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Home My WebLink About2011-00714 - roofing � , ., CITY OF ORONO PERMIT NO.: 2011-00714 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/25/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 669 MINNETONKA HGLD LA PIN : 06-117-23-44-0007 LEGAL DESC : MINNETONKA HIGHLANDS ESTATES : LOT 003 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 12,000.00 NOTE: 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 221.25 STORM PRO EXTERIORS STATE SURCHARGE(VALUATION) 6.00 600 TWELVE OAKS CENTER DRIVE TOTAL 227.25 SUITE 648D WAYZATA,MN 55391- (952)513-8667 Minnesota State License#:20634454 OWNER HUMPHREY,MR.&MRS. 669 MINNETONKA HGLD LA LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this pertnit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. T'his permit is for only the work described and does 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 are , requested in conformance with the State Building Code.This permit may be rev any time for due use. 7�.��'�l 7� �� App t ermitee Si re Date ssu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , , . City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: � �—(>O � �,0.� PO Box 66 Crystal Bay, MN 55323-0066 Date received: 7 /� O � O Received b � �' ;4,z�, �, Street Address: y� �'�,n ' '°" ��' 2750 Kelley Parkway Plan review fee: �9kESII04� Orono, MN 55356 Total Fee: aa`�, � 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: / jj fj� � � � / CL � / /i��:/.l6" �6.��c i Gi l l.'�/ C !i ri � Will this be a Parade of Homes, Remodelers Showcase Hom or other Display Home? ❑ Yes ❑ No If yes,a specral event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events wil!not be allowed. CONTRACTOR/APPLICANT INFO�ATION: Name: �ff�� - /"( � �"� t��.,��;�g�S T.�e- State License# ��''��/�` / ' Expiration Date: _� _ >�_;�� Lead Certification Number: Expiration Date: (for work on homes fhat were constructed prior fo 1978 Phone: �-'S --1- �—�� ', ��•�;�,�?(office) � --� —�= �� —� (cell) Mailing Address �j1 ��.,x �� City:�7�, �� ZIP: �> • �� -� � ,� Contact Person: ��L, . _,.� ��r�^_ Applicant is: ac�/ Homeowner (Circle One) Email and/or Fax: •�' PROPERTY OWNER INFORMATION: Name: �fl�': / f��: �•r.f�/�,i• Phone (day): Add ress: City: ZI P: 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 f�Re-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: " �� ;„ ,- �=," -,: Estimated Construction Valuation of Project(excluding land) $ /�,�,�1-'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 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. � Applicant's Signature: � - % Date: �_�j=// ';� Last Updated: 03-01-2011 � � -� �� / ATE </ TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. O/ 47/ COMPLETED � ADDRESS 4��% OWNER TELEPHONE NO. � - ld 7�� CONTRACTOR � � >; DESCRIPTION �-�-�- � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � 2 W � W � j GW� ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CO RECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REOUIRED.CALLTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on ' Inspector. � White Copylinspector's File Canary CopylSite Notice DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED PERMIT NO. �od-bd�/� COMPLETED L-p-�� ADDRESS l.6'� �'1'1�'i�4- f��r�l�s6Os LN . OWNER TELEPHONE NO. CONTRACTOR �� P�a �.��. � DESCRIPTION G�-� 'F � O FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �NAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP ? ❑ DEMO-FINAL O SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNbATION/REMOVAL � OWNERICpNTRACTOR TO MEET 1�U:_YES_NO ��., COMMENTS: � . a dl� derw�t� — r1� �stt/ �rls�etL�ie.c r��111¢u� J O �. ,�/ • a� //D ��Er -G�''F /��fJ PGL��.ti. /"ECo/'eQ p�Q'_ O Q KTjIG I/G�✓I��l�bn. .nrOy�jl� � , 2 � I,�Jo�K Q�.ODR�fs �'owtCl/�Z`L � �e��.,�� n�/�P a W� ❑4VORK SATISFACTORY:PROCEED ROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑pHOTOTAKEN INSPECTOR W{LL RETURN ❑CITATION ISSUED ❑STOP OROER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-460� OwnedCor►tractor on site: Inspector. � � White Copyllnspectors Flls Canary CopyfSke Notkx