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Home My WebLink About2011-00394 - roofing � � . � , CITY OF ORONO PERMIT NO.: 2011-00394 � 2750 KELLEY PARKWAY , ORONO, MN 55356- DATE IssuEn: OS/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 465 LINDEN AVE PIN : 06-117-23-41-0109 LEGAL DESC : LINDEN WOODS : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS r PROPERTY TYPE : RESIDENTIAL ` CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,700.00 s APPLICANT PERMIT FEE SCHEDULE 147.50 INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 3.35 26175 BIRCH BLUFF RD SHOREWOOD,MN 55331 MISC FEE 0.00 (612)471-9065 TOTAL 150.85 Minnesota State License#:20168831 OWNER HOMMEYER,CHARLES&ANN 465 LINDEN AVE 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 does not grant permission for additional or related work which requires sepazate permiu. 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 sponsi le for assuring all required inspections are requested in co orman with the ate Building Code.This permit may be revoked at any me for e cause. ' �� a�� I� � � Ap licant Permitee Signature Date Issued By i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. � . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 4v 0,� PO Box 66 � 0 Crystal Bay, MN 55323-0066 Date received: � ��`� Received b � �c�;� s, StreetAddress: y� �'�,n '� '" Gti`� 2750 Kelley Parkway Plan review fee: �`�kEsxo4`'� Orono, MN 55356 '— Total Fee: 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: `� ,Q Job Site Address: -7 G� � ��'� / ��'� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No If yes,a special event permit is requrred with Polrce Department and Cify Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking rs available. Non-perrnitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: �"n��^s�— ��`��i.�.� �� C State License# ��; � C�� 1 Expiration Date: � /'� Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: �__>`,�_ �; 7; _ �'�'� �s (office) (cell) � Mailing Address: ��' j 7� �`�� r � i � ,;'J�'� �z City: ZIP: Contact Person: y'� �,�� .��t Applicant is: Contractor� / Homeowner (CircleOne) � — ----' Email and/or Fax: �S,� —y ��r�_ �� PROPERTY OWNER INFORMATION: Name: c � ..:�_�� f�v�� 1�1,`c� �`'1 .��°j�-t' Phone (day): �y 7 � ` �,, ��_ Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 � Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: ��Y� -`- 3 � _ �'c-c'�� ' _Estimated Construction Valuation of Project(excluding land) $ �� c� — 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 infor ation is t annuall update our records and records of other governmental agencies re uired b law. If ou refuse su I he infor tion,the lication ma not be issued. Applicant's Signature: Date: —� —��C� —l� Last Updated: 03-01-2011 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. ��/' �O3 9 5' COMPLETED 6 -f �f ADDRESS �5 L.�c,ve.� f�ve . OWNER TELEPHONE NO. CONTRACTOR _�-��t�e L-xf- � DESCRIPTION - /C e - ►rop� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �yINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q '6 DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP � 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUIVbATION/REMOVAL 2 01NNERICONTiiACTOR TO MEET YOU:_YES_NO v�i COMMENTS: � . � � �r.►�c�' — r!o �is�tE/ �rts�ect.a.c r��tla.s�� , O � �'Io f'c4. -oF�'�n.s��c�.�.1 Te�r�QQ-� 0 � � ' Q �G lr��ls��o.�. OroacU�� Z � ltib r!C ae.oc�i� l'� .rc�!�}c jDt r.►a.2 �irJ�le� d � ❑WORKSATISFACTORY:PROCEED `�'PROJECT COMPLETE � ❑CORHECT VYORK�PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL REfURN p 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�0 OwnerlContractor on site• Inspector: � White Copyllnspector's Ffle Canary CopylSite Notkx ATE TIME ✓ CITY OF ORONO CALLED IN 5 /( INSPECTION NOTI E ,/ SCHEDULED �— . PERMITNO. o?D F O03'�P7 COMPLETED � ADDRESS �O� L/1't CL�- �"'"— OWNER TELEPHONE NO. 952-�/– CONTRACTOR /nc%n� ,r��hC � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL p 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 ❑ PIUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � � W�1 RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE ��CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � �CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFOREC�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContracto ite: Inspector.� White Copyllnspector's File Canary CopylSite Notice