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Home My WebLink About2011-01028 - roofing CITY OF ORONO PERMIT NO.: 2011-01028 • 2750 KELLEY PARKWAY • ORONO,MN 55356- DATE ISSUED: 09/09/2011 ' 952 249-4600 FAX: 952 249-4616 ADDRESS : 1029 LOMA LINDA AVE PIN : 07-117-23-14-0006 LEGAL DESC : LJNPLATTED 07 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,500.00 NOTE: VALUATION OF PERMIT:$7,500.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 162.25 NELSON ALEXANDER LTD STATE SURCHARGE(VALUATION) 3.75 2051 MELODY HILL RD TOTAL 166.00 EXCELSIOR,MN 55331- (612)790-8232 PAID WITH CC# 4845 Minnesota State License#:20524131 OWNER KNOX,RALPH 1029 LOMA LINDA AVE MOLJND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied wittt whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in confo `� e wrt i State Building Code.This permit may be �M revoked at any ' e f e. ��J ." � i i �� '� �m�-cn i �l g�/ Applicant P itee Signat Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � r." y�� ,� `` �$�p City of Orono �� a �� :: ��.°: � Building Permit Application for Maintenance / Renovation fr� a�� (windows, doors, siding, re-roof, etc.) Mailing Address: �� ,0,�. PO Box 66 Permit number. �. Crystal Bay, MN 55323-0066 Date received: �„ � � � � ��:i � r� Received b I a �:�;.� s, Street Address: y� � ��c, "�� ti 2750 Kelley Parkway Plan review fee: � L�'kESHo4� 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: Job Site Address: �� f rivn/;G; (�;�C �U-�: ;� Will this be a Parade of Hor�es, Remodelers howcase Home or other Disptay Home? ❑ Yes ❑ No ;�� If yes, a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service wil!be required unfess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: � Name: ��`�.�(e-7��1f'�� G�� State License# ap� a�� Expiration Date: �� Lead Certification Number: Expiration Date: �� (for work on homes that were construcfed prior to 1978 i� Phone: �fZ � G �' (office) 6�� , 7�� ' �� (cell) � Mailing Address ^0 '� �� ' , � City: .� .� o � � ZIP: �� , '� Contact Person: �_�1��p� �� Applicant is: Contractor / Homeowner (Circle One) � _�s�, Email and/or Fax: ,�� PROPERTY OWNER FO�RMATION: � Name: � l � Phone (day): �5 , _ y7Z � �JR6� ; Address: ��'��i )r,/v;c: � ;�1`,o1a AVE. city: r�c r.<� ZIP: �5��_ � Email and/or Fax ' °°�� r� � PROJECT INFORMATION: •� Type of Project: Any earth movement may require � MCWD review&permits: `-� ❑ Door(s) ❑ Remodel ❑ Fire Damage �� Minnehaha Creek Watershed District(MCWD) >+7 �f Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd :;� ❑ Re-roof, cedar ❑ Restorafion ❑Water Damage Deephaven, MN 55391 :�� Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: ;;:,� Estimated Construction Valuation of Project(excluding land) $ �� :� � � APPLICANT ACKNOWLEDGEMENT: t� • 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 submitfing 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 su I the information e a c3f a not be issued. � Applicant's Signature: � � �� ,.- %' �.�� Date: �'� � � � Last Updated: 08-09-2011 ;� ;�� j �"` ''_-1 , / I�� °'� � � DA TIME V �/ CITY OF ORONO � CALLED IN ''�'�� INSPECTION OTI E SCHEDULED � PERMIT NO. �� ' ��COMPLETED ADDRESS ��Z 9 C. C7�'V1C'L L %��C�Gt l � OWNER TELEPH�NE NO. �' /�-�ci s�r03 CONTRACTOR � DESCRIPTION `-'e-�� L� � ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO � COMMENTS: � W � � J O a � O � W � Q � 2 W � W � � d W��WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFOREC�IERING , PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 OwnedContractor on site: Inspector. y� White Copyllnspector's File Canary CopylSite Notfce � D 9T TIME \ / CITY OF ORONO CALLED IN `/� � INSPECTION NOTICE SCHEDULED -/ -/ � PERMIT N00?D�/— D�U ZS COMPLETED ADDRESS l b z�'1 L�7vla �[C�Q /'�/t�� OWNER��-/�/�� TELEPHONE NO. ��Z- �7 Z ��p� CONTRACTOR - /O � DESCRIPTION �� "� ��"�c�y4.3 � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP p PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI O SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � J O � � O � W � Q � 2 W � W � � d � ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952 j 249-4600 OwnedContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice