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Home My WebLink About2011-00515 - roofing CITY OF ORONO PERMIT NO.: 2oii-oos�s 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 06/28/2011 , � (952) 249-4600 FAX: (952) 249-4616 < ADDRESS : 400 LEAF ST PIN : 04-117-23-23-0010 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 030 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 21,500.00 APPLICANT PERMIT FEE SCHEDULE 368.75 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 10.75 12366 RIVER RIDGE ROAD BURNSVILLE, MN 55337- TOTAL 379.50 (612)861-7000 Minnesota State License#: 20593656 OWNER TURKULA, LOUISE 101 WHITEGATE LN WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according ro the approved plans and specifications,applicable City approvals,and the Sta[e 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 responsible for assuring all required inspections are �re ��rrconformanc rth the State Building Code.This permit may be rev� o d at a time fo� �c�use. �J '' CG`'/��(�,� � /�/�� "� lTYiil t.r �'� / �j� �Q �� Applicant Permitee S gnature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. JUN-24-2611 07:20 From: To:9522494616 Pa9e:1�1 City of Qrono . ` Building Permit Application for Internal Work ' (windows, doors, siding, re-roof, etc.) Mailing Address: pe�i�number: �d�/--DD��S O�O�O Grystsl Bay, MN 55323-0066 Date received: lo'zy—�f o, Strest Address: Received by: �� G� 2750 Kelley Partcway Plan review fee: � � Orono, MN 55356 Total Fee: .3 7�I• �D Main: 952-249-4600 Fax: 952-248�616 .ci.orono. n.us This appiication form must be compieted in full and all required information must be submitted. Incomplete applications wiil be returned. (Please print) GENERAL INFORMATION: Job Site Address: �00 LP.a� �'� Drqu�n , �r� �� Will this be a Para�de of Homes,Remodeters Showcase Home or other Display Home? ❑Yes No If yeb,a special evern pem7�71s required with Police Deparhnent and Ciry Couna!approval 60 days prlor to the event ShutNe bus service will be iequiled un/ess applicar►t demnnstrates suH'rcient on-she parking�s available. Non permitted events wiU not be allowed. CONTRACTOR/APPLICANT INFORMATION: , Name: �v�S r State License# � (�G � 2,OS�l 3 a Expiration Date: � 3� Lead Certi�ication Number. Expiration Date: (for work on homes thaf were constructed prror to�978 Phone: (o l 2-Q�6 l- '"l�� (office) (cell) Mailing Address: \23 v ��c� v City: ZtP: S 33 Contact Person: �� 1�,� ' Applicant is: Contractor / Homeowner �arc�o�) Email and/or Fax: ' �q� s�,,� 5 ' PROPERTY OWNER INFORMATION: - Name: D� Lov�se: �v��1�Cw� Phona(day): A��.- ►��l�-�fo 3� Address: �vc� Lea� 5�«'�' C�tY�D�v�...� ZIP: SS 3S(� Email and/or Fax . PROJECT INFORMATION: Type of Project: Any ea�th movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Wate�shed Qistrict(MCWD) ❑Window(s) ❑ Repair [�Storm Damage 18202 Minnetonka Blvd ❑Siding Q�Restoration ❑Other:(specify) Deephaven,MN 55381 Phone� 952-479-0580 [�Re-roof ❑Fire Damage Fax: 952-471-0682 � www.m'n e a e k.a� Overall Project Description: �� r Estimated Constructfo� Valuation of Project(excluding la�nd) a 1 �S"pp /35 � APPLICANT ACKNOWLEDGEMENT: Agrees to provide all infom�ation required or requested by the Building Department; Certifies that the iMormation supplied is true and correct to the best of his/her knowledge. The�pplipnt 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 rejed it uMil it is complete; � Some or all of ths infoRnatien that you are asked to provide on this appfication is Gassified by State faw as either private or confidential. Private date is irrformation which generally cannot be given to the public but can be given to the subjed 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 �ntended use of t�is information is to annually update our records and records of other govemmental agencies re uired b law. If ou refuse to su I the information the a licatlon ma not be issued. Annli�ant'�Sianature: ( X l.. � , Date: �`1�,NA . ��. ZD�� DATE TIME � � CITY OF ORONO CALLED IN � I INSPECTION NOTICE SCHEDULED Z / ___��-8'�. PERMIT NO. ' -'� SCOMP ETED ADDRESS � ` OWNER TELEPHONE NO.��-��'� - ��C'� CONTRACTOR r- : �� . �: DESCRIPTION �- '1 ' � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLA�NT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � . a W� �ifORKSATiSFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REOUIRED.CAIL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site• Inspector. ✓""�� White Copyllnspector's File Canary CopylSite Notice C��/'— - DATE TIME V CITY OF ORONO CALLED IN INSPECTION�OTI E SCHEDULED �— — � PERMIT NO. '""DD�IS COMPLETED ADDRESS 7`/�/' �1�2�S� OWNER TELEPHONE NO.��Z��—7�� CONTRACTOR A> rn�► [<<� • >; DESCRIPTION �1�� / � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W 0. � J O �. � O � W � Q � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK 8 PROCEED ❑ IS16UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL 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 OwnerlContractor on site: Inspector. . , White Copyllnspector's File Canary CopylSite Notice