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Home My WebLink About2011-01338 - roofing � � - CITY OF ORONO PERMIT NO.: 2011-01338 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: 10/27/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1005 HLJNT FARM RD PIN : 30-118-23-42-0006 LEGAL DESC : HUNTINGTON FARM : LOT 001 BLOCK 005 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 32,486.45 NOTE: VALUATION OF PERMIT:$32486.45 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE 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 BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 499.00 ALBACHTEN ROOFING LLC STATE SURCHARGE(VALUATION) 16.24 8744 78TH STREET NW ANNANDALE,MN 55302- TOTAL 515.24 (612)237-4710 Minnesota State License#:638834 OWNER PERSIAN,STEVE&KATHY 1005 HLJNT FARM RD 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 goveming 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 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 revoked at any time for due cause. i i /l� ioZ�i � Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. a � • City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) �--� Mailing Address: Permit number �� / g,0,� PO Box 66 ,/0 Q� Crystal Bay, MN 55323-0066 Date received: �0 �:. � �.v � la '�i'��,� s., i StreetAddress: Received by: ��'�t �� "� �ti� 2750 Kelley Parkway Plan review fee: ��9if�Ho4/ Orono, MN 55356 �--� Total Fee: �`� `� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ol This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please prinf) GENERAL INFORMATION• ,�' 1 Job Site Address: � (�� ;�� T v�( t-✓� G Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o If yes,a specra!event permit is required with Police Department and Crty Counci/approval 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates sufficienf on-site parking is available. Non-permitted events wil/not be allowed. CONTRACTOR/APPLICAN�I/I�j,F�RM�TlO� �� l �� Name: �J �-} /v ' State License# � � Expiration Date: –3 ^ �p � Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: � ; �� – ��.3 `� -- � ��(� (office) (cell) Maifing Address: < < 'r''� S C' � �„n ZIP: S � Contact Person: � , Applicant is: Co a / H meowner (Circle One) Email and/or Fax: C� L r`� dG� � r•y� � � (� Z'�— PROPERTY OWNER INFORMATION: Name: �j�C iV e-- �D�+�� i C� 1^ Phone (day): Address: �,S t,�,,� � ,,,� {��_ City:C��C rt�> ZIP: Email and/or Fax PROJECT INFORMATION: IType of Project: ' Any earth movement may require � ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ' ❑ -roof, asphalt ❑ Re air Minnehaha Creek Watershed District(MCWD) p ❑ Storm Damage 18202 Minnetonka Blvd Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s eci Phone: 952-471-Q590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 i ❑Window(s) www.minnehahacreek.orq I Overall Project Description: Estimated Construction Valuation of Project (excluding tand) $ � � �( ' , �S APPLICANT ACKNOWLEDGEMENT: I • Agrees to provide all information required or requested by the Building Department; i • 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 j but to reject it until it is complete; I • 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 cannof 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 fication ma not be issued. Applicant's Signature: �--- ! Date: Q�� / Last Updated: 08-09-2011 �/ D TE TIME CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED / < PERMIT NO. o�D// d�c�SCOMPL TED ADDRESS �� -� '�� OWNER TELEPHONE NO. ��a-��`� JD CONTRACTOR � �-�'(�� - �: DESCRIPTION ��v�-'�'--�� ry a � ty� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS � O ❑ 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 Q _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: ¢ W C � J � e `� `� ��, ��Q J��fS O � Q � �C..1QC3 � Q �'. ��.�Ci � �� (r7�f � '� /� C �U�. � C O r�- � W � W � � GW �WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑ CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED C' STOP ORDER POSTED.CALL INSPECTOR I I NSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. �,/�l �� White Copy/lnspector's File Canary CopylSite Notice C�� /DA TIME � CITY OF ORONO CALLED IN �` �/ INSPECTION NOTICE / ? (�' SCHEDULED �� PERMIT NC�fJ`/�'Df �J b COMPLETED ADDRESS �OD S � o OWNER TELEPHONE O.��Z- Z37 7�D CONTRACTOR Q- �=�'`�-"�C �� DESCRIPTION �I n�` ��"� � l� ❑ 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 SlA6 ❑ 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 � � O � W � Q � Z W � W � � �,/ GW ❑WORK SATISFACTORY:PROCEED CI'PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT i: CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED I 1 STOP ORDER POSTED.CALL INSPECTOR i INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice