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Home My WebLink About2011-00928 - roofing CITY OF ORONO PERMIT NO.: 2011-00928 „� 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 08/24/2011 • 952 249-4600 FAX: 952 249-4616 � ADDRESS : 4385 CHIPPEWA LA PIN : 31-118-23-42-0017 LEGAL DESC : LJNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIV[TY : O/S BUILDING-UNDEFINED VALUATION : $ 8,500.00 NOT�: VALUATION OF PERMIT:$8,500.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING S7'ARTED) MUST PROVIDE COMPLETE S�T OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 177.00 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.25 6541 SYCAMORE CT N MAPLE GROVE, MN 55369- TOTAL 181.25 (763)427-9696 Minnesota State License#: 20637010 OWNER FR[TZLER,J. MARC 4385 CH[PPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rela[ed work which requires separate pemiits. 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 days of the date of issuance,or if construction is suspended for a period of 180 days at any[ime after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ,� '�7 r� , ; d�v� /1= _ ��.- _�'l �5�- l // �L��_.R �i��z l �^� � �� _I Appl�cant rmitee Signa�ure Date [ssued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � City of Orono � �uilding Permit Application for Maintenance / Renovation . (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,�,�. PO Box 66 � �, � Crystal Bay, MN 55323-0066 Date received: a � ,` ��: s, Street Address: Received by: � �',�c,t `� '�'� �ti 2750 Kelley Parkway Plan review fee: 9kESFI�4� Orono, MN 55356 —'� 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 applications will be returned. (Please print) GENERAL INFORMATION: �' Job Site Address: � ��S C�'� ��/if [ � � Will this be a Parade of Homes, 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. Shuttle bus service will be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORM�TION• � � Name: r`�1 �L%��i '�tx��, ,, Gt � �' � �j State License # "7�� Expiration Date: ;� j 20� Lead Certification Number: �/'�,��''� 3i��3��- J Expiration Date: y�i��y �� '� (for work on homes that we er constructed prior to 1978 ' Phone: �� ? -�� J�(�C� E (office) ;'� �� -��C � � 1� � (cell) Mailing Address: " �s-� �� X � ,,,,,,�o r-,�r � ;-. /� City:/y1;,�"z- G�2�v� ZIP: s's��;�:'�-'- Contact Person: r,��y ,,. � : Applicant is: Cor�for / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION�, Name: — ` - '�� C' � �Z E. Phone (day): S'z - C�� _ `� �� Address: L� ��S` � l-t:'j-';�vL,�, �� City: C.�--�L� 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 ❑ 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: '�� ,� � �<> - ��r L,z� �" �— �?�f� ;;;, � � i/'1,,;, �-f=- Estimated Construction Valuation of Project(excluding land) $ 1 �o � � 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 generally cannot be given to the public but can be given to the subject of the data. Confidential data is information 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. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: `�7�� -��'� Date: �� —� Last Updated: 08-09-2011 �r� Dl�E,r.� TIME ✓ CITY OF ORONO CALLED IN ��J INSPECTION NOT CE SCHEDULED q-�-C/ PERMIT NO.a�`�- DD 9 z g COMPLETED � ADDRESS 3C�5 (_ OWNER TELEPHONE N0.7�3 �� Z- CONTRACTOR >; DESCRIPTION �`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED _� UE CERTIFICATE OF OCCUPANCY � ❑CI�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: � Inspector. White Copyll�spector's File Canary CopylSite Notice � � DATE TIME ✓ �� , -f�►' CITY OF ORONO �CALLED IN fSfL�I( INSPECTION NOTICE 7�; SCHEDULED � � 1 PERMIT NO.�_�1I I-'C��I(,JS COMPLETED � ADDRESS �F � `�� CJ-G��U��-c�-`'Q. L A- OWNER TELEPHONE NO. ��3 �� — �'�� CONTRACTOR Sr 1 1`�' � J►'t� ..J >: DESCRIPTION �-� � � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXC / RADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � � d �, W� ��WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL�NSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 OwnerlContractor on site: n Inspector. � '1 � �5�.� White Copyllnspector's File Canary CopylSite Notice