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Home My WebLink About2011-01183 - roofing , ` CITY OF ORONO PERMIT NO.: 2011-01183 2750 KELLEY PARKWAY ORONO, NIN 55356- DATE ISSUED: 10/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2965 DEER RUN TR PIN : 04-117-23-24-0012 LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN : LOT 005 BLOCK 004 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG -CEDAR ACTIVITY : O/S BUILDING -LTNDEFINED VALUATION : $ 45,000.00 NOTE: VALUATION OF PERMIT:$45000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICG, PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OP PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVER"t'ISING SIGNS MAY ONLY BE ON 7l IE PROPERTY DURING THE TIME TI IE ROOF IS BEING DONE. ONCG WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 628.00 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 22.50 5145 INDUSTRIAL ST SUITE 103 MISC FEE 0.00 MAPLE PLAIN, MN 55359 TOTAL 650.50 (763)479-8700 Minnesota State License#:20631574 OWNER SWENSON, MICHAEL&CAROL 2965 DEER RUN TR LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT I�he work for��hich this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for addi[ional or related work which requires separate permits. All provisions of laws and ordinances noveming 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 ot�180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are req s d in conforn�ance with the State[3uilding Code.This permit may be rev ke at any tt�me °r e se. i C�iIZ��:/ .�l�i�'1�� G�l � l /� G�fi� /�l l / Applicant Permitee Signature Date Iss By Signature Date � SEPARATE PERM[TS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. � V City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address a�l�_�!/ �� PO Box 66 Permit number: /0 O�, Crystal Bay, MN 55323-0066 Date received: l� / / �;,,,, , 1 �,a � '}' �� ., � StreetAddress: Received by: l��r/i 2750 Kelle Parkwa \�t � ��, p Y Y Plan review fee: � � � � Orono, MN 55356 ESHo4/ --� Total Fee: � C' , ��i Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us J�� " 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: � �j ,� ��.��",,/',✓•1'...3 �/'I�f/''� Will this be a Parade of Homes, Remodelers Showcase 1-�ome or other Display Home? ❑ Yes No If yes, a special event permit is required with Police Department and City Councif approva/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 INF�O M TION: Name: ,,�'•.;�;,.�:.. ,j/'�,�d`'r G'a�fj�'�' .:.,a �. � � �'i'�./` State License# ,2 t�G�r�ryt7� Expiration Date: .�`�f,-��`!�!,�_r, Lead Certification Number. Expiration Date: ` � (for work on homes that were constructed prior to 1978 Phone: �� .,�._ ��a�;;7 (office) (cell) Mailing Address: City: ZIP: Contact Person: ; /,,!�- Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ,/�"i'�il,��°�� Gt,.+,�',...�'.� ,�' �"�/C� Phone (day): Address:iZq(�✓� �a�� /fU y ��j�,_ City•,/„i��'� ZIP: ,F"� 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: Estimated Construction Valuation of Project(excluding land) $ � �jCjd 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; I • 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, the a lication ma not be issued. ,r ' �' ��„�__ . ��° � ApplicanYs Signature: �� .,�`,��!'.��`�°F ,,`y�' Date: `.''`�c"% � /� Last Updated: 08-09-2011 �� ATE TIME � CITY OF ORO O L�ED IN /Z 7 / INSPECTION NQTICE /� / SCHEDULED / PERMIT NO. o{��l/ v/`�� COMPLETED ADDRESS � �� OWNER TELEPHONE NO.7�i�3 "�7��7� CONTRACTOR � . >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMlETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � J '!, � � � ~' � � � O � „ ✓, jC_"! ,�/f i.�t�1 ,� >. � O � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED {�7 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED Q-iSSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR W4LL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR ❑ INSPECTION REQUIRED.CA�I TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractoronsite: �� '3� _ , ; �� Inspector. _ ;T � _ White Copyllnspector's File Canary CopylSite Notice D TE TIME V CITY OF ORONO CALLED IN �O INSPECTION OTICE SCHEDULED i PERMIT NO -�� COMPLETED ADDRESS aq .S ��' OWNER TELEPHONE NO�� 7�"�7v� CONTRACTOR � DESCRIPTION Ck G��e/L �LL — ,/'.—�r� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRA G/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 � � O a � O � W � Q � Z W � W � � ��O_RK SATISFACTORY:PROCEED C� PROJECT COM PLETE �. - W ❑CORRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHIN HOURS. C; pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR `,'CITATION ISSUED ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on}Site: ' Inspector. i � White Copyllnspector's File Canary CopylSite Notice