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Home My WebLink About2011-00526 - roofing CITY OF ORONO PERMIT NO.: 2011-00526 � ,�, 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE [SS[1ED: 06/27/2011 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 315 CRESTVIEW AVE PIN : OS-117-23-14-0030 LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK : LOT 000 BLOCK 005 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACT[V[TY : O/S BUILDING-UNDEFINED VALUATION : $ 10,300.00 APPLICANT STORM PRO EXTERIORS PERMIT FEE SCHEDULE 206.50 600 TWELVE OAKS CENTER DRIVE STATE SURCHARGE(VALUATION) 5.15 SU[TE 648D TOTAL 211.65 WAYZATA,MN 55391- (952)513-8667 Minnesota State License#: 20634454 OWNER ENGEBRITSON, REGINA � 315 CRESTVIEW AVE LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permi[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 ror 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 consVuction is suspended for a period of l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance wit he Sta[e Building Code.This permit may be revo� at any ti e_for se. f ��'� ' � l l i�-/"�-'�-�. C�.S�'1'�� `� 4�� Appl ant rmitee Signature Date lssued E3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono . Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: ��, g,�,� PO Box 66 Permit number. �- // -�� .<� � � O Crystal Bay, MN 55323-0066 Date received: ,� �� ,c� s, Street Address: Received by: �'� 'A�' ti 2750 Kelle Parkwa o Y Y P l a n r e v i e w f e e: r�kESH04'� Orono, MN 55356 -- Total Fee: c� �� . � c 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: 3�S C �'c,s�{/,�w �V� 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 sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: S�p rM,`�,� L L C State License# 2 0 6 3 4 4 5 �-1 Expiration Date: 3 • 3 J • 2 O(3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (o ��, • �/p 7 �( (office) 952 S�3 � �6 6 y (cell) Mailing Address: 'p, p,�X 2 �8 City: �pvn Z�P� 5536 S� Contact Person: �a sor. �3�rq Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: i��q,'„a �n�lbr,��'Son Phone (day): 6/2 • ��178• 3�//z Address: 3/5 ('r�,SfVi'r r� Vt C�tY: �rD/1 p ZIP: J�"'S,3S(� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ ter Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair Storm Damage 18202 Minnetonka Blvd Restoration Deephaven, MN 55391 ❑ Siding ❑ Other: (specify) P hone: 952-471-0590 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ /Q 3p0.°Oj 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 comptete 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, e a lication ma not be issued. ApplicanYs Signature: �_ Date: �' Z 7- Z o I/ Last Updated: 03-01-2011 i / '� V DATE TIME Q,°I�Y OF OF�OI�� CALLED IN _ �IVSPE(;�O�N� NO�OCE SCHEDULED ��I��o�II�OaS�G COMPLEfED �'�� RE� 3�5 C�4�iii�cJ �ae. . �vu�E� ��.��won�� n�o. �OP�11'RACTOR S�orwt f�o C�r{��io.� -- �: �ESCRIPTION — � l� ❑ FOOTfNG ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � � POURED WALL ❑ MECHAiVICAL RI ❑ LAKESHORFJWEfLANDS � � ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL � ❑ iNSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION � ❑ RADON SLAB O WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP T ❑ DEMO-FIIVAL ❑ SEPTIC INSTALL � HARD COVER REPJiOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REi�OVAL � 01�R9E6i1COidY6iACTOR TO RAEET YOU:�YES_Bd0 o ��e � 4 *OLD PERMIT - NO FINAL INSPECTION REQUESTED � � O - / � � /i!J GS t -C ��T'4�lt @ -� 4Q� � _ O • � �� e.�� c�T��c �i e.tZ��1r1�.o •., b/'o v�oe� W � � � �.t)O✓ � 4��@�'� 5 l°O�D�7�� ' � �f%v�.L` �iri�i/� W � j d �td ❑WORKSATISFACTOflY:PROCEED ROJECT COMPLEfE � ❑CORRECT WORK�PRQCEED ❑ ISSUE CERTI�ICATE OF OCCUPANCY W o ❑CORRECT WORK,CALI FOR REINSPECTION TENIPORARY V BEFORE COVERING PERfiAAIVEN7 ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR M/ILL RETURN ❑ STOP ORDER F'OSTED.CALL IPdSPECTOR �CITATIOiV ISSUED ❑IfVSPECTiON REQUIRED.CALLT0,4RR,4MGE ACCESS. ��99�c��6��`s�s��fl��o��D�w�e�urr��9e��s�� Q�� ane�/Con�r��a�a sat�: ��as��r �i � _-- Wdhit�Copyllnspec4or's File C�eaary CopylSi4�NoBice �� DATE TIME � � � � CITY OF ORONO CALLED IN I �1� I I INSPECTION NOTICE 7/ SCHEDULED �c 1 Z�'I I! _� PERMIT NO. � ��I "�'��-lp COMPLETED ADDRESS � 1 � ��I'��LCf L'I •Pc-�'' '�`C._ OWNER TELEPHONE NO. c�� 3��'�� CONTRACTOR -��TiC-vYl f�P� >; DESCRIPTION �� W ❑ FOOTING ❑ PLUMBING FINAL ❑ X AV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 INSTA�L ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEP I FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRAC�R TO MEET YOU:�YES_NO � COMMENTS: � W C � J � ,l(''C� �/�� '11.J �-�-c� f� I� ° /�r � � �; � �� -f. �� 2� f W � Q � Z W � W � � GW �SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice