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Home My WebLink About2011-01225 - roofing � � CITY OF ORONO PERMIT NO.: 2011-01225 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/12/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2870 LITTLE ORCHARD WAY PIN : 09-117-23-21-0008 LEGAL DESC : LITTLE ORCHARD : LOT 002 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 33,480.94 NOTE: VALUATION OF PERMIT:$33480.94 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 509.75 SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 16.74 12366 RIVER RIDGE ROAD BURNSVILLE,MN 55337- MAIL-IN FEE 2.00 (612)861-7000 TOTAL 528.49 Minnesota State License#:20593656 PAID WITH CC# 1521 OWNER AMSTER,KEVIN&PAIGE 2870 LITTLE ORCHARD WAY WAYZATA,MN 55391- 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 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 aze requested in conformance with the State Building Code.This perntit may be revoked at any time for due c use. C`7J%G�t,�.�� /Di ��i /� � ��✓7it-�-l� � /ay-// Applicant Permitee Signature Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. OCT-11-z2� 07:36 From: 6785736615 To:9522494616 Pase:1�1 i ' . City of 4rono Building Permit Application for Main#enance / Renovation (windows, doors, sidin , re-roof, etc.) Mailing Addr�ss: Permit number: D 1 �� O�O�O Crystel Bay,MAI 55323-006@ Date reoeived: �d/ / �, St►set Addness: Reoeived by: �a � 2750 Kelley Parkway Plan r�vieNv fee: � � Orono, MN 55356 �� v - /� 0 Tot�l Fea: p �� Main: 952-249-4B00 Fax: 952-249-4616 www.ci.oronq.mn.us This application form must be completed in full and all required information must be submitked. Incomplete applications will be returned. (P/ease print) GENERAL INFORMATION: Job Stte Address: 7.b"Lo � 1r W� Wtll this be a Pande of Homes� Remodelers Sliowcase Flome or other Display ome? Yes No It yes,a speclal event pemdt is required wilh Polioa Departme�t and City Council approva/60 days prior b fhe event ShulNe bus service will be ►equiied un/ess applicant demonstrates suA�iaent o�rsite paiJcing is available. Non perrniteed e�nts will not be a/lowed. CONTRACTOR/APPLICANT INFORMATION: Name: State License# � r�� S(e Expiration Date: Lead Certification Number: Expiration Date: (for xrork on homes that were co�structed p�or to 1978 Phone: p�p � (office) �' 3 3 (cell) Maifing Address: �1, ' City: ZIP: Contact Person: ' Applicant is: Contractor / Homeowner �c►�one� Email and/or Fax: �`�� a S�„�,�,.��,��K . ��M PROPERTY OWNER INFORMATION: , Name: �r.. � Phone(day): ' � � Address: O City: C��1�.f. ZIP: Email and/or Fax • PROJECT INFORMATION: Type of Projsct: Any earth movemerrt may require 0�oor(s) ❑Remodel ❑Fire Damage MCWD review&pern�its: Minnehaha Creek Wetershed District(MCWD) Q�Re-roof,asphalt ❑ Repair (y�'Stortn Damage 18202 Minnetonke Blvd ❑R�roof,cedar [�'Restoration ❑Water Damage Deophaven,MN 56391 Phone: 952�71-0590 ❑Re-roof,athsr(specify) ❑ Sid'Ing ❑ Other. (specify) Fax: 95Z-a71-0682 ❑Window(s) www.minnehahacreek.om Overall Pro'ect Description: � - Estimated Constructlon Valuation of Project(excluding land) S 3 3�1.4�D .1`� APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all ininrmation required or requested by the Ruilding Departmer�t; • CsRifies that the information supplied is true and co�rect to the best of his/her knowladge. The applicar�t recognizes that they sre solely responsible for submitting a ccmplete app�ication bcing aware thst upon feilure to do so, the stafl has no altemative but to reject it until it is complete; • Some or all of the info►mation that you are asked to provide on this application is classified by State law as either private or confldenUal. Private data is i�formation which generally cennot be given to the public but can be given to the subject cf the data. Confidential data is irrformation which ge�erally cannot be given to either the public or the subject of ths d�ta. Our purpose and intended use of this informaGon is to annually update our reoorcJs and reoords of other govemmental agencles re uired b law. If ou�efuse to su I the inform on,the a lication ma not be issued. •_-�=---y- ^'---�•---. �1 'C.\ • — n..►.,. 1!� I 1� ' �1 DATE TIME �/ CITY OF ORONO CALLED IN 3_� INSPECTION NOTICE CHEDULED 3-�O-/Z PERMIT NO. a o i/-��aa s'�OMPLEfED ADDRESS o�87d L�.-fi`/� Dr�� 1 OWNER TELEPHONE N0.9S�-�S �QS2-- CONTRACTOR S�� DESCRIPTION �l�a'�- /�DD� —� !2� 7��e�CO� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO ��., COMMENTS: � W a � ��fc ��-�- tiee� ec� � � 0 � _ / _l� r n.� ,� e � 0 � W � Q � z W � W � � d W ��^W�O� RK SATISFACTORY:PROCEED � �.CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C�/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnerlConVactor on site: Inspector. �� " White Copyllnspector's File Canary CopylSite Notice DATE TIME ✓ CITY OF ORONO CALLED IN INSPECTION NOTI E SCHEDULED PERMIT NO. � 1�� co LETED ADDRESS � � OWNER TELE ONE N r — CONTRACTOR � DESCRIPTION � � � ❑ FOOTING ❑ PWMBING FINA Q EXCAV/GRADING/FILLING y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWEfLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSU ON ❑ WOpD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ ON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT i0 MO-SITE 0 SEPTIC MAINT. �FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUIVDATION/REMOVAL 2 OWNERICANTNACTOR TO MEET Y�U:_YES_NO � C MEN • a d r rKrt D , s? � r� .� j O � �O � W -- � Q � ~ W �� u - � � __ O W� �WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK 3 PROCEED ❑I UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. � 2) 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's Flle Canary CopylSite Notfee