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Home My WebLink About2011-01006 - roofing t i .., CITY OF ORONO PERMIT NO.: 20��-0�006 � ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISsuEn: 09/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1295 ELMWOOD AVE P[N : 07-117-23-41-0018 LEGAL DESC : SAGA HILL REVISED : LOT 003 BLOCK 005 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOF[NG -ASPHALT ACTIVITY : O/S BUILDING -iJNDEFINED VALUATION : $ 8,000.00 NOTE: VALUATION OF PERMIT: $8,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BE[NG STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVF,RTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 162.25 PROFESSIONAL AMERICAN RESTORATION STATE SURCHARGE(VALUATION) 4.00 6393 82ND ST.NE MONTICELLO, MN 55362- MISC FEE 0.00 (763)238-7717 TOTAL 166.25 Minnesota State License#: 20636796 PAID WITH CC# 3229 OWNER THEISEN, J& L 1295 ELMWOOD AVE MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT Thc��ork for which this permit is issued shall be performed according to thc approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does no[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 time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. .��'z`--�.��._..._ � i G i `�'i I ��✓t-�-� � i Applicant Permitee Signature Date Issued B ignature ate SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . _`;� . . City of Orono . Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,�,�. PO Box 66 � �i 0 ,\ Crystal Bay, MN 55323-0066 Date received: , .y�� I i a � ��t� s, l Street Address: Received by: \�'�,c, � -"� �ti 2750 Kelley Parkway Planreview fee: g�04� 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: '�`�') �I +y�„�=C'G C v r , r�l��' %� � iL i�� 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 Polrce Department and City Counci(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 nof be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ;7 n �O�eSS�v►�� mP.�-�c� �5.�"�'_,�-� �� ; . �� 1` C,c- .; � c�� '� f_.�, ,� State License# ?p �? c�7�{ (P Expiration Date: 3 j.j� � } Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: ��;. � -- Z 3 K— 77l 7 (office) �;;�� (cell) Maifing Address: �3�j 3 �? h� �,{- �E �;� �j City: �-�-1��ZIP: 3(o'Z� Contact Person: �� ,�(,L L��L�� Applicant is: ontractor </ Homeowner (Circle One) �a�fi and/or Fax: �,.,,��._�,,�� ,��,,� t o,� �� PROPERTY OWNER INFORMATION: Name: ) .,�. T1ne, �� `r� Phone (day): c��;L - �l 7 Z- l�`I 7 Address: l ��t�� r�, �.;r�..� �v�.� City: /L(c�;,�,( 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) (�c Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restorafion ❑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) $ K� �c�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 unfil 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. Confidenfial 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. �'�,..� . ApplicanYs Signature: -�`; L ' ;✓�----�� Date: �� Last Updated: 08-Q9-2011 �� ~ � y� l �^" DATE TIME ✓ �� 6'�� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ___�'�1( PERMIT NO. --�e("'�I -��%( �� connP�ETE� ADDRESS �_.�� J � � �� ( -t i f:�"%� 14-r. o OWNER TELEPHONE NO. �� =�3�77/� CONTRACTOR � / ! >; DESCRIPTION �� G' � � � ; � ❑ FOOTING ❑ PLUMBING FINAL CAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAy� ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES JL NO a� � COMMENTS: � w a � � O a � O � W � Q � Z W � W � � ��iy�,,,E�'�JORK SATISFACTORY:PROCEED C� PROJECT COMPLETE �`�' W ❑CORRECT WORK&PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALI INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� Owner/Contractor on site: Inspector. r` �js White Copyllnspector's File Canary CopylSite Notice DATE TIME � / CITY OF ORONO CALLED IN �� INSPECTION NOTICE SCHEDULED �� PERMIT NO. .�d,((- DlQQ6 COMPLETED J��-'�' ADDRESS l a7`''� �'/n�wdcb OWNER TELEPHONE NO. CONTRACTOR �rofcss��/_ �es1�i'�� .-- �; DESCRIPTION /�'��a� � fe•K�n�t�,. � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETtANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ' �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � - a (°�1� ,Lk��►�ut � �'ID �iKqL �vlS�ec,�`eo.c ��'l.�a�SZ� � � O �� / - � _N6tc 3 c �d- �e T 4G/f�.� -�fQ�r��B _ O � Q _ �c fle��G��a.,, D�� _ � z - � �Jar �/ aes�.s ��z`� � j ,��.,,�:� ��,�% _ a W� ❑WORK SATISFACTORY:PROCEED �80JECT COMPLEfE � ❑CORRECT WORK 8 PROCEED G ISSUE CERTIFICATE OF OCCUPANCl � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ' � BEFORE CWERING PERMANENT ❑CORFECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ""T��N REQUIRED.CALL TO ARRANGE ACCESS. ^'��urs in advance. (952) 249-4600 � � � DAT TI M E CITY OF ORO O CALLED IN Z (/ � INSPECTION NOTICE SCHEDULED PERMIT NO.�«-D�OD� COMPLETED ADDRESS �� -f/2i//.��OO� �j�-l� OWNER TELEPHONE NO. 7�3 �.35-77�7 CONTRACTOR �i� >; DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING NAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � �,�f� � ..�— �t.� 'v `�' � J-��-+ 0 � �-1 ,�l �J Q � L-n C I�Q G' � w F�� 0 � W � Q � Z W � W � � d W ❑WORK SATISFACTORY:PROCEED C� PROJECT COMPLETE � ❑CORRECT WORK&PROCEED _^. ISSUE CERTIFICATE OF OCCUPANCY W � 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 'J CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. - '� ' •�- ----��+��2a hours in advance. (952� 249-4600