Homeowner �ci�e�.o„a� Email and/or Fax: �,p,��,��`�,,,�, /��.C� �. C or�-► PROPERTY OWNER INFORMATION: Name: MA�a.�� a 'S�w► �t.� Phone(daY): �a- �('13- g`f'19 Address: City: Z�p; �mail end/or Fax PROJECT INFORMATION: rype of P�oJect: Any earth movement may require ❑Door(s) ❑Remodel ❑Fire pamage MCWo revlew 8�permlts: Minnehaha Creek Watershed pist�ict(MCWD) roof,asphalt ❑Repair ❑Storm Damage 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration �Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑Re-roof, other(9peclty) []Siding �Other:(specify) Fax; 952-471-0682 ❑Window(s) www.minnehahacreek ora Overall Pro ect Description: Estimated Construction Valuation of ProJect(excluding land) J�'oocs APPLICANT ACKNOWLEDGEMENT; • Agrees to provide all information required or requested by the Buildin 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 epplication being a re that upon failure 2o do so, the st�ff 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 iven to the public but can be given to the subject of the data, Confidential data is information which generally cannot be g' en to either the public or the subject of the data. Our purpose and intended use of this information is to annually update ur records and records of other governmental agencies re uired b law. If ou refus su e inf�rmation,the a licatio ma not be issued. Applicant's Signature: Date: 6 U� J�l� Lasl Updated' 08-09-2011 �— � A �` TIME V CITY OF ORONO CALLEO IN � � INSPECTION OTICE SCHEDULED / a`- PERMIT NO. co TED ADDRESS �7`� OWNER TEL HONE N07�� - a� CONTRACTOR � � �; DESCRIPTION �-� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAU'/GRA ING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKES�HOR ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMO AL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPEC ION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPI:AINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVE REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUN�ATIO REMOVAL Z OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � w a � J O � � O ti W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑ CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF O CUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ GTATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952� 249 4600 OwnerlContractor on site: Inspector. � � White Copyllnspector's File Canary CopylSite Notice