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Home My WebLink About2011-001169 - Roofing . CITY OF ORONO PERMIT NO.: 2011-01169 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 10/03/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4760 BAYSIDE RD PIN : 31-118-23-33-0012 LEGAL DESC : BAYSIDE HILLS : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ROOF[NG -ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 24,000.00 NOTE: VALUATION OF PERM[T: $24,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURF,S OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVGRTISING SIGNS MAY ONLY BE ON THE PROPGRTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLGTED THG SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 398.25 W. F. SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 12.00 6585 SO SAUNDERS LAKE DRIVE TOTAL 410.25 MINNETRISTA,MN 55364- (612) 867-31 l7 Minnesota State License#: 5309 OWNER BARNUM, MARCIA&GREGORY 4760 BAYSIDE RD MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd 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 pemlission 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 specified herein.This permi[will expire and become null and void if construction authorized is not conunenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time atter work has commenced. The applican[is responsible for assuring all required inspections are requested in confor nce with t e State Building Code.This pennit may be revoked at an time due cau , � • 1�`' . �I � / 3 / I � /(�� C��/ / App icant Permitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono " Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �,� MailiPO Bo�r66 � Permit number: v�O/ �— G I� y Crystal Bay, MN 55323-0066 Date received: � �,j �O �; O ' �'L Received b (,� �� yr -��` �, StreetAddress: y' �,�,t ' '�'�� ti 2750 Kelley Parkway Plan review fee: � Orono, MN 55356 9�ESH�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. Incomplete appfications will be returned. (Please print) GENERAL INFORMATION: � j.-- /, - ,/ Job Site Address: t---~ �vJ � ✓� 1 S /�,� �� Will this be a Parade of Home`s, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrafes sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � `� � �� State License# 3"3v �f Expiration Date: - o - /� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: G� S� _ y -�� - � �-� � (office) �<- /� - � 6 7 —.�/i "7 (cell) MailingAddress:�,S'�S` ��, 5"19.L,�.,>�;,1�, LK' L�pL, City: �t,.��.�� S ZIP: �S�(,�� Contact Person: � � �� Applicant is: ,�on�r�cto� Homeowner (Circle One} F Email and/or Fax: �-------- PROPERTY OWNER INFORMATIO� Name: �lZ C- �- ��,i i ,�,'y. Phone (day): Address: City: ZIP: � Email and/or Fax � PROJECT INFORMATION: 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 ❑ e-roof, cedar ❑ Restorafion ❑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: I��ltr� ��—�-�-�-,�s /, c.- l /�. t� f r �- /Z� — S l,�.�- -� Estimated Construction Valuation of Project (excluding I� d) $ Z 5/ p G�� Z APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the informafion supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are sofely 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 generally cannot be given to the public but can be given to the subject of the data. Confidential data is informafion which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies � re uired b law. I# ou refuse to su I th infor ation,the a fication ma not be issued. � -�� ApplicanYs Signature: ' �� Date: 1 Cj � � � � Last Updated: 08-09-2011 DAT� TIME ✓ �I�'°OF ORON�1 CALLED IN BNSPECTION T E � SCHEDULED /'�� RMIT tVO. : � � �� 'efJMPL�TED %NI A��Es� `l1 ��- 01AINER ' TE�.��NE tVO. �ONT'RACTOR �'�' �� /��_ �; D�SCRIPTION � ��%.e;� � � ❑ FOOTING O PLUMBING FIPJAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ Pv1ECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION �, ❑ ON SLAB ❑ WATER HOOK-UP � ❑ PROGRESS � FINAL O SEWER HOOK-UP � COMPLAINT ❑ EMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HAFID COVER REMOVAL � ❑ PLUMBING Rl ❑ SEPTIC FINAL ❑ FOUNbATION/RE�AOVAL � �DWIdERICORITRACTOR TO MEEf YOID:_YES_9dp � �'�M��g�\ a ' *OLD PERMI - NO FINAL INSPECTION RE UESTED. Q � � O � � O �.. > � �; � � � � � � � � e � � W� 0 WORK SATISFACTORY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK&PROCEED ❑ IS UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIPd HOURS. � pHOYOTAKEN lMSPECTOR WILL RETURN ❑STOP ORDEA POSTED.CALL iPJSPECTOR �CITATION ISSUED �IfVSPECTION REQUIRED.Cn:.�TO ARRANGE ACCESS. Call for the next irospection 24 hours in adaoar�cc�. (952, 249�4�00 Own�rlContractor on site: � fnspector. �' �Nhite Copyllnspec4or's File �,-C�nary CopylSi4e Notice ' C�� TIME V CITY OF ORONO CALLED IN J� � INSPECTION NOTICE SCHEDULED / PERMIT NO.�//-Ol�� COMPLETED ADDRESS y 7 � � � � OWNER TELEPHONE N0.95�T- 7`7� '��/ CONTRACTOR �� j'Yt l /vl.. �— >; DESCRIPTION � �-� -�� lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/F�LLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � O � W � Q � Z W � W � � GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on si e: r' Inspector. � White Copyllnspector's File Canary CopylSite Notice