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Home My WebLink About20141-01371 - roofing ` � CITY OF ORONO PERMIT NO.: 2011-01371 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISsuEn: 1U0U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 50 CRISTOFORI CIR PIN : 31-118-23-44-0004 LEGAL DESC : UNPLATTED 31 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 21,000.00 N01'E: VALUATION OF PERMIT: $21000.00 ROOFING PGRMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT E3E ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONB. ONC�WORK IS COMPLETED THE SIGNS MUST E3F,REMOVED. APPL[CANT PERMIT FEE SCHEDULE 354.00 TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 10.50 7026 E FISH LAKE ROAD MAPLE GROVE, MN 5531 1- TOTAL 364.50 (651)329-6916 Minnesota State License#: 20633887 OWNER BERGERSON, SHAWN S 2845 LITTLE ORCHARD WAY WAYZATA, MN 55391- AGREEMEIYT AND SWORN STATEMENT The work fbr�vhich this pennit 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 rela[ed 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 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reques[ed in conform nce wit -tfie Stat B ding Code.This permit may be revoked at any t� ��du�t�se. � ,/ � . �� 'L` � / � / /� / Applic r itee ignature Date Issued By ign e D te SE RATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � ' City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) —� Mailing Address: Permit number: �,0,� PO Box 66 � � 0 Crystal Bay, MN 55323-0066 Date received: � `��' ' Received b �� ' ��;�, a, , Street Address: Y� `'5�,�, Q �`t�..'e,°�� ti �, �,� 2750 Kelley Parkway Plan review fee: L9kESH�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: ��, Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes, a speciaf event permit rs required with Police Department and City Counci/approval 60 days prior to the event. Shutt/e bus service wil/be required unless applicant demonstrates sufficient on-site parking is avai(able. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � Name: � " G �� State License # �� 3�� ` Expiration Date: 3 � � �3 Lead Certification Number: �A-� �2��77G._ ' Expiration Date: ,5��— � (for work on homes that were constructed prior fo 1978 Phone: _ �j_ t"� _ .-'-� �.— (office) (cell) Mailing Address: , E' Y �-� ,Lk -�,( City: c2 ,(�;, _ ��;,�� ZIP:ja.� / Contact Perso �` ��'�� U� �� i� Applicant is: ontrac or, � Homeowner (Circle One) Email and/o ax:j ��j ,�,/�(o .. 7�� PROPERTY OWNER INFORMATION: Name: ,�{j7`�� (�� L��a,l�c—SGI� Phone (day): �' �_�2� � � Address: ��,�i�Lpt.vC%� �/� ity: �CC.� Q��'�Z1P: J�3`� Email and/or Fax L PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review&permits: ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Repair Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s ecif Phone: 952-471-0590 ( p y> ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq � Overall Project Description: � ^ � ;��,, _ ��7 Estimated Construction Valuation of Pro�ect cluding land) $ �� 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 Iare 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 applicafion 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 informatio is to annually update our records and records of other governmental agencies re uired b law. If vou refuse to su I th i orm i n, the - lication ma not be issued. ApplicanYs Signature: Date: / �I/ �;�� ast Updated: 08-09-2011 �_� DATE TIME � CITY OF ORONO CALLED IN I /� INSPECTION OTIC j�/i� SCHEDULED � ( PERMIT NO.� " C/°V / MPLETED � � ADDRESS 1^/ OWNER • TE �H NO. s�'353'8 1" CONTRACTO >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL XCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI LAKESHORE/WETLANDS 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDAT�ON/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: a I d � /' �l�'C� �t;, '/�•,� �' � __ � ��3' 0 � � 0 � W � Q � Z W � W � j d � W� ❑WORK SATISFACTORY:PROCEED ❑PF30JECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION RE�UIRED.CAII TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-46QQ Owner/Contractor on site: Inspector_ _ . .�, White Copyllnspector's File Canary CopylSite Notice