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Home My WebLink About2011-01123 - roofing � , CITY OF ORONO PERMIT NO.: 2011-01123 2750 KELLEY PARKWAY ORONO,MN 55356- DATE�SSUED: 09/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 360 LEAF ST PIN : 04-117-23-23-0009 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 029 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 12,231.00 NOTE: VALUATION OF PERMIT:$12,231.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 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 236.00 NEW EXTERIORS BY SMA INC STATE SURCHARGE(VALUATION) 6.12 10701 93RD AVE N, SUITE E MAPLE GROVE,MN 55311- MAIL-IN FEE 2.00 (763)315-8900 TOTAL 244.12 Minnesota State License#:20593875 PAID WITH CC# 6533 OWNER MUNDEN,KEVIN 360 LEAF ST LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed acwrding 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 sepazate 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 1 SO 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 all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for d�e cau . �a � �� , �� i Applicant Pe �tee Signa re Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � . ,._� NEW EXTERIORS, INC Fax:763-315-8908 Sep 26 2011 U1:32pm P002/OOd City of Qrono Building Permit Application fior Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. �� -� Og,�,�0 PO BOX 66 Crystal Bay,MN 55323-0066 Date reoefved: � / A �.I� Slreet Add�9ss: Re�e�ed by: � o�' 2750 Kelley Pa�lcway Plan review 6ee: � Orono, MN 55356 Main: 952-24�-�600 Fax: 952-249-4616 www.ci.orono.mr,us Total Fee: a�/�,� �_ This application form must be completed in full and all required information must be submitted. Incomplete applications wi11 be returned. (P/ease prrnE) GENERAL INFORMATION: Job Sit�Address: ��' ' {� ��i WIII this be a Parade of Homes, Remodelers Shvwcase Home cr othe�Display Hcme? ❑Yes No ff y�s,a specla/eve,rt pem�it is�quNed whh Potia�e Depa�trr�ern antl G7y Council approval�days prior b the evenc SAume nus servi�e w�/�pe requlred unJess applicaM demonstratea�u�Tioient on-slTe pa�king ia available. Noo-perm,�ted ewer�s wlll not be al�Owed. CONTRACTOR/APPUC T INFORM TION: Name: ) �G � �. Stffie Lioense# � S,S � Expiration Date: `3 � � Lead Certification Number. { T„ _ � E�cpiration Date: fm -a D yS (fbr work on homes that wer�e cansbvcted prfor to 1978 Phone: `�(0,3 .3 l5'- �j �C� ��) (cell) Mailing Address: � •( � City: f �y� ZIP: � s'�' � Contact Perscn: � �L ' Applicant is: ontractar / Homeowner �cz��o„e� Email and/or Fax: [ f�.,�..� PROPERTY OWNER NFORMA`T�ON:� Name: j /`1��'f,y� Phone(day): �I� ��_t�� Address: �,yy� � City: ZIP: Email a�nd/or Fax PROJECT INFORMATION: Type of ProJect: Any earth movement may require �Door(S) ❑Remodel ❑Fire Damage MC��perm�s= Minnehaha Creek Watershed District(MCWD) Re-roof,asphelt ❑Repair ❑Storm Damage 18202 Minnzbonka Blvd • ❑Re-roof,cedar ❑Restor'ation ❑Water Damage �e9phaven, MN 55391 ❑Re-roof,other(spocity) ❑Sidin Phone: 95z�71-0590 9 ❑Other;(specify) Fax: 952-471-0682 ❑Window(s) .minne aha ek.o Overall Pro'ect Descri 'o�: _ � , �.� � Estimated Construction Valuation of Project(sxcluding land $ / APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all informaUon required o�requested by the Building Department; • Certifies that the information supplied is true and cprrect to the best oF his/her knWvledge. The applicant f'eCognizes that they ere soley responsible fvr submitting� complste application being aware that upon failure to do so, the staff has no altemative but to reject it until it is comple0e; • Some or all of the information fhat you are asked to provide on this application is dassified by State law as either private or confidential. Private data is information which generally cannot be given to tha public but can be given to the subject of the data. Confidential data is inform bon which gene lly cannot be given to either the public or the subject oF the data. Ovr purpose and intended use of th' in � n is annually update our records and reootds of other governmental agenCies uired b law. (f ou refuse u e i ation the a lication ma not be issued. � Applicar�t's Signature: � D��: �� /� r Last Updated: 08-09-2011 � DAT TIME V CITY OF ORON CALLED IN g �� INSPECTION�IOTICE SCHEDULED PERMIT NO��'/l—L� /l�3 COMPLETED ADDRESS 3 � C�� f7�-� OWNER TELEPHONE NO. 7��°��a� CONTRACTOR �.� �,�Z D�---� � UJ >: DESCRIPTION ��Z � � ❑ FOOTING ❑ PLUMBING FINAL � EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ tAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q ti Z W � W � � /� � 1 D�WQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE v W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN �NSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALlTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on i�e: Inspector. � White Copyllnspector's File Canary CopylSite Notice � DA TIME ✓ CITY OF ORONO CALLED IN �' � INSPECTION OT CE SCHEDULED �� PERMIT NO / � COMPLETED ADDRESS .�� -� �S,7`" OWNER TELEPHONE NO. ?�O�� 7 ' qD� CONTRACTOR ��'v ��-S � DESCRIPTION �� /�� ❑ 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 ❑ 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/CONTHACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED f�PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED � ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. White Copyllnspector's File Canary Copy/Site Notice