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Home My WebLink About2011-01264 - roofing II � CITY OF ORONO PERMIT NO.: 2011-01264 � 2750 KELLEY PARKWAY ORONO, MN 55356- nA'rE�ssuEn: 10/19/2�11 952 249-4600 FAX: 952 249-4616 � ADDRESS : 3155 JAMESTOWN RD PIN : 28-118-23-33-0012 LEGAL DESC : CAA�IELOT : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : R�SIDENTIAL , CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : q/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: VALUATION OF PERMIT:�$12000.00 I ROOFING PERMITS ISSUED WITI�OUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRI(�jR TO WORK BEING STARTED) MUST,�'ROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED,� SIGNS-ADVERTISING SIGNS 1�AY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED'�HE SIGNS MUST BE REMOVED. ; i' i � I ; � I� ; A PLICANT pERMIT FEE SCHEDULE 221.25 AUBEN RESIDENTIAL STATE SURCHARGE(VALUATION) 6.00 PO BOX 81 TOTAL � 227.25 VICTORIA,MN 55386� (952)836-4332 Minnesota State License#:20634617 i OWNER DECUBELLIS,KEN�TETH&JENNIFER 3155 JAMESTOWN�D LONG LAKE,MN 55356- ' AGREEME T AND SWORN STATEMENT The work for which th' permit is issued shall be performed according to the approved plans an�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 sepazate �� permits. All provisiops of laws and ordinances governing this type of work shall be compied wi whether or not specified herein.This permit will expire and become ull and void if consVuction authorized is not commenced within 80 days of the date of issuance,or if construction is suspended for a od of 180 days at any time after work has commenced. The applic re pon ' for assuring all required inspections aze requeste ' onfo e with the State B �Iding Code.This permit may be I revoke any ' or due cause. , � � � � � � � ?>/ / / Applicant Pe �tee Signature Date Is d By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBEI�ABOVE. ;' i . • � City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: aZO�/—CJ La I .¢,O,j�. PO Box 66 O � O Crystal Bay, MN 55323-0066 Date received: �o / / �� Received by: � ,� � �`� �-;� �,' Street Address: '�,F, � : �ti`� 2750 Kelley Parkway Plan review fee: ��k'ESI3��`'� Orono, MN 55356 �_— Total Fee: a p� � � Main: 952-249�600 Fax: 952-249-4616 �vww c; oror��c mn �.!s 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: 31 S� �,h�n��T�v�N �'�'ilp . r?Iz ; N �' ; f►��; �� "�� Will this be a Parade of Homes, Remodelers Showcase Home or othe isplay Ho e? ❑Yes � No If yes,a special event permit is required with Police Department and City Council approva!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 aUowed. CONTRACTOR/APPLICANT INFORMATION: Name: av��EN �:.ES I bFt�1T l l�l� State License# �.�F ��_� Expiration Date: 3�3 I �'LJ! 7 Lead Certification Number: -- Expiration Date: •— (for work on homes that were constructed prior to 1978 Phone: Gl S�. �;�j T, 2��i � (office) GI�j L,� � �, y�?�j (cell) Mailing Address: �+, , c, _ G R i�/kKE LA(� L C�tY: '� ZIP: � �:, ;, Contact Person: � ��j-{- Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: ��kU C �� Ct, �t V hc'V�Y 5 i c r v1} i a 1 ( o yY� PROPERTY OWNER INFORMATION: Name: KFN � 1rNNiF� 1�. P�LUr3�LLl5 Phone(day): Z�vl �2� Z I 1� Address: �j l 5 5 .!A M S 1L tN��I �U�1� City: ��i:� N D ZIP: ��.� (U Emaif and/or Fax K d��^ 'l��I,�0 U G� WI PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8 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.minne�ahacreek orq Overall Project Description: ��Fyy�(;�'�/ C �Z f��^L.�"L� 5j�11�1��L�� Estimated Construction Valuation of Project(excluding land) $ �2 (�a 0 (� � 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. .,--�"_ ApplicanYs Signature: � �f Date: �G / F11s � Last Updated: 08-09-2011 � E // TIME �, CITY F ORONO CALLEO IN � � INSP TION NOTICE '/SCHEDULED PERM T NO�!/-1,/2�`� COMPLETED << � ADD ESS c�l SS `�_.V,�f��'��,Y�—/�� OWN R T LEPHONE NO.�s�- �-5" 7 CON RACTOR � >; DE RIPTION ��-�k � � ❑ F OTING ❑ PLUMBING FINAL p EXCAV/GRADIN ING Q ❑ P URED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ F AMING � MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ I SULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ INAL ❑ SEWER HOOK-UP ❑ COMPLAINT � � EMO-SITE ❑ SEPTIC MAtNT. p FOI��'jyy_�p ? ❑ EMO-FINAL ❑ SEPTIC INSTALL . ' � Hqqp CpyER REMOVAL v ❑ UMBING RI ❑ SEPTIC FINAL _�- ❑ FOUNDATIOWREMOVAL - --Z NERICONT�JICSOP'M�,�;._"YES_NO � MMENTS: a � j o ! a � 0 � ; � Q � i W Wi i �INORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE `��O CORRECT WORK 8 PROCEED O ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN i INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR I ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next i pection 24 hours in advance. (952) 249-4600 Owner►Contracto �t : Inspector. I' i White Copylinspector's File Canary CopylSite Notice � �� DATE TIME " CITY OF ORONO CALLED IN 3'��' INSPECTION OT E SCHEDULED �'� '��- `�� i PERMIT NO. —�� COMPLETED � ADDRESS � � S S ��m' '`� OWNER TELEPHONE NO. q$2 7�� Z7��S CONTRACTOR �� "-'� >; DESCRIPTION �� "�� l� ❑ 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 � ❑ 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 C � � . O a � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED /�I�ROJ�CT COMPLETE W ❑CORRECT WORK&PROCEED C SSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46�� OwnerlContractor on site: Inspector. � � /'"'1� � White Copyllnspector's File Canary CopylSite Notice