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Home My WebLink About2011-01305 - roofing CITY OF ORONO PERMIT NO.: 2011-01305 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE [SSUEn: 10/24/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 4101 HIGHWOOD RD PIN : 07-117-23-44-0013 LEGAL DESC : HIGHWOOD LAKE MTKA : LOT O15 BLOCK 000 PERMIT TYPE : M[NOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING -UNDEFINED VALUATION : $ 8,250.00 NOTG: VALUATION OF PF,RMIT: $8.250.00 ROO}'ING PERMITS ISSUED WI"rHOUT ENOUGf 1 NOTICE FOR 7�EAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK L3G[NG STARTED) MUS"I'PROVIDE COMPLE'I'E SET OF PICTURES OR A FINAL INSYECTION MAY NO"I'BE ISSUED. SIGNS-ADVGRTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME TFiE KOOF IS BEING DONE. ONCG WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 177.00 INCLINE EXTERIORS INC STATE SURCHARGE(VALUAT[ON) 4.13 26175 BIRCH BLUFF RD SHOREWOOD, MN 55331 TOTAL 181.1; (612)471-9065 Minnesota State License#: 20168831 OWNER GERMUNDSEN, GARY L 4101 HIGHWOOD RD MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT "I�he work Yor which this permit is issued shall be performed according to the approved plans and specifications,applicablc City approvals,and the State Building Code. 'Chis permit is for only the work described and does not grant pennission for additional or related work which requires separa[e pennits All provisions of laws and ordinances governing this 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 ofthe date of issuance,or if construction is suspended lor a period of 180 days at any time after work has commenced. "1'he applicant is responsible ibr assuring all required inspections are rcqucsted in conYorm ce with e State Building Code.This permit may be /j� e ked a ny time r due ca �C � - /�� l 2� zu I � {--C C`Yt�.�e�"1 / l /v �� ppl cant Pcn tee Sig t Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono �Building Permit Application for Maintenance / Renovation ��/�9 (windows, doors, siding, re-roof, etc.) ��—� Mailing Address: Permit number: PO Box 66 /� � Crystal Bay, MN 55323-0066 Date received: i �n i � �j a�� 'a �;f�; �, I Street Address: Received by: ��'� � '�� s'� �� 2750 Kelley Parkway Plan review fee: ��Esxo`�'� 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: • p Job Site Address: �-�` ( � f �b � 'WU�t,C, �- Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes �No If yes, a specia!event permit is required with Police Department and Ciry Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permifted events will not be allowed. CONTRACTOR/APPLICA�jT INFORMATION: Name: ��lt I...�. �'�-�,v�iY,S-�-S � �i„L_ State License# Z.G � (o�.;�� Expiration Date: �-- Zp j 'Z__ Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: Z - ��(��j� (o (o ice) (�I Z-`? l rY�- z`-�7� (cell) Mailing Address: Z(p�� ,'r�� - - Citx:� � ZIP: S�3 ) ` Contact Person: Applicant i . Contracto / omeowner (Circle One) Email and/or Fax: � ��!'�,��t�,,� � a��, ,Ga„�, "�-"� , PROPERTY OWNER INFORMATION: Name: -- �E��1 (�-c�t-1.� i.l�t Sc�� Phone (day): �Z_ - � l _ Address: � �b � ` �,N(„w�; �,�_ City: � I-�v�p, ZIP: s�j�`f Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel MCWD review&permits: ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) [.�Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �cZ.S� % APPLICANT ACKNOWLEDGEMENT: • Agrees to provide a11 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 Iare 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 u e of this information is to annually update our records and records of other governmental agencies re uired b law. If ou r se t su I the informa o the a lication ma not be issued. ApplicanYs Signature: � Date: ld -Z- �"� j� Last Updated: 08-09-2011 �� '�//✓ �� ATE- TIME ��/ CITY OF ORONO ` GALLED IN � � � � � � 7 INSPECTION NOTT� ICEf�i �(� SCHEDULED � � ' '� � PERMIT NO. �V I I 11` `-�"1``� COMPLETED ADDRESS � � �� ` OWNER TELEPH NE NO��-�!'� i-�f_i(�� CONTRACTOR J�-��C,-� I i'\Q �f'��' : a DESCRIPTION � ��"� t'� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE fiEMOVAL 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 � OWNER/CONTRACTOR TO MEEf YOU:_YES�NO � COMMENTS: � w � � J O � � O � W � Q � Z W � W � � d � �IQ(QRKSATISFACTORY:PROCEED C� PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED 1-; ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT [ . CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN � STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED i I INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail forihe next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. � ,a, � White Copylinspector's File Canary CopylSite Notice D E TIME v CITY OF ORO O CALLED IN INSPECTION NOTICE Dl� SCHEDULED PERMIT NO � COM LEZED ADDRESS G � �� OWNER " HO E NO. �'Sa -al a- 5 CONTRACTOR " >; DESCRIPTION � � ly ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL 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 ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � O � � � �L� � �.'L (� I-1 (j— >. � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �JECT COMPLETE � ❑CORRECT WORK&PROCEED !- ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CA�L FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT '-' CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN '' STOP ORDER POSTED.CALL tNSPECTOR �CITATION ISSUED LI INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on site: Inspector. � �/ '�� U White Copyllnspector's File Canary CopylSite Notice