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Home My WebLink About2011-01023 - roofing CITY OF ORONO PERMIT NO.: 2011-01023 � ` 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 09/07/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1119 LOMA LINDA AVE PIN : 08-117-23-23-0021 LEGAL DESC : LOMA LINDA : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,500.00 NOTE: VALUATION OF PERMIT:$8500.00 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 TI�ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 177.00 POLLARD,WILLIAM STATE SURCHARGE(VALUATION) 4.25 1119 LOMA LINDA AVE TOTAL 181.25 MOIJND,MN 55364 OWNER POLLARD,WILLIAM 1119 LOMA LINDA AVE MOUND,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 related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consVuction 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 permit may be revoked at time for due a e. 9 � �Z��r , � � � �� Applicant Pe itee Signature Date Iss y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ::�. ;� < � City of Orono � � �� .. '}t"'"... 7�, ' Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: � — t O�,�,�.0 PO Box 66 ; Crystal Bay, MN 55323-0066 Date received: � ',a � "�'.;� s, Streef Address: Received by: � ��c,t '� �ti 2750 Kelley Parkway Plan review fee: ' 9kESH�� Orono, MN 55356 � � � Total Fee: �� Q��. �� ,- 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: ��7/t- L,��✓D�1 /t� u„�Q S'S��f � Will this be a Parade of Homes, Remodelers Showcase Home or other 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 s rvi e wil(be ;� r�quired unless applicant demonstrafes su�cier,t or,-site parking is available. �!�n-permitted events will not be a!lowed. CONTRACTOR/APPLICANT INFORMATION: c� Name: �(t', sr�0 S Sz- l��L� �, iJ-�,S `` State License# Expiration Date: � Lead Certification Number: Expiration Date: ``� (for work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) T 4� Email and/or Fax: PROPERTY OWNER INFORMATION: <� Name: /„�, fiL..�-.� .J . ��G- �-G�.�t',p :�`: Phone (day): C�S Z t��L S�S� Address: %j/� �o M� L. No� � �/ c�ty: /Gj� ��✓D ziP: �SS 3 6�/ Email and/or Fax �. �, � 3 f4�L y/�,lr0 C✓ /'� �,SlSZ , G o�"� p PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: '�$ Minnehaha Creek Watershed District(MCWD) �Re-roof, asphalt ❑ Reoair f_l Storm Damage 18202 Mlinnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 w:� ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 `�� ❑Window(s) www.minnehahacreek.orq '�� Overall Project Description: �� !N:a Estimated Construction Valuation of Project(excluding land) $ �f,SO�j <,.`e :,:� 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 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 information,t e lic tion ma not be issued. :;<: ApplicanYs Signature: / � Date: o�� 7, �'$�/ � ,i Last Updated: 08-09-2011 '"� ��'� ��j �= 1� ��y �/ n^ D TE TIME ��`CITY OF ORONO CALLED IN � �� INSPECTION NOTICE SCHEDULED Z PERMIT N0. �[�/J""��COMPLETED ADDRESS �//�� L<��7�Gx-- 7`T v�--' OWNER I;� I I f l/� �j)IIC�'1'ELEPHONE NO�� ' �7� S�� CONTRACTOR -- �: DESCRIPTION � -`-`�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINA ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO M�YOU:_YES�NO � COMMENTS: � W C � J O a � O � W � Q � Z W � W � � a ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALI TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice � �� V � DAT TIME OF ORONO CALLED IN � INSPECTION N I SCHEDULED ! PERMIT NO. �� COMP ETED ADDRESS �% , QG�- l�l9�G� OWNER T EP E NO ��707�-� CONTRACTOR � l�Z�� a DESCRIPTION ��L%�!Ll' � � ❑ 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 ❑ FOUNOATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO c� COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOH REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL REfURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspecti n 24 hours in advance. (952) 249-4600 OwnerlContractor on sit • Inspector. White Copyllnspector's File Canary Copy/Site Notice