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Home My WebLink About2011-01526 - roofing � ; � CITY OF ORONO PERMIT NO.: 2011-01526 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 12/08/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 345 LEAF ST PIN : OS-117-23-14-0003 LEGAL DESC : AUDITOR'S SUBD.NO.203 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 29,000.00 NOTE: VALUATION OF PERMIT:$29000.00 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 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 456.00 GARY BENSON CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 14.50 14532 WILDS PARKWAY TOTAL 470.50 PRIOR LAKE,MN 55372- (952)403-1658 PAID WITH CC# 0587 Minnesota State License#: 13298 OWNER RENDER,DENISE H 345 LEAF ST 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 dces 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 ail required inspections are requested in conformance with the State Building Code.This permit may be revoked at time for due cause. ��/ � / � / / Applicant ermi Si ature Date Issued By S' ure SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED AB E. ' . �� , �� .► . �I�� ai'D�Q a�4 � ; „ Buifcfing Permif �ppiica�io� for IV�ainte�a�ce / Re�o�a�ion , r (window�, doors, siciing, re-�-oof, etc.) Marling Address: � Permit number: � ��,� PO Box 66 � ; �Q Q Crystal Bay, MN 55323-0066 Date cecsived: � �,� v,+� , �a �-� s, Street Address: Received by: �,��> �' ��cnt9 "Y��"�.,^�,,,�� 2750 Kelley Parkway Plan review fee: gESKo�`' Orono, MN 55356 Total:Fee: � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �; This appiication forrn must be completed in full and all required information must be submitted. fncomplete appfications will be returned. (Please print) ,� GENERAL INFORMATION: :� �, Job Site Address: � r: ,�� _�,�f� 1-�-, �� t- �� i�/ � � � Will this be a Parade of Homes, Remodelers Showcase Home or oth Disptay Home? ❑ Yes , o !f yes,a special event permit is requrred with Pofice Department and City Counci/approval 60 days prior to the evenf. Shuttle bus service will be required unless applrcant demonstrates sufficient on-site parking is available. Non-permitted events wil/not be allowed. �3 ,.�,� CONTRACTOR/APPLI ANT INFORMATIOI�: � � Name: ��,�� State License# Expiration Date: ,�� *� Lead Certification Number: Expira'tion Date: �� (for work on home haf were consfructed prior to 1978 � Phone: �� - LfG'3 `J�,�� (office) � ' � ��f � (cell) �� N�aifing Address: ' � ,f City: �� - , ZIP: �-� � � �' ' . '' , , Contact Person: ��„G ��_`��n�n Appi.icant is: on racto / Homeowner (Circle One) Email and/or Fax: c� ; (p . �,�5..� � ��„-t�,ti� , �� ; s' �,; PROPERTY OWNER INFORMATION: �; Name: ' i S�-t O 1/l.s �'� � Phone (day): � � Address: t � ��c'cc� � '"�' �3'� City:(� �/�� ZIP: �� ?�S��o � , Email and/or Fax PROJECT INFORMATION: � � Type of Project: Any earth movement may require � ❑ Door(s) ❑ Remodel MCWD review&permits: ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) � Re-roof, as halt ��' p ❑ Repair ❑ Storm Damage 18202 Minnetonka Bfvd � ❑ Re-roof, cedar ❑ Restoration ❑Water Qamage Deephaven, MN 55391 ' Phone: 952-471-Q590 �S ❑ Re-roof, other(specify) ❑ Siding ❑ Other: s ecif �? ( P Y) Fax: 952-471-0682 :� ❑Window(s) www.minnehahacreek.orq �; z,;; " Overal! Project Description: � Esfirnated Construction Valuation of Project(excluding Eand) $ � �, �,; APPLICANT A�KNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; `� i�'s , • Certifies that the information supp(ied is true and correct to the best of his/her knowledge. The app(icant recognizes that they are solely resporsibie for submitting a complete app(icafion being aware that upon failure to do so, the staff has no aftemative � but to reject it until it is complete; ;:y� Some or all of the informafion that you are asked to provide on this appfication is cfassified 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 pubiic or the subject of the data. Our y purpose and intended use of this information is to annually update our records and records of other governmental agencies � re uired b law. If vou refuse to su I the information,the a ficafion ma not be issued. �� AppficanYs Signature: Date: 1�- �" �/ , Last Updated: 08-09-2011 w; :. ', __ . �`,' . _,�__.