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Home My WebLink About2011-00912 - roofing CITY OF ORONO PERMIT NO.: 2011-00912 , 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE Iss[1ED: 08/22/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4720 BAYSIDE RD PIN : 31-118-23-33-0015 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING- UNDEF[NED VALUATION : $ 8,500.00 NOTE: VALUATION OF YERMIT: $8500.00 ROOFING PERMITS ISSUGD WITHOUT ENOUGH NOTICE FOR TEA2 OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR"IO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUGD. SIGNS-ADVGRTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS I3GING DONE. ONCE WORK IS COMPLETED"Il IE SIGNS MUS"I'13E REMOVED. APPLICANT PERMIT FEE SCHEDULE 177.00 THREE PINES CONSTRUCTION STATE SURCHARGE(VALUATION) 4.25 2876 MIDDLE STREET ST PAUL, MN 55109- MISC FEE 0.00 (763)244-9199 TOTAL 181.25 Minnesota State License#: 20598207 OWNER ACHEY, PETER&CHRISTINE 4720 BAYSIDE RD MAPLE PLA[N, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is�ssued shall be perfonned according[o the approved plans and specifications,applicable City approvals,and [he 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 governing this type of work shall be compied with whe[her or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days e date of issuance,or if construction is suspended for a perio 0 80 days t any time after work has commenced. The plicant is res for ass ring all required inspections are req te m confor ith S ate Building Code.This permit may be rev d t any fli� d c � � � ,z� , u�c � , ' a � e i atur Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. , City of Orono ` ' Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: > Og,�,�.0 PO Box 66 q � Crystal Bay, MN 55323-0066 Date received: ' �� ,� � �, Street Address: Received by: � �'`T ti 2750 Kelle Parkwa �t � ��G Orono, MN 55356 y Plan review fee: 9kESH�4 �- Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. 33 � Incomplete applications will be returned. (Please print) GENERAL INFORMATION: „ /'� � � Job Site Address: � (1 �r p�'. �Jv''Cj��' � �:� �jS I Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes � No If yes,a special 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 available. Non-permitted events will not be allowed. CONTRACTOR/ LIC T IN,�ORMATIO-� / Name: t�� 4, � � I ►1rL1 �i�lk S � S'�"1' � ' / ' �h 4�G J�:'1 ✓l C . State License# Z�'��'j�Z�:'7 Expiration Date: Z�j•� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: '� . �-�y - ��/�j �'' (office) (�,�� 3L��-1 i' ( / (cell) Mailing Address: ��-f _ ' , �-(-_ City:�,,,� ��r., ,�C ZIP: S`�� Contact Person: Q„^ � C,,., Applicant is: ntract / Homeowner �c��oie one► Email and/or Fax: (`�� _ ��_ �.c�t� Z PROPERTY OWNE IN,FORMATION: }� Name: ��C- ^E- ► � 1"�G� Phone (day): C Z— � Z� ' CS' Address: `�� , _ _ , � City: �dK�, ZIP: �3S�j Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: ` Minnehaha Creek Watershed District(MCWD) �,Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ � SCC t 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 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 this application is classified by State law as either private or confidential. Private data is information which gen�r�llq cannot be given to the public but can be given to the subject of the data. Confidential data is information whic� nerally cannot be given to either the public or the subject of the data. Our purpose and intended use this informati to annually upd e our records and records of other governmental agencies re uired b law. If ou refus u I the i f r ion e a ication ma not be issued. ApplicanYs Signature: � Date: �'�Z'�� , LastUpdated: 08-09-2011 � . .1 \ / ✓ DAT�/ I TIME V � — � CALLED IN C/�� --�j�� _� CITY OF ORONO �. ��/� SCHEDULED 37 ' INSPECTION NOT�CE, _ - ( PERMIT NO. — connP►-ET —� - � � .,�,-� -Alterations ADDRESS [�� - U�� /�� >.007 TELEP iQN NO. SI' OWNER � C . � - _ CONTRACTOR � __ � �; P�� DESCRIPTION � EXCAV/GRADING/FILLING � ❑ PLUMBING FINAL � �KESHORE/WETLANDS W ❑ FOOTING � ❑ POURED WALL ❑ MECHANICAL RI � TREE REMOVAL DE: y � FRAMING ❑ MECHANICALFINAL � ❑ INSULATION ❑ �NOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z ❑ PROGRESS Q ❑ RADON SLAB ❑ WATER HOOK-UP � CQMp�INT Pro� _ ❑ SEWER HOOK-UP � ❑ FINAL ❑ FOLLOW-UP ,IIICllrig Pern � ❑ DEMO-SITE ❑ SEPTIC MAINT. � HARD COVER REMOVAL ❑ SEPTIC INSTALL W ❑ DEMO-FINAL ❑ FOUNDATION/REMOVAL S Perrr = ❑ SEPTIC FINAL J ❑ PLUMBING RI YES_NO Q OWNERICONTRACTOR TO MEET YOU:_ Z DET, � COMMENTS: � W � ApPn � , � 1 � �� S, 1 � Separ � � � O � W NOTI Q � Z W � W � � �ROJECT COMPLETE FEE SI d ❑WORK SATISFACTORY:PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � � W ❑CORRECT WORK&PROCEED TEMPORARY p ❑CORRECT WORK,CALL FOR REINSPECTION pERMANENT 0 BEFORECOVERING HOURS. ❑CORRECT UNSAFE CONDITION WITHIN �C TAT ON SSUED INSPECTOR W�LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE 4 hOUCS Ifl 8dV8ilC@. (952) 249-4600 Call for the next inspection 2 APPLIC 0�"nerlContractor on site: Inspector. y Canary CopylSite Notice White Copy��nspector's File �9 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � � �/ /""�—'"L AP A T MI A R SUED BY SIGNATURE Copies: 1-File(Signatures Reguired), 1-Applicant, 1-Monthly Reports, 1-Assessing,(If Septic, 1-Septic) Page 1