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Home My WebLink About2011-00491 - roofing - cedar ! � CITY OF ORONO PERMIT NO.: 2011-00491 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE �ssvEn: 06/20/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1560 FOX ST PIN : 02-117-23-32-0006 LEGAL DESC : MACMILLAN ADDN : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 35,000.00 NOTE: REROOF TEAR OF'P-CEDAR SI IAKES APPLICANT PERMIT FEE SCHEDULE 520.50 YERIGAN CONSTRUCTION STATE SURCHARGE(VALUATION) 17.50 27741 UNIVERSITY AVE NE ISANTI, MN 55040 TOTAL 538.00 (763)444-5353 PAID WITH CC# 2169 Minnesota State License#: 3404 OWNER MACMILLAN, WHITNEY PO BOX 5628 MINNEAPOLIS, MN 55440-5628 AGREEMENT AND SWORIV STATEMENT The work for which this permit is issued shall be performed according[o 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 governing this type of work shall be compied with whether or not specified herein."I�his 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[3uilding Code.This permit may be revoked a1-arry timc for due c� l � . __ _---.._ .-. _ _., / / � �- _ � l�L / o?l�l / �'plic�tPerm�lee Stgnature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. + � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �D l— Cl� O�v�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ,a �'`�-� �, Street Address: Received by: �'� "'�y ��' 2750 Kelley Parkway Plan review fee: t�ESSo�`'� Orono, MN 55356 �� ` \ Total Fee: U U 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: ;'S� �� f�� 51 Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No !f yes, a special event permit is required with Po/ice Department and City Council approva/60 days prior to the event. Shuttle bus service wi//be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be aflowed. CONTRACTOR/APPLICANT INFORMATION: Name: �j � ' � �t � l�h'v�t. ��[v.C�l.�v� t. �q(,�� nai�'�'Yc.�1�-� �O�vt�Li"I State License# 3 t��t� � T Expiration Date: Lead Certification Number: Expiration Date: � (for work on homes that were constructed prior to 1978 Phone: (•,Z �(�4 �If�Y� (office) "��5,��!`I- s`3s3 (cell) Mailing Address: Z��t�� ,,,;v�,>� , .� ,v� Cit : •T,S„w�.; ZIP: ,g�i. S-y�c�c�; Contact Person: �,,L,� Yr,.y� Applicant is: Contracto Homeowner (CircleOne� Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��1,,,F��y ,L�c.ii,llk., Phone (day): Address: �y��, ��,�. �� City: ZIP� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Re-roof Phone: 952-471-0590 f� ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: � Estimated Construction Valuation of Project(excluding land) $ 3�'�cx,o _-r-- 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 refuse to su I the inf ation, the a lication ma not be issued. -- � � �/�/ � Applicant's Signature: —�� Date: ` ��--� Last Updated: 03-01-2011 / �C�DAT / ' TIME ✓ CITY OF ORONO CALLED IN T, INSPECTION N�{I�E SCHEDULED Zc� i� PERMITNO. v — ' �� / MPLETED ADDRESS � 5�D S�- OWNER EPHO NO. CONTRACTOR r� d' - �3� �`C� �: DESCRIPTION � �� `�" � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAI Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOILOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � Pn � 5 � o - � � 0 � W � Q � Z W � W � � � �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑ C RRECT WORK 8 PROCEED �; ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HO�RS. ❑ pHOTOTAKEN INSPECTOR W4LLRETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTIOtJ REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� Z49-46�� OwnerlContractor on site: Inspector. �� /-� ` > White Copyllnspector's File Canary CopylSite Notice DATE TIME J CITY OF ORONO CALLED w INSPECTION NOI'IC - �/ SCHEDULED `�,� _ I PERMIT NO. �0 ' I COMPL ADDRESS � 6(J 1' � '/�7 OWNER TEL PHONE NO. CONTRACTOR � ' — � � � - � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL V ❑ EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWET�qNDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Q ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT _� ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERI�CO E'T MEET YOU:_YES_NO � c,�'M�ENTs: _ I a- � +' - n e � � td �� j i - O \_ __�,- - � O - � W _ � Q Kj — z W " � �u - � � - i O � � ❑WORKSATISFACTORY:PROCEED OJECT COMPLETE � ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP OfiDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. � Call for the next inspection 24 hours in adv . (952��249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File � Canary CopylSite Notice