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Home My WebLink About2011-00703 - roofing CITY OF ORONO PERMIT NO.: 2011-00703 2750 KELLEY PARKWAY '" ORONO, MN 55356- DATE ISSUEn: 07/2U2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 255 CRESTVIEW AVE PIN : OS-117-23-14-0021 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 004 BLOCK 002 PERMIT TYPE : M[NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTNITY : O/S BUILDING -UNDEFINED VALUAT[ON : $ 11,000.00 NOTE: ROOFING PERM['CS ISSUED WITHOU"I'ENOUGH NOT(CE FOR TEAR OFF INSPECTIONS. (WE REQU[RE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLF,TE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING"I'HE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETF,D THE SIGNS MUST B�REMOVED. APPLICANT PERMIT FEE SCHEDULE 206.50 STORM PRO EXTERIORS STATE SURCHARGE(VALUATION) 5.50 600 TWELVE OAKS CENTER DRIVE SUITE 648D TOTAL 212.00 WAYZATA,MN 55391- (952)513-8667 Minnesota State License#: 20634454 OWNER REIMAN, STEPHANIE 255 CRESTVIEW AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT 'fhe work for which this permit is issued shall be performcd 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 Nhether 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 ior a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requesJ,e in conformance with e State Building Code.This permit may be revo d at se. � �� _ � l�/ � i��G/l�� .� � �,�7�L2_��ti_ / 7� � - �� i i Ap cant ermitce Sig�ature Date Issued By Signature Date , SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono �� Buiiding Permit Application for Internal Work S� - � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: g,�,� PO Box 66 Crystal Bay, MN 55323-0066 Date received: � . � � Received b ,� rz,, s, Street Address: y� �'� °� �ti�' 2750 Kelley Parkway Plan review fee: t`�gESHo4� 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: .� �5 � ��f�'��t k_' �� 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 Polrce Department and City Council approval 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT�INFORMATION: Name: .�"�7 r-�i1 l�r��' � ��. State License# ��;y y ;� Expiration Date: < < ] ,Z c�;� Lead Certification Number: Expiration Date: (for work on homes that were construcfed prior to 1978 Phone: � ,^_ .�.��, . =�� ,�{� (office) (cell) Mailing Address: � (? . "F� �.,�� Ci � ZIP: ��;� Contact Person: ,'T�t�p� "�r� Applicant is: Contractor -/ Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: i�-.rT�,t�,� �2�„�.ct� Phone (day): ��,�,2, � 47(c Z�L c Address: ? 5S C;v-csfV,'c�� c City: r��'cf'l 11 ZIP: S 5,�� 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 ❑ Si ing ❑ 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 Valuation of Project(excluding land) $ // �"' ��G'L' APPLICANT ACKNOWLEDGEMENT: �� _� • Agrees to provide all information required or requ ted 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 refu to su I the informatio , he a lication ma not be issued. Applicant's Signature: Date: �" �l � ZC�j J Last Updated: 03-01-2011 i� , / DATE TIME V �I�QF OROF�I� CALLED IN _ �IV��O�IV �� SCI-IEDULED ��w�s-r��o�o�r- aa�63 COMPLETED � d�D�FiESS a�"s' Cre�Z`v e�r.J 1T�. �OWB�lER `TE^LE�f-IOfVE IVO. � B:O�TRAC�TOF$ cSZ'LOrr� N!'O �AG�@��Qr,� >.: �ESCE3IPTION � ti ❑ FOOTING ❑ PLUM8ING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURE�WALL ❑ PJIECHAh11CAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAPJIING � MECHANICAL FINAL � ❑ TREE REMOVAL � ❑ IiVSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION � ❑ RADOtd SLAB � WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. .�FOLLOW-UP � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REivYOVAI_ � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWWERICOfdYRACYOFd TO AAEET YOU:_YE5_NO o ��: � � *OLD PERMIT — NO FINAL INSPECTION REQUESTED � __�1�/ e.r —�� rt STG{�/a.,.. f'ccc��c�[ � � ° ,��iG f/�rl��`��o� O�'Or/�4�� —' � � � �(,2 r��s /IJ•-r nlc7�c W � � /� �'' /� � Lf�2/N�l� '�liL.G�r j T � ❑WORKSATISFACTORY:PROCEED �IOJECT COMPLETE � ❑ COFRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT FNORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECT UPISAFE CONDITIOM WITHIN HOURS. O PHOTO TAKEN INSPECTOR NV{LL RETURN ❑STOP ORDER�STED.CALL IMSPECTOR �CITATIO�f ISSUED ❑ i�lSPECTION REQUIRED.CALL TO ARRAtdGE ACCESS. ��69��u��8��`an��kfl��e 2��o�a�9�� Q�� r��ee��C�n�r��ea�et�: Vr�s��a� �� — -- �Pdhi4e Copyllnspec4or's File Canary CopylSi4e f�o4ice