� �::� �, ` DA TIME V CITY OF ORONO CALLED IN � � INSPECTION NOTIC SCHEDULED �' '� __�� PERMIT N0. a � ��d�s� COMPLETED ADDRESS 3 y5 L�� OWNER TELEPHONE NO. ��Z" Z`�Z �`�7q CONTRACTOR � ��''L �7� � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARO COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL_ � OWNER/CONTRACTOR TO MEET YOU:_YES_NO ° COMMENTS: `�-P-�-2 C2.�-e- �D'rC-2 GdAGt1a /.e�'f�t `4� a !ce✓ � ,a.�- � � a � � 0 � W � Q � Z W � W � � W .E��ORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECa/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on sitet Inspector. � ' White Copyllnspector's File Canary CopylSite Notice ✓ DATE TIME �ITY�F OROI�O CALLED IN BNSPECTION C�1/� SCHEDULED � -�7� PERIIIIIT IVO. U� OMPL E ADDRESS OWNER TELEPHONE NO. CONTRAGTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBIldG FINAL EXCAV/GRADING/FILLiNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y O FRAMING ❑ ANECHAPIICAL FINAL ❑ TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIflEPLACE ❑ SITE INSPECTION ��DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL O SEWER HOOK-UP � COMPLAINT ^� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP Z ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OMINERICOIdTRACTOR TO MEET YOU:_YES_Pd0 � ��M� ��$: � � *OLD PERMIT - NO FINAL INSPECTION REQUESTED � J O >. � O � W � Q � Z W � W � j d ' W ❑WORKSATISFACTORY:PROCEED ROJECT COMPLETE � ❑CORRECT WORK 8�PROCEED ISSUE CERTIFICATE OF OCCUPANCY W o ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHiN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑IiVSPECTION REQUIRED.CALL TO ARRAtdGE ACCESS. �aBB for t�ee n�xt inspee�ttion 24 houcs 6 a��a�,�. (g5Z) 9°-460� OvunerlContr�ctor on site: Cnspector V1lhite Copyllnspec4oPs File Canary CopylSite ido4iee �� DATE TIME �i �CITY OF ORC`�� CALLED IN I � �` INSPEC�'°ICjN NVTICE SCHEDULED / �' �' � PERMIT NO. ��L'C/�(,��o�� cornP�ETE� ADDRESS � � � � -C'(,�� ' OWNER TELEPHONE NO. �'�� "� �� 7/ CONTRACTOR � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL ZO 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 FINA ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS:�°-�-�� C�T�T- 1�1�� l y �// � �_ ,��i .�-{ {��'; Y'1C��S I� ��cxs5-e�. J , o j �r��-�.t r �S �� ';� l 1 `� c:Yl 51 fi� � � � }�r —1 '� ca c� . `�1.C' r- f1�► c' 1.c1'�-�-J'.. Q D�� f'n.��-f L��►`� t,�� ► +� ��? � z �"�� C� '��'--- L - � �.S'n .S� 2 �� .,��A�.� � w� , � A� � �;� � �1.� A � � : � :�� j ��l'[-�t a.i.. �(�v1./��+ d W� ❑WORK SATISFACTORY:PROCEED f�R�OJECT COMPLETE W ❑CORRECT WORK 8 PROCEED 1-! ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. C PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED C INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-4600 OwnerlContractor on site: Inspector. .� White Copyllnspector's File Canary CopylSite Notice r1 , : �� /��, ��oT'� �� .� -�� a� p��/ �C� ��jej l� ir��on G✓� (�I/�f.i�`�2. �� Q.�7a�- Gt�a`-tan�,� � a�p�S c�" �2 Shei ld o V�r � �- w��G h V�`e- ��d �s� P��,�s' . W� a G�- P�,-E- .e�#-r�.., .�"c� 5 h�;l d i� �h,e �ey�-�-.c� �-�cowb�� a�� ,,�,l�e,,Z�, �Iec�.�5�e t�� a- n�� o��-}' �fl�;s �. � ca.,� pr�s�✓t � �o fil��e i,�S�,r'v�nG c- � �n�l � ��1 4('��- '�'0 9�.. �.'d � ��,� �.a�►+k�or��l �r�.s 4-� �G�2 �he; ld • ��- '�� j �,� ��a-��a-��