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Home My WebLink About2011-00482 - roofing CITY OF ORO O PERMIT NO.: 2011-00482 • 2750 KELLEY PA WAY '' ORONO, MN 553 6- �ATE ISSUED: 06/17/2011 ` 952 249-4600 FAX: 95 249-4616 ADDRESS : 4360 BAYSIDE RD PIN : 06-117-23-12-0001 LEGAL DESC : UNPLATTED 06 117 23 : LOT 000 BLOCK 000 I PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL I CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED I VALUATION : $ 5,100.00 APPLICANT PERMIT F E SCHEDULE 132.75 INCLINE EXTERIORS INC STATE S RCHARGE(VALUATION) 2.55 26175 BIRCH BLUFF RD SHOREWOOD, MN 55331 MISC FEE 0.00 (612)471-9065 TOTAL 135.30 Minnesota State License#: 20168831 OWNER I OLSON, MR. & MRS. JAMES 4360 BAYSIDE RD I MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approvcd plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not gran[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 specitied herein.'I his 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 nforman with the ate Building Code.This permit may be revoked at a time for ue cause. / / / / Appli t Pe itee Sig re Date Issue B gnature Date SEPARATE PERMITS REQUIRED FOR WORK O ER THAN DESCRIBED AB E. City of Or no • Building Permit Applicatio for Internal Work (windows, doors, sidin , re-roof, etc.) Mailing Address: Permit number: g,�,j� PO Box 66 �J O Crystal Bay, MN 55323-0066 Date received: `��,�� ,� �``�`-�; �, Street Address: Received by: �',�, ' 'F'��~ �ti 2750 Kelley Parkway Plan review fee: t`�kEsxo4`'� Orono, MN 55356 — Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.o ono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be r urned. (Please print) GENERAL INFORMATION: Job Site Address: 3�� S� �� Will this be a Parade of Homes, Remodel rs Showcase Home o other Display Home? ❑ Yes ❑ No If yes,a special event permit rs required with Police Department and City Counc approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is vailable. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �,1 c l;r�-- ��-1' F,�' �.r�c= State License# ,�� ; " ; , 3 j Expiration Date: /"� Lead Certification Number: Expiration Date: (for work on homes that were consfrucfed prior fo 1978 Phone: 5'_>"� - y �1_ ��; ��- (office) (cell) Mailing Address: ,� � � r3,�� ,,� p� City: �, r;�,z_�,,%`� _ZIP: , ��--� �j Contact Person: C3�Y� S�_�� App icant is: ntracto / Homeowner (CircleOne) Email and/or Fax: ,;� - 7 ^, _ �� l PROPERTY OWNER INFORMATION: Name: .T� �,ti� C, -sC;�� Phone (day): ()� - �/ �, _ y y/� Address: City: ZI P: 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 Phone: 952-471-0590 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ ,S� C, r— APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Buil ing Department; • Certifies that the information supplied is true and correct to the b st of his/her knowledge. The applicant 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 information that you are asked to provide on is application is classified by State law as either private or confidential. Private data is informati which gen Ily cannot e given to the public but can be given to the subject of the data. Confidential data is informatio which gene ly cannot b given to either the public or the subject of the data. Our purpose and intended use f this in rmation is t nnually up e our records and records of other governmental agencies re uired b law. If ou refu to su I the inform on, the a c tiom m �ot be issued. ApplicanYs Signature: Date: G -��-�—;�� Last Updated: 03-01-2011 dATE TIME ✓ CITY OF ORONO CALLED IN INSPECTIOIV NOT C� SCHEDULED PERMIT NO. � '� �� COMPLETED � ADDRESS 3 Q ,• � , OWNER TEL.EPH�NE NO; COI�fTRACTOR •�c E'or r�� r � DESCF�IPTIO(�l Qc- ✓��T (1 � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC V/GRADING/FILLIPIG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ �qK SHORE/WETLANDS � � FRAMING ❑ NIECHANICAL FINAL Z ❑ INSULATION ❑ TRE REMOVAL ❑ WOOD BURNER/FIREPLACE ❑, SITE NSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PRO RESS � ❑ FINAL ❑ SEWER HOOK-UP ❑'COM LAINT � ❑ DEMO-SITE ❑ SEPTIC iVIAINT. �OLL W-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ �pUN AT�ON/REMOVAL � OWNER/CONTHACTOR TO ME�Y'Ypl1:_yEg_Nlp ,. � COMhNENTS: � -o r+s � -�o,. '/^c e.��S� � *OLD PERMIT - NO FINAL INSPECTYON REQUESTEL � J O „ � �ie �. �icy' �'a ri c� O � � � Ll/dr� � PoiS �'�r� /�7l q _� � � � � �¢r-�.L �i�.��.� � � J d � ❑WORKSATISFACTORY:PROCEED �RRpJECT COMPLET � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICSATE F OCCUPANCY o ❑CORRECT WORK,CALL FOR REINSPECTION TEMI�ORA Y V SEFORECOVERING PERMANE T ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pryOTOTAKEN INSPECTOR WILL REfURRJ ❑STOP ORDER POSTED.CALL INSPECTOR �CITATIOM ISSUED ❑INSPECTION REQUIRED.C,�LL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. t952, Z 9-4600 OwnertContractor ore sete: Inspector �.. White Copyllnspecdor's F61e Canary CopylSite N�tice