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Home My WebLink About2011-01439 - roofing " � � ` CITY OF ORONO PERMIT NO.: 2011-01439 2750 KELLEY PARKWAY ORONO,MN 55356- DATE IssuEn: lUiS/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1225 LOMA LINDA AVE PIN : 07-117-23-41-0007 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 003 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVTTY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: VALUATION OF PERMIT:$8000.00 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-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 RYAN SAWDEY CONSTRUCTION STATE SURCHARGE(VALUATION) 4.00 113 BRIDGE AVE.E TOTAL 166.25 DELANO,MN 5532& (763)286-0800 Minnesota State License#:20318786 OWNER UDELL,JEFFREY 1225 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 dces not grant permission for additional or related work which requires sepazate 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 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. �` l/.�l / ��t-u-�- 1( � I �� l I App icant ermitee Signature Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �� y� . . . City of Orono e� ;� Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) a� �� Mailing Address: Permit number: �� –�/ �0,� PO Box 66 " /0 � 0 Crystal Bay, MN 55323-0066 Date received: ` –lS - / / I �j'� � ' Received by: a � .� s, Street Address: �� '�,c, � ��„��a„_ �ti 2750 Kelley Parkway Plan�review fee: � � '�9 f�'�/ Orono, MN 55356 'kESHO¢' ,�� Total Fee: ��p, p� � ; Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �.,a This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please prinf) GENERAL INFORMATION: Ai, Job Site Address _ 5 �r�-� �, �,�> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No � j If yes, a speciaf event perrnif is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus servrce will be f required unless applicant demonstrates sufficient on-site parking rs available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: "I� Name: '��,��qtc��€� Li"►'t�/� af�'� State License# L �r3 f�.�� Expiration Date: 3--3� �� Lead Certification Number: Expiration Date: �a (for work on homes that were constructed prior to 1978 ':� Phone: _ ��, (office) (cell) '``'� Maifing Address: � Cit : ZIP: ��' lylas v �.�-=- �-T; rt�. y�,� �i'�'.�z s�� Contact Person: ��,J� �r� G�?��r Applicant is: Contractor / Homeowner (Cirde One) �� Email and/or Fax: ;'�� :.,, PROPERTY OWNER INFORMATION: '�� Name: '/��f^ �✓�� Phone (day): 1�� _ �j/��_�� Address: �� ,�j� City:��, ZIP: a, }� Email and/or Fax ;,;;� � 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 ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd = ❑Re-roof, cedar ❑ Restoration ❑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: — r , , 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 submitfing a complete applicafion 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 ctassified by State law as either private or confidential. Private data is informafion 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,the a lication ma not be issued. -,, A' ApplicanYs Signature: -� Date: �l�r�i Js-/, Last Updated: 08-09-2011 ATE TIME " CITY OF ORONO CALLED IN / �/ INSPECTION OTICE '/Q SCHEDULED /� // PERMIT NO.�// -��s`�7 COMPLETED ADDRESS /� ��`�`�-- L��' OWNER TELEP ONE NO.�_��-75�� CONTRACTOR � �: DESCRIPTION � � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAI FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOH TO MEET YOU:_YES_NO � COMMENTS: � W � � � O � a � � A � �� O f..� � W � Q � Z W � W � � � � ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice