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Home My WebLink About2011-00207 - roofing � ' CITY OF ORONO PERMIT NO.: 2011-00207 � ' 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 04/1 U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 115 LUCE LINE RIDGE PIN : 31-118-23-34-0006 LEGAL DESC : PAINTERS CREEK : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 9,755.00 NOTE: TEAR OFF REROOF APPLICANT pERMIT FEE SCHEDULE 191 JS J ROBERT ROOFING LLC STATE SURCHARGE(VALUATION) 5.00 17180 MALLARD COURT TOTAL 196.75 EDEN PRAIRIE,MN 55346- (612)998-1673 PAID WITH CC# 3624 Minnesota State License#: 20544370 OWNER LOCKMAN, STEVEN&SONJA 115 LUCE LINE RIDGE MAPLE PLAIN,MN 55359- 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 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 aze requested in conformance with the State Building Code.This permit may be revoked t any ti for due cause. ` �'�l� � � /�� // Appli ermitee Signature Date Iss e y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCWBED ABOVE. . .Y4� .� . ��,: )..�;� t' >; R ,� F �ve , � � City of Orono ��'� � ; :_ � � � . � , � Building Permit Application for Internal Work � (windows, doors, siding, re-roof, etc.) �� Mailing Address: Permit number: �U//—d�� 4v�,� PO Box 66 � � �� Crystal Bay, MN 55323-0066 Date received: / °� a t�'' ��;:�,� s, Street Address: Received by: � '��° �' ��"� ��' 2750 Kelley Parkway � Plan review fee: � � � r�kESH04'� Orono, MN 55356 k'� � Total Fee: �9�� 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: �l� -�f � � , � ,��;�' " � „ Will this be a Parade of Homes, Remodelers Showca Home or other Display Home? ❑ Yes No � /f es, a s ecial event ermit is re uired with Police De artment and Cit Council a `� , Y P P 4 p y pproval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � �30: CONTRACTOR/APPLICANT I F RMyA/--TION:> �' �, Name: � .y�// g., Ji L ) :�; State License# ��-� ��; Expiration Date: � /�h E,4 Lead Certification Number. Expiration Date: �=` (for work on homes that were constructed prior to 1978 E ., �`, Phone: _ j � -�,' � (office) (cell) �� Mailing Address: -- Cit : �` ' � � " �., Y �� ,r'��' ZIP: �":�� ; � Contact Person: Applicant is: C6ntr_ acfo��/ Homeowner (Circle One) p� Email and/or Fax: �.� ° �� PROPERTY OWNER INFOR ATION: � � I ' Name: _,�!'� �ac� 'C �� , Phone (day): �"�� 2 '�d� '" Address: ��y�> � �� City: ZIP: �� .�; � Email and/or Fax r_� �`. PROJECT INFORMATION: -� �.� Type of Project: Any earth movement may require � MCWD review& ermits: �` ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watersh d District(MCWD) � ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �d ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 �' Phone: 952-471-0590 �� Re-roof ❑ Fire Damage Fax: 952-471-0682 }� �� - www.minnehahacreek.orq g�� Overall Project Description: : -.,,. - �,, _ �� y,�� : Estimated Construction Valuation of Project(excluding land) $�' �� .� 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 z� data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our � i4 purpose and intended use of this information is to annually update our records and records of other govemmental agencies � re uired b law. If ou refuse to su I the information,the a lication ma not be issued. `� ' /�---�` , �: ApplicanYs Signature: � U , -- - Date: "L/'�� Last Updated: 03-01-2011 ,:� � ��;, w� � �� DA TIME � CITY OF ORONO CALLED IN / / -�'� INSPECTION OTICE —�CHEDULED ��,(�, PERMIT NO �COMPLETED ADDRESS //.� L� �- �-�- OWNER T PHO,NE NO. CONTRACTO � DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI p LAKESHOREJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWEii 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 � COMMENTS: � W 0. � J O �. � O � W � Q � Z W � W � � � / W /J�WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � W�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C�IERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. White Copyllnspecto�'s File Canary CopylSite Notice DATE TIME � CITY OF ORONO CA LED IN INSPECTION OTICE �D�� SCHEDULED � _�� PERMIT NO.�� COMPLETED ADDRESS �� -�-�� OWNER TELEPHONE NO.��Z �� 07-3 CONTRACTOR J �/fiT /��7-//'�q i � DESCRIPTION /`-�� 1�� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE FEMOVAL 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 y COMMENTS: � W a J O � � O � W � Q � Z W � W � � / � OiOVORKSATISFACTORY:PROCEED PROJECTCOMPLETE W ❑CORRECT WORK 8 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WFLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION RE4UIRED.CALlTO ARRANGE ACCESS. Cail for the nex#inspection 24 hours irt advance. (g52) 249-4600 Owner/ConVactor on site: ' Inspector. 1/�{ t LS � White CopyllnspectoPs File Canary CopylSite Notice