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Home My WebLink About2011-00758 - roofing . _ CITY OF ORONO PERMIT NO.: 2011-00758 2750 KELLEY PARKWAY ORONO, MN 55356- DATE [sSUEn: 08/OU2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 253 CYGNET PL PIN : 04-117-23-23-0012 LEGAL DESC : SWAN LAKE ADDN : LOT 009 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RES[DENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTNITY : O/S BUILDING -LJNDEFINED VALUATION : $ 11,326.00 NOTE: ROOFING PERMI"I'S ISSUED WITHOUT ENOUGH NOTICE POR TEAR OFF INSPECTIONS. (WF,REQUIRE 24-48 NOTICE,PRIOR TO WORK BE1NG STAR'TED) MUST PROVIDE COMPLETE SET OP PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVER"I'ISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BGING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. TEAR OFF-REROOF APPLICANT PERMIT FEE SCHEDULE 221.25 WALKER ROOFWG CO., INC. STATE SURCHARGE(VALUATION) 5.66 2274 CAPP RD TOTAL 226.91 ST PAUL,MN 55114 (651)251-0910 PAID WITH CC# 4291 Minnesota State License#:4229 OWNER LAWRENCE, FRANK& KATHLEEN 253 CYGNET PL LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT Thc work for which this permit is issued shall be performed according[o the approved plans and specitications,applicable City approvals,and the State[3uilding 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 whether or not specitied herein.This permit will expire and become null and void if construction au[horized is not commenced within 180 days of the date of issuance,or if construc[ion 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 confomiance with th State Building Code.This permit may be revoked at any timc for due cause. Sr� DI � ( � �l � � Applicant ermitee Signature Date � Issue y Signature Date � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. JUL—x9-2�11 09 :39 AM WALKER� ROOFING 6512510916 P. 01 —_. �...� . _. ..... ..N�,,�...�.�.v�� v� ��v��ai vrV�R �windows, doors� siding, re,roof� etc.) Mallinp Address; Permit number: ��/�DO 7 �O��,�0 PO Box 66 Cry�tal Bey, MN 55323-0066 Det�reCeived: q l � �. � ''. � Strset Address: Recelved by; 2750 Kelley Parkway Plan rovl�w fee: �!r�__� Orono, MN 55358 �_ .� - Total Fee: ��Cv.�� Main; 852-24�-4B00 Fex: 962-24G-a618 www,ci.orQ.no.mn,us Thls application form must be completed in full snd all required Informptlon must be submitted. Incomplete applicetlons wlll be returned. (Flease print) GENERAL INFORMATION; Job Slte Address: �Jt 3 � �'(�NE�T WIII this be e parada of Homea, Romodelers Showca�e Home or other Dlaplay Home? Yes No ll y�s,a speclal event penril!la roqulred wlfh Pollce Depertment end Clty Councll epproval BO deya piror to the event. Shu!!le bua serv wlll be ►equired unless appllcant demonsfrate8 suli�clen�on-alte peridng 19 eVeilable, Ncn-pe/mitted evsnt8 wlll not be ellowed, CONTRACTOR I APPLICANT INFORMATION: Name; W �� ,� (,�, State Llcense# t.�2'2'� Explratlon Date: � � Lead Certification Number: �- �- �5 q�, - �d _ v � � �Z Explration D�te; L.� � � (1or work on homea that were conatructed pNo►to 87B Phone: !�?� 651 -ZS� �o� �o (office) (ce��) Meiling Addrees: � Clty: 5 j'(�� „ ZIP: � �- � �,4 Contact Person: �flY �,(� Applicant is; / Homeowner tcircie on•1 Emeil and/or Fax; PROPERTY OWNER INFORMATION; Name: I�iQA��f 5T. �(it�R�`LF� Phone(dey); (P (Z-�o �� !3Z Address: c?,4�� City: ZIP; Emei{end/or Fax '!' PROJECT INFORMATION: Type of ProJoct: Any earth movo�nent mey requlro ❑ Door(s) ❑ Remodel ❑Weter Demege MCWD revlew�pormits: Minneheha Creek Wata►�hed Dlstrlct(MCWD) ❑Window(�) �,tepeir ❑Storm Damage 19202 Mlnnetonka Blvd � Siding ❑ Restoration Q Other (specify) Deephaven, MN 56391 Phone; A62-471-0590 �ie-�oof ❑ Fire Dsmage Fax: 952�71-0862 www,m Inneh ahacreek.ora Overall Pro ect D�acrlptlon; a '� o -- �, p/o� Estlmated Conatructlon Veluatlon f ProJect excludln land � � � , �� APPLICANT ACKNOWLEDGEM NT: • Agrees Co provide all inform8tlon requlred or requeated by the Building Depertment; • Certlfie�thet the information eu plied la true end correct to the best of his/her knowledOe, The eppllcant recopnizes that they ere solely responsible for aubml Ing a complete appliption being awere that upon feilure to do so, the steff hea no alternaUve but to reJect It unCll It la complete • Some or ell of the informatlon et you �re askad to provide on this applicetlon Is cl�ssified by State law as either prlvate or Confidential, Prlvete dete is inf rmation whlch qenerelly csnnot be glven to the publlc but can be given to the subject oP rhe date. Confldentlal data Is Infor etion whlch generelly cannot be given to elther the public or the �ubJect of the dete. Our purpo�e and intended use of th e Infarmation le to ennually update our records and recorde of other governmentel agencies re uired b lew, If ou refuse to I he Information the e Ilcatlon ma not be imaued. Appllcant's Sipneture; Date; � � � Last Updated; 03-01•2011 DATE TIME '✓ CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. o'ZO//- Do7.�� COMPLETED h � //-!�i ADDRESS a�3 G'>an�t /dl- OWNER TELEPHONE NO. CONTRACTOR ��e� �'uo{:-�S �; DESCRIPTION �l�—rao� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � . n � Q�Jo,I'�►2� — t2� �s'lt/ �s?S�E�G�io.t f�9PCe¢.S��G�d� � J O � � ��_f ea� -o �l r�s�<<L�.a�. /'ecor�es� O � W �,[ � " ,�y, Q �G II�'/�+(i��row A�� OULO c��l F� Z 1 W �.t�6f 1� 4�l�Ct/S �N2L�`�!G j /,�ef.�+I� i""��c�� d W� ❑WORK SATISFACTORY:PROCEED �16JECT COMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: ' Inspector. �� ..-� � White Copyllnspector's Ffle Cenary CopylSite Notice �DAT TIME � CITY OF ORONO cA ED IN � �� INSPECTION NOTICE SCHEDULED -�� - � PERMIT NO.o7D��—DD 7S� COMPLETED � ADDRESS��.� ��D� �Y . OWNER TELEPHONE NO.?��7�l�� CONTRACTOR �./, >; DESCRIPTION � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a j � O , - � � Y`#-�,� W � Q � Z W � W � a T W� �I WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W �❑�RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice