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Home My WebLink About2011-01346 - roofing CITY OF ORONO PERMIT NO.: 2011-01346 `� 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE 1SSUEn: 10/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2801 FOX ST PIN : 04-117-23-34-0004 LEGAL DESC : FARVIEW : LOT 001 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAI, CONSTRUCT[ON TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 26,653.97 NOTE: VALUATION OF PERMIT: $26,653.97 ROOPING PERMITS ISSUED WITHOUT GNOUGH NOTICE FOR TEAR OFF[NSPECTIONS. (WE REQUIRG 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. S[GNS-ADVER"1'[SING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 434.50 SIMON CONSTRUCTION STATE SURCHARGE(VALUAT[ON) 13.33 12366 RIVER R[DGE ROAD BURNSVILLE, MN 55337- MAIL-IN FEE 2.00 (612)861-7000 TOTAL 449.83 Minnesota State License#: 20593656 PAID WITH CC# 1521 OWNER KLUTH, DAN& MAGGIE 2801 FOX ST LONG LAKE, MN 55356- ACREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the S[ate Building Code. This permit is for oniy the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or no[specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspendcd for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with[he State Building Code.This permit may be revoked at any time for due cause. / / / / Applicant Permitee Signature Date Issued y S'g ature � Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. OCT-28-2011 08:06 From: 6785736615 To:9522494616 Pa9e:1�1 � . . � C�i y of Orono �uilding Permit Applic�tion for Maintenance / Renovation (windows, d ors, siding, re-roof, etc.) �O� i MailiPO Box 66� Permit number: 'a0 � ��013�( O 0 � Crystal Ba�, MN 55323-008B �ate received: i � I StraetAddres$' Received by: � i � G� I 2�50 Kelle Parkway Plan�eview fee: ��gHog,� ; Orono, MN 55356 � Total Fee: l�� j Main; 952-248-4600 j Fe�c' 952-249-4616 www.ci.orono.mn.us This application forml must be comple ed in full and all required information must be submitted. Incomplete applic tions will be returned. (Please print) GENERAL INFORMATION:� I I- Job Site Address: p 0 � 'C Will this be a Parade of Ho►nes, Remodelers Sh wcase Home or other Display Home? ❑Yes �No lt yes, a apecia!event permit is requi2d with Police Depart ent and City Counci/approva160 days p�ior ta the event. Shuttle bus service will be requi�d unless applicant demonstPates su�cle !on-site parking is available. Nan permitted events wifl not be allowed. CONTRACTOR I APPLICANT INFORMATION� Name: S��.e„� �„`z�r,��,.. State License# �S � Expiration Date: ��i Z Lead Certificatinn Number: � Expiration Date: (for work on homes that were co�structed prior to 7978 Phone: (,, �2��, �I'L o��i (office) (cell) Mailing Address: �-L-� �, � � �,, City:g .r,�s J��,�,_, ZI P: � ,3 Contact Persan: ' Applicant is: ntr r / Homeowner (Circle One) Email and/or Fax: �� i ��. �,.-- Ca�.- I PROPERTY OWNER INFORMATION: Name; �,<,,,� �� ,,�kl,� , Phone (day�� z- �-t�t`G�- �9 S`� I Address: ��p 1 �a�- �, � - � City: mr,,,�a� ZIP: S� �" 3 � � Email and/o� Fax � � � � PROJECT INFORMATION: Type of Project: i i Any earth movement may require ❑ Door(s) ❑ Remodel ❑ �ire Damage MCWD review 8�permits: Minn�haha Creek Watershed District(MCWD) (�'Re-ronf,asphalt ❑ Repair [�torm Damage 182D2 Minnetonka Blvd ❑Re-roof,cedar �estoration ❑Water Damage Deephaven, MN 55391 i Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑Siding ❑Qthgr: (specify) Faac: 952-471-0682 ❑Window(s) www,minnehahacreek.orq Overall ProJ�ct Description; ' , Estimated Construction Valuatioh of Project(ex�luding land) $ �,� ,_ S 3 • 9� � -- - I APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all informetion required or requ�ested by the Building Depanment; • Certifies that ths information supplied is true a,nd corr�ct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete lapplication being aware that upon failure to do so, the staff has no alternative but to reject it until it is comple�e; • Some or a11 of the informatio� that you are ask d to provide on this application is classified by State lew as either private or confidential. Private data is i�formation which generally cannot be given to the public but can be given to the subject of the data, Confidential date is information which ge�nerally cannot be given to either the public or the subject of the data. Our purpose and intended use of ithis information is to annually upda�te our records and records of oth6r govemmental agencies re uired b law. If ou refuse to I the infor atio the a lication ma not be issu�d, n....�L......N.. [�:......�.._... ! \ I �' . n..a... '1,'l I .aL� /1/ DATE TIME �� CITY OF ORONO CALL iN 3 G� INSPECTION NOTI E SCHEDULED ?-3p-/ Z PERMIT NO. �� COMPLETED ADDRESS a8o� ��X St OWNER TELEPHONE NO. 9SZ �� S ,3�5Z. CONTRACTOR S� ry' �' �: DESCRIPTION /"'v� ��x� � �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � 0 1�A � l�l P e 1 i� ��4 -c�� 1u � ��, �- C� � �'��c-��; �t.� � �.�u 1-3 �— W � Q � Z W � W � j d W ❑WORKSATISFACTORY:PROCEED C:� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN �NSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED G INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on sity: �� , Inspector. b/' ' White Copyllnspector's File Canary CopylSite Notice