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Home My WebLink About2011-00900 - roofing . . CITY OF ORONO PERMIT NO.: 2011-00900 2750 KELLEY PARKWAY ORONO, MN 55356- DATE lss�En: 08/22/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3485 CHR[STINE DR PIN : OS-117-23-12-0021 LEGAL DESC : BETZ ADDN : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTNITY : O/S BUILDING -UNDEFINED VALUATION : $ 18,024.89 NOTE: VALUAT[ON OF PERMIT:$18024.89 ROOFING PERMITS ISSUED WITHOUT ENOUGH NO'I'ICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BE[NG STARTED) MUST PROVIDE COMPLETE SET 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 1S COMPLETGD 7'HE SIGNS MUST BG REMOVED. APPLICANT PERMIT FEE SCHEDULE 324.50 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 9.01 12366 RIVER RIDGE ROAD BURNSV[LLE, MN 55337- MAIL-IN FEE 2.00 (612)861-7000 TOTAL 335.51 Minnesota State License#: 20593656 PAID WITH CC# 152] OWNER BACKSTROM, ERIC& EMILY 3485 CHR[STINE DR 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 specifications,applicable City approvals,and the 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 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 I 80 days at any time 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. �`�1Q'-GLeil� 8'l o�_l l/ /,�a--i l� Applicant Permitee�ignature Date [ssu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. AU�-19-2011 12:38 From: 6785736615 To:9522494616 Pa9e:1�1 . . . City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. � I—f> v� O�,��O PO Box 66 Crystal Bay, MN 55323-0066 Date received: a / a Street Address: Received by: �`,Q, � 2750 Kelley Parkway Plsn review fee: ��S�o$� Orono, MN 55356 �j 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. �, a � v O Incomplete applications will be �eturned. (Pleasa print) � GENERAL INFORMATION: • . � ��'�- Job Site Address: 3�� r� PL� f c V�, Will this be a Parade of Homes, Remodelers Showcase Home or other�isplay Home? ❑ Yes ❑ No If yes,a special event pe�mit is r�+quired uvith Police Aepartment and Cify Counci/approval 6�days prior to the evenf. Shuttle bus service w111 be �equired unless applicant demonstr�tes sufficient on-site parking is availHble. Non-perm(tted events will not be allowed, CONTRACTOR/APP� �reMT IAGFORMATION: � Name: � d Y1 State License# Z,os q 3 ��-� Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prfor tu 1978 Phone: (��a_�(�� - -1��o (office) (ce��) Mailing Address: \2'3�0�0 (+�.�Q�I QSc�c� g�VG� C�h��'�i��5v��,la- ZIP: �'��"'� Contact Person: J�a�_ __ __ �Applicant is: ontract / Homeowner �Circ�e One) Email and/or Fax: �� ,�,�,��py��- �,�� Lv y�,� PROPERTY OWNER INF�RnnaTinN• , Name: �,�i ,�e��S'��n�. � Phone (day): 9�'L• 3" 3Z�O � Address: �`�t�� CL��r4�.�C1��'� c�ry=c7ra�o ziP; �'�'3s� 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) �Ra-roof,asphalt �epair [�torm 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: 952-471-0B82 ❑Window(s) www.minnehahacreek.ora Overall Pro'ect Descri tion: •�oa 0 • Estimated Construction Valuation of P�oject exCluding land $ `� � D� . � APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by#he Building Depa�tment; . Certifies that the information supplied is true and cor�ect 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. Confidantial data is information whtch generally cannot be given to either the public or the subject of the data. Our purpose and intended use ofi this information is to a ually update our records and records of other governmental agencies re uired b law. If ou refuse to su the informatio .the a lication ma not be issued. Annlir-ant'c�innati ira• \ 11 � \ _ n�+o� i��Il9 I I.l `�� DATE TIME ✓ CITY OF ORONO CALLED IN °?'� INSPECTION NOTICE SCHEDULED a-�5- �a �,3 %d-� PERMIT NO. a��l— OO p�D COMPLETED ADDRESS `3`��'S �'`u'�� /�t� OWNER TELEPHONE NO. gS� �/ S .345 Z CONTRACTOR s� rn� �� a DESCRIPTION Fin�C K 00 f � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q O POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a o � / ✓ �/� ,�x¢� � � 0 � W � Q � Z w � W � � d W� ❑WORKSATISFACTORY:PROCEED OJECTCOMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUtRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 Owner/Contractor on site: ��^ Inspector. White Copyllnspector's File Canary CopylSite Notice