The URL can be used to link to this page

Home My WebLink About2011-00519 - roofing 1 CITY OF ORONO PERMIT NO.: 2011-00519 2750 KELLEY PARKWAY ORONO, MN SS35G- DATE ISSUED: 06/27/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3445 HIGH LA PIN : OS-117-23-12-0025 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,000.00 NOTE: 'I�EAR OFF REROOF GARAGE AND HOUSE APPLICANT PERMIT FEE SCHEDULE 132.75 MIDWEST ROOFING STATE SURCHARGE(VALUATION) 3.00 6541 SYCAMORE CT N MAPLE GROVE, MN 55369- TOTAL 135.75 (763)427-9696 Minnesota State License#: 20637010 OWNER BADEN, MICHEAL&JEANNIE 3445 HIGH LA LONG LAKE, MN 55356 AGREEMENT AND SWORN STATEMENT "�he work for which this permit is issued shall be perfonned according[o the approvcd plans and specifications,applicable City approvals,and the Statc[3uilding 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 goveming this rype of work shall bc 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 a[any time after work has commenced. 1'he applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoke��d�at�ny time for ue cause. �i �,� �, �r , � , �. Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. t .� . + � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: � � Og,�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: C ,� ' �' s, Street Address: Received by: �' ' "'� �ti�' 2750 Kelley Parkway Plan review fee: � \L9kESiIo�`'� Orono, MN 55356 / `—� Total Fee: �� 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: � �y � 1i�� /� Job Site Address: /'`� �' Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No !f yes,a special event permit is required wrth Polrce Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �Td wfSf' State License# ac�oraa 77 Expiration Date: ��,�/-/ � Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: (p t,(5� SyLa,�,•� f,f• City: �qy�.t �v�G ZIP: ,5'S.�6q Contact Person: n,i/ Applicant is: ontracto / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �;�G�1u/ �.34GGP�► Phone (day): �a- � / ' / Address: 3 [�,�5 �',Q� , City: ��Gla� 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 ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: _(�b � 1 G � h�� Estimated Construction Valuation of Project(excluding land) $ 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 a not be issued. ApplicanYs Signature: Date: �✓�7✓�� Last Updated: 03-01-2011 � '� DAT TIME v �� N z, yl CITY OF ORONO CALLED I INSPECTION NOTICE SCHEDULED --�2�� PERMIT NO.�� !�I BZ�S�� COM TED . (� ADDRESS � OWNER EP NE NO.� — �O— ZZ CONTRACTOR �° �t �: DESCRIPTION `\�'/ �l�- — � � lL� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTtON 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O >. � O � W � Q � Z W � W � j d �! W� .�1 WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY O C CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-460� OwnerlContractor on site: Inspector. ' � �r� � White Copylinspector's File Canary CopylSite Notice � r� ATE TIME � r `�ITY OF ORONO CALLED IN �� / �/ INSPECTION NOTICE SCHEDULED `� �(( � PERMIT NO�f.::J I I`7'`,�;1 q COMPLETED �� ' _ ADDRESS OWNER TELEPH E NO�� —��'� CONTRACTOR ��t�� A ?�F�'� ,--, >: DESCRIPTION � � 1 _ � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCA RADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING O MECHANICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Z Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINALI/ ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � � W C � � O �„ � O � � W � Q � Z W � W � � ��f g4/�ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED O INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next in pe ' 24 hours in advance. �952� Z49-460� Owner/Contractor Inspector_ White Copyllnspector's File Canary CopylSite Notice