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Home My WebLink About2011-00543 - roofing CITY OF ORONO PERMIT NO.: 2011-00543 2750 KELLE�' PARKWAY ' � ORONO, MN 55356- �ATE ISSUE�: 06/28/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1082 LOMA LINDA AVE PIN : 08-117-23-23-0009 LEGAL DESC : LOMA LINDA : LOT 008 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTNITY : O/S BUILDING-UNDEFINED VALUATION : $ 6,500.00 APPLICANT PERMIT FEE SCHEDULE 147.50 J ZAC, INC. 5249 OGREN AVE NE STATE SURCHARGE(VALUATION) 3.25 MN 55376- MISC FEE 0.00 (763)497-4444 TOTAL 150.75 Minnesota State License#: 20593845 PAID WITH CC# 8377 OWNER TOMAN,JULIE 1082 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 City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rela[ed 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 are requested n conformance with the State Building Code.This permit may be revoked t ny time for due-�ause. _ l/ � / / / / Appli ant er rt ig ture Date Issue y 'g ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCWBED ABO City of Orono _ Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O�v�,�0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: a ��3� Received b ' - +,� a Street Address: y� �'� ' ^°�� ti�' 2750 Kelley Parkway Plan review fe e: t�ESH��`� 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: �/Ci'�� r,-��Z�j ��.,�� %, Will this be a Parade of Homes, Remodelers Showcase Home or o her Display Home? ❑ Yes ❑ No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � �� ti� State License# �jZ�j��`s'��` Expiration Date: - --- ��1 � Lead Certification Number: Expiration Date: (for work on homes that were construcfed prior to 1978 Phone: �Cc� '�_ �f�f�- �l �y y (office) ,�(� J'- v16'� - �/G'�5 l (cell) Mailin Address: '-'? Cit : � . �,� ZIP: �'�,f"�� 9 G � r e�-� � -t�: � Contact Person: ,��'��r� �u L � ,,�u ,,� Applicant is: Contr c o � / Homeowner (Circle One) Email and/or Fax: ��,y ��_�� `,�iC � c p �2-J ` PROPERTY OWNER INFORMATION: Name: �,� ��,E `�L-, ��2 Cl;;t; Phone (day): ' ' S"� - cf/ 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: l-�u r' o T 8- �y�% ��' Estimated Construction Valuation of Project (excluding land) $ � �G'�� - 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 pubfic 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 refus su I the information, the a lication ma not be issued. ApplicanYs Signature: � �.�y�� Date: (� �� ` �� Last Updated: 03-01-2011 �" DATE TIME V CITY OF ORONO CALLED IN a-Zy-�I INSPECTION NOTI E SCHEDULED PERMIT NO. a��"�U`s�� COMPLETED ADDRESS lOB Z �-4m� L� CZUC� OWNER TELEPHONE NO763 �9 7 �� CONTRACTOR � Z�—� � DESCRIPTION � e� ��/ / , � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ 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 ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W 0. � 1� c� O c �C� A� 0 � -�-cs' Yvt�� o � � W � Q � 2 W � W � � W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor site: Inspector. White Copyllnspector's File Canary CopylSite Notice �� C7 "� ' DATE TIME `� CITY OF ORONO CALLED IN � ��y 1 INSPECTION NQTICE SCHEDULED �-� Z-'- � PERMIT NO. a"�'�f��v�� COMPLETED � �' -� � ' � � ADDRESS I�� o� �(.��1Gt� �f1Q�Ga� CEp OWNER��J � T��"1Q�, TELEPHONE N0.��3 ~�� '�� CONTRACTOR `��Q�' �— 7�' L3�S �j� �e,,�� : DESCRIPTION ��"-f �-�-'� l�c� -- �''��`�`�` � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ 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 Z OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: �C4 f�-1�� G�� ' '��r�-�� a � � O � � O � W � Q � Z W � W � � GW ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ I UE CEATIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� Z49-4600 OwnerlContractor on si : ' J Inspector. White Copy/lnspector's File Canary CopylSite Notice