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Home My WebLink About2011-00390 - roofing � CITY OF ORONO PERMIT NO.: 2011-00390 . 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: OS/25/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3415 HIGH LA PIN : OS-117-23-12-0017 LEGAL DESC : AUDITOR'S SUBD.NO. 203 : LOT 000 BLOCK 000 � PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 28,965.56 NOTG: RGROOP GNTIRE HOME&RF.PAIR MINOR WATI:R DAMAGC INSIDE/SIiEE'rROCK APPL(CANT pERMIT FEE SCHEDULE 456.00 BAUER SERVICES, WC. 730 BUCHANON ST. STATE SURCHARGE(VALUATION) 14.48 ANOKA, MN 55421- TOTAL 470.48 (763)421-1723 Minnesota State License#: 20508666 OWNER MARKLUND, RI[CHARD 34I5 HIGH LA LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shali be performed according to the approved plans and specitications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant permission Yor additional or related�vork which requires separatc permits. All provisions of laws and ordinances governing Ihis 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 re�oked at any time for due cause. �� i �1, 1� `_�/ Z�/ 2�,1 � � �.-L_ LYYV�C� �� j-�� —/ � Appli ant Per 'tee Signature Date [ssued[3y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. s' , .; City of Orono - Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: OQv�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �� ' Received by: ,� -�i s, Street Address: �' ' '�V� Gti�' 2750 Kelley Parkway Plan review fee: � r�kESH�`'� Orono, MN 55356 � Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This appfication 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: ��f�� r �� h �-+'`. �� c��; t� i j'i,'( in _S �.� -`' � 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 applicanf demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APP...�ICANT INFORMATION: Name: �LL�c /' �J��"�lC'f=.S � � � State License# ��,��` Expiration Date: .J�' --?c�/Z_ Lead Certification Number: Expiration Date: (for work on homes that were consfructed prior to 1978 Phone: _��3 - -�cZ -j-� 2 3 (office) (cell) MailingAddress: /�,,c�,�,� .�'r 5,`:�c �- City: /�� L�- ZIP: _S"S� �.� Contact Person: ,�v��.- Applicant is: n rac o� Homeowner (Circle One) Email and/or Fax: �� . �%Z � _ 2�.:� ' PROPERTY OWNER INFORMATION: Name: .�� i�,f e� G��>r/c. 1..�.-z c' Phone (day): ��Z - �� - y�-S� Address: _3 `f/S� fN��; L, �:�i , City: ��r�„ia ZIP: �� -5"� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel �f,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 Phone: 952-471-0590 �Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orp Overall Project Description: �L�r�� - ��-i�,.-.� l«��,� -- ,�- ��• / � ��,..=�-- F- w. >� : LiL%�f l�� r �C J ci � Estimated Construction Valuation of Project(excluding land) $ 7 "�l��s i5"� �� , 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. � ;�_�-Y,,,�.,,,, Applicant's Signature: �``""'� '��'"'"_� -'" � �� Date: `j "' Z ��- ��' I l Last Updated: 03-01-2011 �� ^ � DATE TIME `� � � CITY OF ORONO CALLED IN �� " INSPECTION ��lE M�O SCHEDULED �` � PERMIT NO. �C�oMP�ET�o � ADDRESS �y f �`��f�� OWNER TELEPHONE NO �� '��7a3 CONTRACTOR ��h' r�� : DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 ❑ SEPTIC INSTA ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL, ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTORTOMEETYOU:_YES ' NO � COMMENTS: � W � � � O � � O � W � Q ti Z W � W � � GW /�fORK SATISFACTORY:PROCEED [7 PROJECT COMPLETE ��O CORRECT WORK R PROCEED ^ ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 tor the next inspection 24 hours in advance. (952� 249-4600 OwnerlContract ' e: Inspector. White Copyllnspector's File Canary CopylSite Notice � —� DAT TIME � CITY OF ORONO CALLED IN ;� � INSPECTION N TICE SCHEDULED o?•�.�n PERMIT NO. `l OQ��cornP� Teo ADDRESS l� OWNER T HONE NO�?� �� 7 ��`"� CONTRACTOR � G'2- C�/�/ C�� : DESCRIPTION � � ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a o ( ( Q j� , � fiC� � � vr� �. � 0 � W � Q � Z w � W � j d W� ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ IIVSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on site: Inspector. l��i�/ .� � White Copyllnspector's File Canary CopylSite Notice