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Home My WebLink About2011-00278 - roofing � •� CITY OF ORONO PERMIT NO.: 2011-00278 2750 KELLEY PARKWAY ORONO, MN 55356- �A7'E issuEu: OS/03/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 782 BRIDGEWATER DR PIN : 33-118-23-12-0023 LEGAL DESC : STONEBAY FOURTH ADDITION : LOT 012 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : � 8,000.00 No�rr: rr-,��z orr a�Roor APPLICANT PERMIT FEE SCHEDULE 162.25 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 6541 SYCAMORE CT N MAPLE GROVE, MN 55369- TOTAL 166.25 (763)427-9696 Minnesota State License#: 20637010 OWNER LURTON, H WILLIAM PO BOX 408 LONG LAKE, MN 55356-0408 AGREEMENT AND SWORN STATEMENT "Che work for which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and thc State I3uilding Code. 7'his permit is for only the work described and does not grant permission for additional or related work which rcquires separate permits. All provisions of laws and ordinances governing this type of work shall bc compied with whether or not specified herein.This permit will expire and bccome null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspcnded for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requcsted in conformance wiUi the State Buildine Code.This permit may be revoked at any ime f r due cause. S� 3 � 11 ��''l�l�� ,� , / Ap icant Pennitee Signaturc Date Issu I3y Signaturc Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . � �s� � � City of Orono Building Permit Appl�catlon for Internal Work ' (window$, doors, siding, re-roof, etc.) Melling Address: permit numbe�_ O/ — � �7 O�.��O PO Box 66 Crysfel Bey,MN 55323-0066 Dete recelved: i Street Address: Recefved by, � a� 2750 Kelley Parkway Plan review f : �� Orono,MN 55356 —'" Total Fee: / /„� �� Main: 852 249-4600 Fax: 952-249�616 www.ci,orono.mn.us (% This application fi�rm must be completed in full and aU requlred Informadon must be submltted. Incomplete appllcatlons will be retumed. (Please p�fnt) G�NERAI.INFORMATION: �� _ Job Slte Address: Will thls b�a Parade oi Homes. Remodelers Showca Home or other Dlsplay Nome? Yes No !lyrs,a spedal a�ent pemu7 i8 required with PoIIce Departrnent ernl Chy Counal approva!60 days prior to the evant Shutde bus seMca will 68 requbed unless appllcant demonsnstes suf/kalent on,sire pa�kiny is availab/e. Non�ennlKed ev�ents will not be allowAd. CONTRACTOR/APPLIC T INFORMATION: Name: %l'Jr�G/157� I��OF.� S��/� f�A�1�U� LnC State License# 2 0 0�o a ,� Expiration Date: �3,/.,�//a�/,� � Lead Certification Number: Expiretion Date: (ror rvork on homes that wsra consbvc�pr�or ev 1878 � Phone� 76�—�/a 7" 9(v (o��) 76 3-a8o— /3� � {cell) Mailing Address: � S r-►.pr C� City: Q�le rpc��- 21P: �'S'3 6 q Contact Person: /�,ryn�J� �„dQ,s�.,� Applicant is: on ctor / Homeowner �ciroi.o�.� Email and/or Fax_ ')63 ... y �7— ypd! PROPERTY OWNER IN ORMATIQN: N�me: � (l L (:ro'¢-c�n Phone(day): Address: 1�a -'''�� 0� �� r• C�ty: �vey��. ZIP: Email end/or Fax � � PROJECT INFORMATION: Typs of ProJect: Any aarth movsment may requlre � []Door(s) ❑Remodel ❑Waber Damage MCWD revlew 8 p.Rnits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) []Repair ❑Storm Damege 18202 Minnetonka Blvd ❑Slding ❑Restoration ❑Other:(specify) Deepheven,MN 55391 Phone: 852-471-0580 �Re-roof ❑Ffre Demage Fax: 952-471-0682 www.minnehahar�rpe�k.ors� Overall Pro ect Descriptlon: Estlmated Construction Valuation of Project(excludln land s APPUCANT ACKNOWLEDGEMENT: Agrees to provide all informe�6on roqulred or requested by the 6uilding DepartmenC CeNfies that the irrfo►mation supplled Is vue and conect to the best of hls/her knowledge_ The applicant recognizes that they are solely responslble for subml�ing a complete application being aware that upvn Failure to do so, the stsff has no alternetive but to reJeet it urrhil it is oomplete; Soms or all of the ininnnetion thet you ere asked to provide on this eppl�aUon is dassfied by State law as either private or confidentlal. Prfvate dafa is inf�rmation whfch generally cannot be given to the publlc but can be given to the subject of the data. Confidentlal dats !s Intbrmation which generally cennot be glven Do either the publlc or the subject of the data. Our purpose and intended use of thls Inbrmativn is to annually update our recorrls and records of other gavemmental ege�cles re ulred b law. If u refuse to su I the Informatinn Ihe a (ica6on ma not be issued. ' �� —r� Applicant's Signature: � C �--•�� Dete: � � Last Updabed: 03-01-2011 �� V , DATE TIME CITY OF ORONO CALLED IN � �7 INSPECTION N TICiE SCHEDULED c" � ' " � l t� �,-. PERMIT NO. �U L � � �--'�'�-��COMPLETED �T , ADDRESS �I �-- I . f f�Cl7�' �l3CZ��V ��- OWNER TELEPHONE NO. ��3 �� L� �r�� CONTRACTOR - � � � >; DESCRIPTION f`'V"�``"�� ' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ F�NAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W 0. � � O >. ' _ � r � ./ y ✓ � w � Q � Z w � W � � ��ORK SATISFACTORY:PROCEED �ROJECT COMPLETE W ❑C RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITNIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor on site: Inspector. : /� /� _ . White Copyllnspector's File Canary CopylSite Notice