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Home My WebLink About2011-01045 - roofing CITY OF ORONO PERMIT NO.: 2oii-o�o4s 2750 KELLEY PARKWAY � � ORONO, MN 55356- �ATE �SSUEn: 09/13/20ll 952 249-4600 FAX: 952 249-4616 ADDRESS : 3720 JACOBS MILL RD PIN : 32-118-23-24-0008 LEGAL DESC : JACOBS MILL : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 11,000.00 NOTE: VALUATION OF PERMIT:$11,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECI'ION 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 206.50 ATKINSON CONSTRUCTION& SIDING LLC STATE SURCHARGE(VALUATION) 5.50 4530 CO. RD 50 TOTAL 212.00 DELANO, MN 55328- (612)735-6292 Minnesota State License#: 20638420 OWNER CARLSON, GREGORY 3720 JACOBS MILL 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. AI)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 afrer wark has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be q� revok at any time for due cause. , �/.�'� _ �` — � 3 - / ,� � �� —� i i �- �� -y�t �� pplicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation �' (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,0,�. PO Box 66 O,�\ O \ Crystaf Bay, MN 55323-0066 Date received: '��, . i a � "�_ �, � Street Address: Received by: �' � '� ez�'�� ti 2750 Kelle Parkwa �t , ��„ �, Y Y Plan review fee: ykESH�g,'�' 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: Job Site Address: T : �,.-,/ • �` >- 7 >>- �' _� %�"i �` ,%��' ��. .��/,'"r' /-'"i _�S iS� 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 approva160 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will nof be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: ��;,>s�" ��s.�`n�-��;c,-� � �� l_��. State License# � �,{�� `,� �� yr��; Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �/,�- ��.5=� :�i•.Z (office) (cell) Mailing Address: .�5 j� ��'�'�,i/_SU ,��„ o ��h , City: /Jp��,,, „ ZIP: �Sg,.;�� Contact Person: ��fe� � ��j�,n s: �` Applicant is: ont_ racto� / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��-,:ti L�:�1, 1��-, r-- Phone (day): Address: _�i.��' `7'; c�,C�� / �� City:��.�a �q.��- ZIP: 7��.5� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) �Re-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) $ j/'��.�� `" 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. Applicant's Signature: ,��Ly,��,-- ��''`�`2`��:.=�_.-` Date: ��3�i7 LastUpdated: 08-09-2011 � r g c.Q��l � c� C �Y�� I � DATE � TIME `� CITY OF ORONO � ca,��E�iN ��"`�`�*� INSPECTION NOTICE SCHEDULED � PERMIT NO.��r�1 1 � ��y S conn LETED ADDRESS . � ��—'' ' � C � OWNER TELEPHONE NO�� 7��a CONTRACTOR 7 ��,c��,Y1 �� • >; DESCRIPTION �CC..�'2 �,��J�7�i � � ❑ 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 O PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J O PLUM8ING RI ❑ SEPTIC FINALJ ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W � 1 ' i,� �C� { ,/ ) � � ' � j � �� '�� rr'�C �t�.;`r ;�� E c- ri �` O � �� J ��,1 -� ;r�> ,.=-.,1 � �, -� {. _ , �--� �; 0 � W � Z _T.� . \ ;i-- �' � ��t,� —) _� J W � W � � � �. a- o...C?�lyfORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CO�IRECT WORK 8 PROCEED C ISSUE CERTIFICATE OF OCCUPANCY p ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �95Z� 249-46QQ Owner/Contractor on site: � Inspector. ' � :� � � 1� �� White Copylinspector's File Canary CopylSite Notice � `� ! �� D E TIME V CITY OF ORONO � _ CALLED IN I INSPECTION NOTIC scHEou�E� � ` =-L��"�-� PERMIT NO. ��D�� COMPLETED ADDRESS U�� OWNER - TEL ONE N � "J3 'u � CONTRACTOR C • ' � ��5� � �J r >: DESCRIPTION '� �' � li� ❑ FOOTING ❑ PLUMBING �AL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � 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 _ ❑ DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Q OWNERICONTRACTO T MEET YOU:_YES_NO «� COMMENT : �fY�---� � �� t,�� '��(.G1G. � �� a � � O �. � 0 1 G 'r�� W � � Q � z W � W � � a � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED r ISS ERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Cail forthe next inspection 24 hours in advance. �QSZ) Z49-4f)DO OwnerlContractor on site: Inspector. ,d_ �� White Copyllnspector's File Canary CopylSite Notice