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Home My WebLink About2011-00848 - roofing ^ CITY OF ORONO PERMIT NO.: 2011-00848 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 625 DEBORAH DR PIN : 31-118-23-23-0003 LEGAL DESC : MCCULLEY FARM : LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTTON TYPE : ROOF[NG -ASPHALT ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 15,900.00 NOTE: VALUATION OF PERMIT:$15,900.00 ROOPING PERMITS 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 I3E ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. 8 � g�� -�" o�� (�� _ �� ` APPLIC INCLINE EXTERIORS INC 280.25 26175 BIRCH BLUFF RD 7.95 SHOREWOOD,MN 55331 0.00 (612)471-9065 288.20 Minnesota State License#: 20168 OWNEI ARNESON, RANDY&CHRISTI 625 DEBORAH DR MAPLE PLAIN, MN 55359- AGREEMENT AI�D SWORN STATEMENT The work for which this permit is issucd 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 related work which requires separate permits. All provisions of laws and ordinances goveming 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[ime after work has commenced. The applicant is responsible for assuring all required inspections are re sted in conformance with t e State Building Code.This permit may be rev d at any time for ue ca � - g/ ! 2 �2GII i i A� pl a t ermit e Signa re Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � � City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) / Mailing Address: Permit number: /�,�,�. PO Box 66 0 �� . . 0 �, Crystal Bay, MN 55323-0066 Date received: ,� �� r�, ,, � Street Address: Received by: � Q -�� ti 2750 Kelle Parkwa �t � � Y Y Plan review fee: 9kESHo4� 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: (�Z� G ►�c:'� � p d�� 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/A�ICAfaI-T INFORM TION: T Name: �j-�tie�� ►-�=� -�l��r i"� �.,�- State License# j�; j L�� Expiration Date: �j- 2pj Z., Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �� Z -� :.��l � '� � — (o ice) (s; l '� � 7 l, � `� JCx (cell) Mailing Address: 'J,.�i �t-�. - City: �` ,cr c-w ZIP: SJ�-T Contact Person: ��I� � Applicant is: ontrac or �t Homeowner (Circle One) Email and/or Fax: j��Z . �"�c� - / '1�/ PROPERTY OWNER IN�RMATION: Name: �`�C'ti�� r�� j'� Phone (day): `�- ` •- � Address: 25 �� ,- , City: ' ;� ,-, �- ZIP: Email and/or 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 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: � .��, ^� , ;�Sk-��"� Estimated Construction Valuation of Project(excluding land) $ /�", 9��, "c' 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 refu e to su the i fo ation,the a lication ma not be issued. > ApplicanYs Signature: � � ' Date: g�� Z- � ZL1%l Last Updated: 08-09-2011 DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION N TICE SCHEDULED - � PERMIT NO. � � �y MPLETE �r� �. ADDRESS � OWNER TEL HONE NO. CONTRACTOR V',�� _ a DESCRIPTION `'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Q � INSULATION ❑ WO00 BURNER/FIREPLACE 0 SITE INSPECTION � �❑,,FEADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS FINAL ❑ SEWER HOOK-UP p COMPLAINT Q�O�EMO-SITE ❑ SEPTIC MAINT. �FFOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVEA REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � . - f — .z e ' � c� ��' ,� �: i,, - � , o �_ ,� - r W — � r' Q � 2 _ W � �u — � � J � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY � ❑COHRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WIIL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CAIL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in vance. ( � 2 9-4600 OwnerlContractor on site: -� Inspector. White Copyllnspecto�'s File Canary CopyfSite Notice