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Home My WebLink About2011-01118 - roofing • � CITY OF ORONO PERMIT NO.: 2011-01118 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1001 LOMA LINDA AVE PIN : 07-117-23-14-0008 LEGAL DESC : LINPLATTED 07 1 17 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VAI,UATION : $ 4,500.00 NO"I'E: VALUATION OF PERMIT:$4500.00 ROOF[NG PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STAR"I'ED) 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 PERM[T FEE SCHEDULE 118.00 ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 2.25 5145 INDUSTRIAL ST SUITE 103 TOTAL 120.25 MAPLE PLA[N, MN 55359 (763)479-8700 Minnesota State License#: 20631574 OWNER SORENSON, GILMAN 1001 LOMA LINDA AVE MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to [he approved plans and specifica[ions,applicable City approvals,and the Sta[e Building Code. "fhis 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 specitied 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 construc[ion 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 requested� c Yormance with the State Building Code.This permit may be revoke at a time for due se. � �./�f�ip�-1 l��r / pp icant Permitee Signature Date � �� ` Is ed By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �.-." _ .=�a - s^ Y� :� . Ci�y of Orono , � . � �� .j . ;� �; � ., , .� ,� �. ' Building Permit Application for Maintenance / Renovation � ��: (windows, doors, siding, re-roof, etc.) � �� ,>� '„ Mailing Address: Permit number: —2d`/—�/// �5 t�, Og,�,�. PO Box 66 � r ; Crystal Bay, MN 55323-0066 Date received: Z �� .�a. �� 's ` 3 , � Received by: � �`� ,� � �,-M ,� � Street Address: �;� � t 'a,^s'"' ti a ��f ,�e, �ti 2750 Kelley Parkway Plan reviewfee: ,/ � , LyxESHo�� Orono, MN 55356 �ir �� ;� � Total Fee: �� /p2�, �o� � ,�, 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. � �': fncomplete applications will be returned. (Please print) 'r� `�� GENERAL INFORMATION: � �.' Job Site Address �� i ��` Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o � If yes, a special event permit is required with Police Department and City Council approval 60 days prior to fhe event. Shuttle bus service will be 'F�, required unless applicant demonstrates sufficient on-site parking is avaifable. Non-permrtfed events will not be allowed. �" � � CONTRACTOR/APPLICANT INFORMATION: � � Name: G aiy ;� �h �G .�i��-4 � ,�i�c t`�i�ic> ,;� State License# � �p�, �j��f./ Expiration Date: "�/� -�� N Lead Certification Number: Expiration Date: s`� �' (for work on homes fhat were consfructed prior o 1978 a• �,,, Phone: � .��v� (office) (cell) � � Mailing Address: �—' � � � � City• � � �� ZIP: .y S� � }��' �� Contact Person: A licant is: Contractor / Homeowner � �.� � pp (Circle One► � �� Email and/or Fax: �� _;: �s PROPERTY OWNER INFORMATION: ��' Name: �1%/�O,�iC� �O /=�J �S�/lJ �,�; Phone (day): � -- � �`; Address: ��" `�� /��- City: ��,�J,/ ZIP: �s6�� ` Email and/or Fax �� ; � ,��> PROJECT INFORMATION: �� '�� Type of Project: Any earth movement may require � � ' ❑ Do r(s) ❑ Remodel MCWD review&permits: � + ❑ Fire Damage �� ,� Minnehaha Creek Watershed District(MCWD) � �e-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �'� Deephaven, MN 55391 � �� ❑ Re-roof, cedar ❑ Restoration ❑Water Damage � Pho ne: 952-471-0590 � . ❑ Re-roof, other(specify) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 �b. ` ❑Window(s www.minnehahacreek.orq � �� ; .; Overall Project Description: ' - ;p �' �. : � �� ; Estimated Construction Valuatio of Project (excluding land) $ � �a ,�� r �: � ,'-: 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 �s'� �a.' are solely responsible for submitting a complete appfication being aware that upon failure to do so, the staff has no alternative �.' ` but to reject it until it is complete; �� t ; �: ��.• : • 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 information is to annually update our records and records of other governmental agencies � re uired b law. I# ou refus u I the info mation,the a fication ma not be issued. � � �� ` � ApplicanYs Signature: �� ' /�/� Date: � ,�� ,� ,� Last Updated: 08-09-2011 � :; , ��„ �� DATE TIME � CITY OF ORONO CALLED IN __ INSPECTION N I SCHEDULED �--/�7� PERMIT NO. / COMPL � _ ADDRESS �D1�� aaS� ��`�"�l OWNER TEL PHO E NO. CONTRACT�R __��.1C� �, _ � DESCRIPTION _ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL � TREE REMOVAL Z � INSULATION ❑ WOOD BURNER/�IREPLACE ❑ SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � INAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVA� J ❑ PLUM8ING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVA!_ 2 OWNERICONTRACT R TO MEET YOU:_YES_NO c�.� COMM � — a *OLD PE IT - NO FINAL INSPECTION REQUES"'ED � � J O — �. � O � W — � Q � 2 W g W — � � � — O W� ❑VIfORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED O UE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE CWERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN , INSPECTOR WILL REfURN ' ❑CITATION ISSUED ' ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. ! Call for the next inspection 24 hours in advance. (952) 9-46Qo OwnedContractor on site: Inspector. __ White Copyllnspector's File Canary CopyfSite Notice � � �J T TIME � CITY O ORONO CALLE D IN v �l INSPECTION NpT�E " SCHEDULED PERMIT NO.�� COMPLETED . ADDRESS � D l OWNER TELEPHONE NO. � - �f� CONTRACTO a DESCRIPTION � � 11� ❑ FOOTING ❑ PLUMBING FIN ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C o i L �l�S -�.,� I�,� � � 0 � W � Q � Z W � W � � � GW ❑WORK SATISFACTORY:PROCEED y��ROJECT COMPLETE � i v W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALI INSPECTOR � CITATION ISSUED ❑ INSPECTION REOUIRED.CALL TO ARRANGE ACCESS. Ca11 tor the next inspection 2a hours in advance. (952� 249-4600 OwnerlContractor on s jte: Inspector. � � White Copyllnspector's File Canary CopylSite Notice