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Home My WebLink About2011-01113 - roofing '/► CITY OF ORONO PERMIT NO.: 2011-01113 2750 KELLEY PARKWAY • ORONO, MN 55356- �ATE ISSUEn: 09/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 80 CYGNET PL PIN : 04-117-23-22-0017 LEGAL DESC : SWAN LAKE ADDN : LOT 004 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: VALUATION OF PERMIT: $8000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICG,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NO'C BE ISSUED. SIGNS-ADVERTISING S[GNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUS"I'I3E REMOVED. APPLICANT PERMIT FEE SCHEDULE 162.25 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 4.00 5145 INDUSTRIAL ST SUITE 103 MISC FEE 0.00 MAPLE PLAIN, MN 55359 TOTAL 166.25 (763)479-8700 Minnesota State License#: 20631574 OWNER SMITH, MR. & MRS. 80 CYGNET PL LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issucd shall be performed according to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant p�rmission for addi[ional 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 specitied herein.This permit will expire and become null and void if construc[ion 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 wiU�the State Building Code.This permit may be reJpked me for d e cause. `�- �I�� 2� � l� �_ � 2�i� // icant Permitee Signature Date Issu y Signature Date SEPARATE PERMITS REQU[RED 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. p20// –d�/� �- g,0,�. PO Box 66 � �. 0 Crystal Bay, MN 55323-0066 Date received: 2. / � Received b a '� �'�,��;:,;_ s, ,' Street Address: Y' ��'.�, � �ti 2750 Kelley Parkway Plan review fee: ,kE�s�� Orono, MN 55356 � Total Fee: /��p, G� 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 prir�t) GENERAL INFORMATION: n Job Site Address: �� (G!�1�.-� �Y�C.G'�'E-"_ — L�/�Ci��J 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 Polrce Department and City Council approval 60 days prior to the event. Shuttle bus seivice will be required unless applicant demonstrates sufficient on-sife parking is available. Non-permitted evenfs wifl not be allowed. _.,\ C�ONTR,�CTQ�/APPLICANT INFORM��ION: , Name: I�'C�CS�i'1 C."�S'7?2Uc?7�"-� State License# ��6 3 �f�7 y Expiration Date: 3 ,_3 �y— Lead Certification Number: Expiration Date: (for work on homes that were constructed prior fo 1978 Phone: 7(�3_ t.��'/_ ��o� (office) n (cell) Mailing Address: �� c,�s— ��, ��,;�L ��-- City: �LI /4-�c� yC�.tri1ZIP: .��-3S"� Contact Person: Applicant is: Contracto / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �7i,VJc� �-tiYl r TG� Phone (day): ('P� �_ k �'- gz6 z Address: `�� D �'�(6N�T (�C.l1-c� City: f��>,�p ZIP: JJ 3J� Email andlor Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Pho ne: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: {�S �4Az�� `I C�2(�h�= — �ovr– Estimated Construction Valuation o Project (excluding land) $ �'�pp�— 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 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 ref su I the information,the a fication ma not be issued. ApplicanYs Signature: Date: �� ( Last Updated: 08-09-2011 �� Gj ,/D_AT TIME v CITY OF ORONO CALLED IN �/`� INSPECTION NOTICE SCHEDULED � =-�L� PERMIT NO. �� -�//� COMPLETED ADDRESS � -�� OWNER TELEPHONE N0�3 - �7C/-�� CONTRACTOR _� �: DESCRIPTION � lir ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O �a � O ti W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED _� ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '�CITATION ISSUED ❑ INSPECTIONREQUIRED.CALITOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnedContractor on site- Inspector. � -S White Copyllnspector's File Canary Copy/Site Notice a / / �U�� /�� DATE TIME � � / CITY OF ORONO CALLED IN / l � INSPECTION NOTICE 3 SCHEDULED � � _-�� PERMIT NO. �b�� COMPLETED ADDRESS �D L�'�-�f� f ` � OWNER TELEPHONE NO. �� '�7��1� CONTRACTOR �� f�- � DESCRIPTION C" �� I�� W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL F�NAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE � SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES � NO � coMnnENTs: �-- � %rm�p 27_�?i'(Q,� �,(.��t�� C�.��S�� r� �C J � O � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT WORK&PROCEED `�; IESUE CERTIFICATE OF OCCUPANCY W O G CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT �CORRECT UNSAFE CONDITION WITHIN HOURS. C pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z) Z49-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice