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Home My WebLink About2011-01177 - roofing i ' CITY OF ORONO PERMIT NO.: 2011-01177 . - 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 0/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS ! : 3175 JAMESTOWN RD PIN : 28-118-23-33-0014 LEGAL DESC : LIBERTY ACRES 2ND ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE ; : ROOFING-ASPHALT ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 5,000.00 NOTE: VALUATION OF PE IT:$5000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTIC ,PRIOR TO WORK BEING STARTED) �ST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE IS UED. SIGNS-ADVERTISING SIGI�IfS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLET�D THE SIGNS MUST BE REMOVED. � � APpLICANT pERMIT FEE SCHEDULE I 118.00 AUBEN RESIDENTIAL STATE SURCHARGE(VALUATION) 2.50 PO BOX 81 VICTORIA,MN 55386- MISC FEE I 0.00 (952)836-4332 TOTAL I 120.50 Minnesota State License#:20634617 WNER RILEY,NEIL&STEPHA IE 3175 JAMESTOWN RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit i�issu�shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This perm �s for only the work described and does ` not grant permission for additio al or related work which requires sepazate � permits. All provisions of laws d ordinances governing this type of work shall be compied with whether o not specified herein.This permit will expire and become null and voi if construction authorized is not commenced within 1 SO days of e date of issuance,or if construction is suspended for a period of 180 d s at any time after work has commenced. The applicant is responsible for suring all required inspections are requested' onfo ce with t e State Building Code.This permit may be revok a y ti for due cau e. . � � /oi i l/ Applicant Permitee Signatur� Date Iss d By Signature D te SE ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I . City of Orono � Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: a�l�-6// � .¢,�,�: PO Box 66 � Crystal Bay, MN 55323-0066 Date received: �d /� � O � O� � "� Received by: ,.� �� y �, Street Address: � f� ti`�' 2750 Kelley Parkway Plan review fee: �t ' *r��' Orono,MN 55356 '�kEsxo¢ �—_—� Total Fee: �p�� 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: �� r,l}i`Il E`�->i C 15.��:: �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes No H yes,a special event permit is required with PoJice Department and City Council approva160 days prior to the event. Shuttle bus service will be required un/ess applicant demonstrates su�cient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �,��4 �'�S�4�J�'t"7 State License# ?5;�;?�y(�I'1' Expiration Date: �-; Z Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: `I�vZ - �l�i�-Z7;?{� (office) `.1'i�-(s:'-�7 ' 2,£'-�:r.� �cell) Mailing Address: �,�,��, City: �� ZIP: �C' - Contact Person: �° ;_R„�� ( Applicant is: Contrac o / Homeowner �c�►ciear�e� Emailand/orFax: J►�' j� L, �t�p�� :`�;t�.�►J-C1ptl.- �/�Z -�(�:� -� 7� PROPERTY OWNER INFORMATION: '�`'� "` ""' "' Name: �j�"E1��1 i�1'i�� 1��L �I�l i Phone (daY): ' ��Z- �'7� - 27�3( �� t F:.�(�1 tl�u'� Address: ,. c�� _ � � - - � ' ZIP: c C _ . , i"l � �-� i��.�� 2D � .�_� ��t� Email and/or Fax �,f � 1��'�l� PROJECT INFORMATION: ��►�— �•�� Type of Project: ement may require ❑Door(s) ❑ Remodel ❑ Fire Damage iew&permits: atershed District(MCWD) �Re-roof,asphalt ❑ Repair ❑Storm Dama - inetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Dama� � �e�;,�� 5�� n, MN 55391 � � ��.,��C. a52-471-0590 ❑Re-roof,other(specify) ❑Siding ❑Other: (specify) Fax: 952-471-0682 rv�,n,v.minnef�iahacreek.org ❑Window(s) Overall Project Description: kJll `��_ + �NST"(�u. �;'�:: '�i-E�r�I�L�`� Estimated Construction Valuation of Project{excluding land) $ ��r•� `t APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and coRect 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 altemative 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 confidentiat. 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: � Date: /� �3 ZC�/ / Last Updated: 08-09-2011 � r 2C�-�c; � lE� DATE TIME CITY OF ORONO CALLED IN � INSPECTION NOTICE SCHEDULED PERMIT NO.020!��O��7'3 COMPLETED ADDRESS �� 75 � � OWNER TELEPHONE NO. 95'2 �7��Z'7�S CONTRACTOR /�-�✓ >; DESCRIPTION 1 C� �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRAOING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ IAKESHORE/WETLANDS y ❑ 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 � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � �,a.5Q ��-r S3Q o ��e� � �r��,�cn- �s �t�.�. �l�o�� Q � �� t.,.., �- �e c � rz z � � j ; 2Q. � ��j �c� GW �ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W1LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTIOfV REQUIRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice _ �� v DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO.�G/I- O/l,�� COMPLETED - - ADDRESS 3l1� �T4�+2�sz�aw �- /��, OWNER TELEPHONE NO. CONTRACTOR ��. l��ss�a.y��, j DESCRIPTION �CP_-roo� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI ❑ LAKESHORFJWETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z � INSULATION O WOOD BURNER/FIREPLACE O SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �CL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE O SEPTIC MAINT. �FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL � HARD COVER REMOVAC J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTORTO MEET YOU:_YES_NO � COMMENTS: � , � !� .AG�Kut '- /�l0 �`[qL �`IS,B�.2te.c �e X�1.45� j �O _ � db f�4r �a�'� �xfD�G�le�. Mco�aQ.�d? 0 W � bc,b r!C �,o.o�r�s �'a•�•�t.c%�e Q � z . � �� J � ❑WORKSATISFACTORY:PROCEED �JECT COMPLETE W ❑CORRECT YIbRK 8 PROCEED O ISSUE CEHTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COYERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN IENSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSF�ECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-46�0 OwnedContractor on site: Inspector. ��r-• � White Copyllnspector's File Canary CopytSfte Notke I