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Home My WebLink About2011-01219 - roofing CITY OF ORONO PERMIT NO.: 2011-01219 , 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUEn: 10/10/2011 �` 952 249-4600 FAX: 952 249-4616 ADDRESS : 96 HACKBERRY HILL PIN : 33-118-23-44-0023 LEGAL DESC : DANIELS LONG LAKE HEIGHTS : LOT 000 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL COIYSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 5,200.00 NOTE: VALUATION OF PERMIT:$5,200.00 ROOFING PERMI"1'S ISSUED WITFIOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRG 24-48 NOTICE,PR[OR TO WORK BEING STARTED) MUST YROVIDE COMPLETE SET 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 f3E1NG DONE. ONCE WORK IS COMPLETED THE SIGNS MUST l3E REMOVED. APPLICANT PERMIT FEE SCHEDULE 132.75 ABLE RESTORATION GROUP STATE SURCHARGE(VALUATION) 2.60 17316 KENYON AVE LAKEVILLE, MN 55044- TOTAL 135.35 (952)378-8000 Minnesota State License#: 20637232 OWNER SIFORD, RUBY 96 HACKBERRY HILL LONG LAKE, MN 55356 AGREEMENT 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 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 � shail be compied with whether or not specitied 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. "I'he app�icant is responsible Yor assuring all required inspections are reyuested in confonnance with the State Building Code.This penni[may be revoked at any time for due cause. ��) � ��/ / / � '� � ,L,� L ��l�' __�C —;l Applicant Permitee Signature Date � �� Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ��/� C ity of O ro n o ` �.�Building Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. <-�� J �/�/ � !�,�� PO Box 66 ;�Q � O � Crystal Bay, MN 55323-0066 Date received: �.�;R�� a �.� �, � Street Address: Received by: ��' � '� �'�J �'� 2750 Kelle Parkwa \� �, � Y Y Plan review fee: `�,kEs�4�/ Orono, MN 55356 �% �—� Total Fee: 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: �� /�/��.�E�/Zt .,��- LC��G ��7' �� 5�� 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 Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless appficant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �f3G�,�C-S7D/Zdf7-Z�� G'�j(J1� _�/V State License # a�� -��, 3� Expiration Date: Lead Certification Number: � Expiration Date: (for work on homes that were constructed prior to 1978 Phone: G!� - 02 �p�- y�j�"j� (office) (cell) MailingAddress: /?3/� `{'�N�/a �E' J�lCj3 Cit � �� ZIP: �-�'jUyy Contact Person: ��-rv LS-G L�-�-�1 Applicant is: Contracto� Homeowner (Circle One) Email and/or Fax: /�AX �15r�- �?5-5, 8'!�/.2 a�sti� � sy-B�� 2esra��-�G�vl� . �G� PROPERTY OWNER INFORMATION: Name: 3,'�l $��Fv✓Zb Phone (day): Address: �G �{ft�crG.C/2fZc� �L-��`� City: !.(jN�L�-l{L- ZIP: S��S� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: ❑ Door(s) �� ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) �e-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) $ -�� ,-. 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 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 � ation ma not be issued. �� ,� / , ____._._ --- O� 6 ApplicanYs Signature: � �' Date: �� Last Updated: 08-09-2011 �, �:;,�� , �/� �� ✓ DATE TIME � ��'/ Ic_� CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED � � C'/��h/ PERMIT NO. �� I I �-C�'�� COMPLETED - `"'� ADDRESS � �' I�� (L E�f'i' r'l f �� I OWNER TELEPHON�E�NJO. � �''� -3 ��-�� CONTRACTOR ,�"l�/e �2�-S�ZY��'G'Y� >; DESCRIPTION �`-E C�-` � �'� � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAI FINAL ❑ 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 ❑ HAR�COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � � O a � O � W � Q � Z W � W � � GW �ORKSATISFACTORY:PROCEED f� PROJECTCOMPLETE � ❑C RRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN INSPECTOR WILL RETURN 7 CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. � White Copylinspector's File Canary CopylSite Notice t/ ATE ' TIME CITY OF ORONO CALLED IN / INSPECTION NOTICE SCHEDULED j I PERMIT NO � �� COMP T D ADDRESS C /� OWNER T LEPHON NO. �� V� g� / CONTRACTOR r � �: DESCRIPTION � �'�"� � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ FADON 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o �" f�� --�v AG, '' v T � ° �i�ase ,�.h�e� � W � Q � Z W � w � � GW ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR C INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. ` White Copyllnspector's File Canary Copy/Site Notice