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Home My WebLink About2011-00852 - roofing - metal �) , CITY OF ORONO PERMIT NO.: 2011-00852 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 08/15/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3235 GRAHAM HILL RD PIN : OS-117-23-14-0068 LEGAL DESC : GRAHAM HILL PRESERVE : LOT 4 BLOCK 1 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-METAL ACTIVITY : O/S BUILDING -LJNDEFINED VALUATION : $ 30,000.00 NOTE: VALUATION OF PERMIT:$30000.00 ROOPING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE, PRIOR TO WORK BEING S"rARTED) MUST PROVIDE COMPLETE SE"C OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONG. ONCE WORK [S COMPLETEU THE SIGNS MUST BG REMOVED. APPLICANT PERM[T FEE SCHEDULE 466.75 THOMAS BREN HOMES STATE SURCHARGE(VALUATION) 15.00 2073 WAYZATA BLVD. W. #50 TOTAL 481.Z5 WAYZATA, MN 55391 (952)475-6777 Minnesota State License#: 20128144 OWNER KILL, BOB&COURTNEY 350 NORTH ARM LANE MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for�chich this permit is issued shall be performed according to thc approvcd 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 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 suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance wi[h the State Building Code.This permit may be revoked at any time for due eause. � l �� l �� _�� -�� /��/ l� Applicant rmitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. . . City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: � � _ UG�� ,0\ PO Box 66 Permit number: Q � O � Crystal Bay, MN 55323-0066 Date received: ' �J. ,n' 1 Received by: „� �, � Street Address: � ' -�'��jy ti 2750 Kelle Parkwa c��, �� Y Y Plan review fee: 'kESHO Orono, MN 55356 ,/ Total Fee: �l�j �� 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.�� C,;P_.��;�4?� �/L �- /2,�cj Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o /f yes, a specia/event permit is required with Po/ice Department and City Council approval 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 allowed. CONTRACTOR/APPLICANT INFORMATION: Name: T{��¢S ' �2�.,i ��s /�'c� State License# Zo �Z�� {.� Expiration Date: 3 3 i � Z Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �-j SZ- 5�7 S" - ��7 (office) (��L-- 75�� - _S�v/ � (cell) '� Mailing Address: Z� -7 3 �, � �� .s�- U Cit : .> y � G�/' ZIP: ��3 s6 Contact Person: � ,�,2�,,yp Applicant is: Cont actorJ / Homeowner (Circle One) --_ _ . Email and/or Fax: .�j,^�,,,d, .t�-�%��ti� �'P��ia�� : C�� PROPERTY OWNER INFORMATION: Name: ,�c a � C.'�<<�;7Yh� ,�- �« Phone (day): �s2 �s'"3 - ��'os" Address: �,g�� City: ZIP: �1 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 [I��-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) $ 3�� ,cJ 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 information,the a lication ma not be issued. / Applicant's Signature: � _ � � Date: � �s l� Last Updated: 08-09-2011 ��G� D qTE TIME �/ CITY OF ORONO CALLED IN � / INSPECTION NOTICE SCHEDULED � __s� PERMIT NO.�/�� COMPLETED ADDRESS .3oZ�J �/(.�.C.�I�J'I �'� OWNER TELEPHONE NO.(D�a-,��`��Z CONTRACTOR ,� /��tti/'iL.� �: DESCRIPTION �� a�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/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 v ❑ 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 � � O � W � Q ti 2 W � W � � d W� ❑WORK SATISFACTORY:PROCEED �1 PROJECT COMPLETE W ❑CORRECT WORK&PROCEED �❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUtRED.CALLTO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on sit : Inspector. ��,� � � � White Copyllnspector's File Canary CopylSite Notice