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Home My WebLink About2011-01178 - roofing R ' " CITY OF ORONO PERMIT NO.: 2011-01178 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 10/04/2011 � 952 249-4600 FAX: 952 249-4616 ADDRESS : 1025 LOMA LINDA AVE PIN : 07-117-23-14-0007 LEGAL DESC : UNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 10,500.00 NOTE: VALUATION OF PERMIT:$10500.00 REROOF TEAR OFF AND WINDOW REPLACEMENT 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-ADVERTISMG 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 206.50 SORENSON,LAVONNE STATE SURCHARGE(VALUATION) 5.25 4027 VINCENT AVENUE N. TOTAL 211.75 MINNEAPOLIS,MN 55364 PAID WITH CC# 5577 OWNER SORENSON,LAVONNE 4027 VINCENT AVENUE N. MINNEAPOLIS,MN 55364 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 dces 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 wmmenced. The applicant is responsible for assuring all required inspections are reques in nformance with tate Building Code.This permit may be revok at y time for du a e� �/ `� / �( /�/ �/ !� plican Pe itee ignature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - � ' City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: , Permit number: —�/� �v�,� PO Box 66 ''� 0 �, � O Crystal Bay, MN 55323-0066 Date received: Q / �,:� � Received by: a �:;� �, Sfreet Address: " �'�,e, t s�Y Gti�' 2750 Kelley Parkway Plan review fee: � t9kESH0�`� Orono, MN 55356 �!� ,�� Total Fee: �3 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: 9� Job Site Address: p;� S ,��,� ��,��;(�<< �� . - Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes o '� If yes,a special event permif is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be ;: required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ��r CONTRACTOR/APPLICANT INFORMATION: Name: State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 f Phone: (office) (cell) Mailing Address: City: ZIP: �' Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �/F (�oi?/! � S _,E e�? S c�Yl Phone (day): � �� _ ��y�� r, Address: �D�S �om.a- � �h �. /�v-t City: �vud-�� , ZIP: S� 3 G Y Email and/or Fax ,� PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Do r(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) e-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 `�; ❑ Re-roof, other s eci Phone: 952-471-0590 ;� ( p fy) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 �ti indow(s) www.minnehahacreek.orq Overall Project Descrip ion: Estimated Construction Valuation of Project(excluding land) $ �",�p0. c�D -f af p� � APPLICANT ACKNOWLEDGEMENT: �'L��5 r� • Agrees to provide all information required or requested by the Building Department; �N �. • 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 information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to s I e informatio e a lication ma not be issued. ApplicanYs Signature: � �r Date: l6 � �' �` Last Updated: 08-09-2011 I i' �� C�%i�� / D/E TIME �,� CITY OF ORONO CALLED IN � l INSPECTION N ICE/ O//7�SCHEDULED PERMIT N0. ��` / COMPLETED � ADDRESS � _---�� OWNER ELEPHONE N��d`aZ�l�P � 7� CONTRACTOR �; DESCRIPTION O � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS 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 ❑ COMPLA�NT 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 0. � � O � l 0 � W � Q ti Z W � W k � d W� ❑WORK SATISFACTORY:PROCEED /�pgOJECT COMPLETE W ❑CORRECT WORK&PROCEED �,C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site� *- Inspector. Whiie Copy/inspector's File Canary CopylSite Notice