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Home My WebLink About2011-01563 - roofing , CITY OF ORO O PERMIT NO.: 2011-01563 � 2750 KELLEY PA WAY ORONO, MN 553 6- DATE ISSUEn: 12/19/2011 952 249-4600 FAX: 95 249-4616 ADDRESS : 4245 BAYSIDE RD PIN : 06-117-23-13-0001 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 � PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING -UNDEFINED I VALUATION : $ 37,000.00 NOTE: VALUATION OF PERMIT:$37000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OF�INS ECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURII+�IG T E TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICA1�tT PERMIT F E SCHEDULE 542.00 INCLINE EXTERIORS INC STATE SU CHARGE(VALUAT[ON) 18.50 26175 BIRCH BLUFF RD SHOREWOOD, MN 55331 TOTAL 560.50 (612)471-9065 Minnesota State License#: 20168831 OWNER WHITE, GREG&AVIS j PO BOX 375 ' LONG LAKE,MN 55356-0375 , AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performcd according to I the approved plans and specifications,applicable City approvais,and the State Buiiding Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permi[s. All provisions of laws 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 d ys of the date of issu nce,or if construction is suspended for a period o 180 days any tim after work has commenced. The applican is respons le for as ring all quired inspections are requested in onforman e with[h State B ding Code.This permit may be rev ked at y time fo due caus . � l�� , �� Ap nt Permitee Si ature Date Issu d y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTH R THAN DESCRIBED ABOVE. � . �i��► v�� 4r �o �uiiciing Permit �ppii�a�io� for aintenance / E�eno�a�ion (windows, cioors, siciin , �e-roof, etc.) Mailing Address: � Permit number: / _ /'Q�.�0,� PO Box 66 /� Q Crystal Bay, MN 55323-Q066 Date received: � � � ( �,�3�ar�. �a �' '-�` �, � Street Address: Received by: �� '�;�'' ti �, �� ti 2750 Kelley Parkway Plan review fee: t�s.tfEs�`o4`U Orono, MN 55356 I I Total:Fee: 5/ � J� Main: 952-249-4600 Fax: 952-249-4616 www.ci.o ono.mn.us lG � This application form must be completed in full and all required information must be submitted. fncomplete applications will be re urned. (Please print) GENERAL INFORMATION: � Job Site Address � `' �� ,� , Will this be a Parade of Hor�nes, Remodelers Sh wcase Home o other Display Home? ❑ Yes ❑ No If yes,a specia/event permif is required with Police Department and City Counci/approval 60 days prior to the event. Shuttle bus service will be required unless app(rcant demonstrates sufficient on-site parking is a ailable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATIO�l: i Name: ��1�� 7='�'1�� p�i�y ?'� State License# � � _ ` .� � Expiration Qate: � 7 Lead Certification Number: Expiration Date: (for work on homes thaf were consfructed prior to ?978 Phone: ��—,�— z��/ _ .� (officeh (cell) Maifing Address: �_ �� !'� �.- . � �, Cit : ZIP: � > Y _.__� '1 c,��/�w ��/ Contact Person: /'�.,�( Appfi ant is: Cont�ct� / Homeowner (CirdeOne) � Email and/or Fax: � ��; t ��; _ � � �.,/ PROPERTY OWNER INFORMATION: Name: �,-i , ' ��4— i��, Phone (day): Address: City: ZIP: Email and/or Fax PROJECT INFORMihTION: Type of Project: 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, cec�ar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-Q590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orp Overall Project Descripfion: Estirnated Construction �laluation of Project(exciuding Eand} � '' '� � � — APPLICANT A�KNOWLEDGEM�NT: • Agrees to provide all informafion required or requested by the B�ildi g Department; � I • Certifies that the informafion supplied is true and correct to the bes of his/her knowledge. The applicant recognizes that they ' are solely responsibie for submitfing a compfete appiicafion be�ng a are 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 n thi appfication is classified by State law as either private or 1 confidential. Private data is information which nerally can be given to the public but can be given to the subiect of the data. Confidential data is informatio� which g 'erally can o be iven to either the pub(ic or the subject of the data. Our purpose and intended use of this in rmation to annual pdate our records and records of other governmental agencies reauired b law. If vou refuse to su I the inf mation,th iicati n v not be issued. ApplicanYs Signature: Qate: �� !ast Updated: 08-Q9-2011 I � ✓ D E� ; TI E CITY OF ORON CALLED IN INSPECTION NOTICE SCHEDULED PERMIT N � � � OMPLETED - ADDRESS OWNER ' EPHONE NO. -� �� CONTRACTOR ' �; DESCRIPTION �� ❑ FOOTWG ❑ PLUMBING FINAL ❑ EXCAV/GRADIN FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOfRE/W LANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTIO Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRES'S I / � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW;UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER EMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDA�ION/ EMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O r._� �� _� � � O W � � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED I�tOJECT COMPLETE ' � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE O OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMF�ORA V BEFORECOVERING PERI�7ANE T ❑CORRECTUNSAFECONDITION WITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUfiD �STOP ORDER POSTED.CAII INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �9�2� 49-4600 OwnerlContractor on site: Inspector. �� r's File Cana Co IS�te Not e White Copyllnspecto �Y PY ATE TI E ✓ CITY OF ORONO CALLED IN / INSPECTION NOTICE scHE�u�Eo / PERMIT NO. I' J"� c PLETED ADDRESS OWNER � TE HO O. CONTRACTOR �^ � DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GR DING ILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOR E NDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPE,iCTIO , Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-U i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COV�R RE OVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/RE OVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � J '`O`�/''T � � �C'�� '� .� t.�S � 0 � W � Q � Z W � W � j � �JQ�O.RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETf W ❑CORRECT WORK&PROCEED '7 ISSUE CERTIFICATE OF OC UPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANqNT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR i C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� �49 46QQ Owner/Contractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice