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Home My WebLink About2011-00607 - roofing ♦ , . CITY OF ORONO PERMIT NO.: 2011-00607 2750 KELLEY PARKWAY ORONO, MN 55356- DA7'E �SSUEv: 07/1U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4220 CHIPPEWA LA PIN : 31-118-23-42-0012 LECAL DESC : CHIPPEWA 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILD[NG -UNDEFINED VALUATION : $ 7,000.00 NOTG: ROOF[NG PERMITS ISSUED WITHOUT GNOUGH NO'1'ICE FOR TGAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR 7�0 WORK BEING S"I'ARTED) MUST PROVIDE COMPLETG SET OF NICTURGS OR A FINAL INSPEC7'ION MAY NOT BE ISSUED. SIGNS-ADVER'CISING SIGNS MAY ONLY BE ON THE PROYER"I'Y DUR[NG THE 1'IME THE ROOF IS I3EING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST I3E REMOVED. TEAR OFFREROOF APPLICANT PERMIT FEE SCHEDULE 147.50 MIDWEST SIDING ROOFING& WINDOWS STATE SURCHARGE(VALUATION) 3.50 6451 SYCAMORE CT N TOTAL 151.00 MAPLE GROVE, MN 55369- Minnesota State License#: 20010277 OWNER ANDERSON, PAMELA G 4220 CHIPPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approvcd plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant perniission 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."I'his permit will expire and become null and void if construction authorized is not commenced�cithin 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in confonnance with thc State[3uilding Code.This pennit may be revoked at any time for due caus�. � ��-'�ZzY 7 / �1 / ��' 7/ �/ l / npplicant P— ermitee Signature Date Issue 3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. t r • City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �U// - Q O�,L,�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: � � �� Received b �a ,t> a, Street Address: Y� �' '�� ti�' 2750 Kelley Parkway Plan review fee: �'��'�` ¢,� Orono, MN 55356 �ESHo � 5��, D � 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: � �,. �.C.' ��,'�'�,,,r� L� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a specral 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/APPLICANT INFORMATION: Name: ��----��J; :',� y��,.re�if l�vP', � �✓lv�� "�n� 1��c�'�-�r�� State License# zC�jC� Expiration Date: ��Zo/� Lead Certification Number. ,� T 3p�� Expiration Date: /h�y � 2��is- (for work on homes that were consfructed prior to 1978 Phone: '7(,3-�Z��G�l6 (office) �7��_ Z p '/3� ` (cell) Mailing Address: (�1��/ � v f�, �'t� Cit : i�'►�p�� ,�r� ZIP: �� 6�• Contact Person: ��.�n� f}r,, L�„ Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: 7��r ��-7 �� - PROPERTY OWNER INFORMAT�ON: Name: f��,�, �-vc��r ��q Phone (day): �!Z- 7tD- g 7vlv Address: 1��Z�� j� ��LQ^�� City: �j � �,�� ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Water Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Vafuation of Project (excluding land) $ `�'j 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 taw 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: � �;/ ��!�-'� Date: ��11�Zc�l� , LastUpdated: 03-01-2011 D �� TIME `� CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED - � PERMIT N0�/�— DD�oO7 COMPLETED ADDRESS �a� C��.I?�� ''�J OWNER TELEPHONE NO. ��3 �� !�� CONTRACTOR ��'�� >: DESCRIPTION �`�e �� ly� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ 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 ❑ HARO COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � � O � W � Q � Z W � W � � GW ❑WORKSATISFACTORY:PROCEED PROJECTCOMPLEfE � ❑CORRECT WORK 8 PROCEED C SSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: �-� Inspector. White Copyllnspector's File Canary CopylSite Notice � � � � DA TIME ✓ C�%�� / /� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED / /� PERMIT N0.24��-DD�pD� COMPLETED ADDRESS OWNER T L P NE NO. 7�P3-`f"a�-�� CONTRACTOR � �-- �: DESCRIPTION ✓ � � ❑ FOOTING ❑ PLUMBING FINAL ❑ XCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z 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 MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � GW WORK SATISFACTORY:PROCEED [� PROJECT COMPLETE W CORRECT WORK&PROCEED C� ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN 7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (J52� 24J-46�0 OwnerlContractor n site�- ' Inspector.�� `G White Copyllnspector's File Canary CopylSite Notice