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Home My WebLink About2011-00727 - roofing CITY OF ORONO PERMIT NO.: 2011-00727 ti 2750 KELLEY PARKWAY � ORONO, MN 55356- DATE IssUED: 07/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 3085 JAMESTOWN RD PIN : 28-118-23-33-0010 LEGAL DESC : LIBERTY ACRES : LOT 000 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 16,500.00 NOTE: 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 INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE T[ME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 295.00 FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 8.25 1891 SANDBAR CIRCLE WACONIA, MN 55387 TOTAL 303.25 (612)229-8619 PAID WITH CC# 0978 Minnesota State License#: 20438042 OWNER LARSON,MR.& MRS. GARY 3085 JAMESTOWN 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 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 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 res ible for assuring all required inspections are requested in orman with the State Building Code.This permit may be revoked at ny time fo duc cause. /. � �2�'-- � zo!/ `7� oZ l Applicant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono . _ Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: � �,. 7 O�,O,�O PO Box 66 Permit number: �U!! -J� , Crystal Bay, MN 55323-0066 Date received: 7 Z � °a�� `. '��;:{;�, a, StreetAddress: Received by: �' ' 'q%�� ti`� 2750 Kelley Parkway Plan review fee: �t�ESHO�`'� Orono, MN 55356 Total Fee: �(� 3, �_� 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: �3g,s �✓Yy�S'j�W^� �O►/�fl 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 Councif approval 60 days prior to the event. Shuttle bus s rv� e will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: -rb55 Gk7"�wG�c�'�,S ,L,c,..C� State License# ZO�-{g�pL{Z. Expiration Date: 3-3 1-2812_- Lead Certification Number: �„_ ( �o3S8 �Ij "O/ (p1� Expiration Date: 3- �_�Il� (for work on homes that were cortstructed prior to 1978 Phone: Cp(Z--22R- 8tv I�( (office) (cell) Maifing Address: ( yaN � �� City: �J N�g ZIP: �-3 Contact Person: -�'��,, �� Applicant is: ontractor / Homeowner (Circle One) Email and/or Fax: --(-"��„`,a ��j,�-�-�� PROPERTY OWNER INFORMATION: Name: �'�,,�,� Lr425vN Phone (day): �5-2.,_ �„1�3�001� Address: 30 SS" -�'W�^'��.57"6uN (��J City: �2o.•aD ZIP: s,�'��' 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 Phone: 952-471-0590 Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: �-Irj�-� I`lp�- ��L Estimated Construction Valuation of Project(excluding fand) $ f[Q� �vp -- 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 refu su I the information, the a lication ma not be issued. ApplicanYs Signature: Date: �"'Z.C�-7�o 1l Last Updated: 03-01-2011 \`t ✓I DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.,.�0!f!db?a17 COMPLEfED �� ADDRESS 30 8'J`^ �4wtcd�"o�.�A �- ;I - OWNER TELEPHONE NO. CONTRACTOR �SS C�CL�r�ers � DESCRIPTION R� "�� O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING; QO POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/EfIANDS ; ❑ FRAMING O MECHANICAL FINAL 0 TREE REMOVAL Z O INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION _ ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS {� �F�NAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAl10WREMOVAL' 2 OWNERICONTRACTOR TO MEEi 1f�U:_YES_NO � COMMENTS: , , a Cgl� ,Q�r►+�rt �' i�10 �iKQL �v1SBet�te.�. r�� 4�_� j O _ � �f�-7�E�i-o�� S,OeC�ic 4 re+ca� 0 � � Q �i!o rK 4DDGa�f' `o MDls7�� 2 W � � ��41� � � O WORKSATISFACTORY:PROCEED �ROJECT COMPLETE � ❑CORRECT YVORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUI°ANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CdVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 2a hours in advance. (952 j 249-�6�� OwnerlContractor on site: � Inspector. 'h►-� White Copyllnspector's File Canary CopyfSRe Notice