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Home My WebLink About2011-00995 - roofing CITY OF ORONO PERMIT NO.: 2011-00995 � 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE�SSUEn: 09/06/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 420 NORTH ARM DR PIN : 06-117-23-31-0001 LEGAL DESC : REG. LAND SURVEY NO. 0924 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 9,000.00 NOTE: VALUATION OF PERMIT:$9,000.00 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-ADVF,RTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING 1'HE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 177.00 W.F. SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 4.50 6585 SO. SAUNDERS LAKE DR. TOTAL 181.50 MINNETRISTA, MN 55364- (952)472-6539 Minnesota State License#: 5309 OWNER SLADEK, RICHARD& MARY 420 NORTH ARM DR 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 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 in conformanc ith the St e Building Code.This permit may be revolfed at a y for d cause. �.. '��"�� l � l l ��1.� �-C l V/ r �1_ (,., ( � w Applicant Permitee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 'F. City of Orono � • Building Permit Application for Maintenance / Renovation � (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: ��,0,�.� PO Box 66 ? Crystal Bay, MN 55323-0066 Date received: ,;r;p �,a � �-,�� s, Street Address: Received by: �',�,t � �� 2750 Kelley Parkway Plan review fee: �kE5H04� Orono, MN 55356 ;M Total Fee: s:;, Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 4� ,� This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) �"` GENERAL INFORMATION: j� w Job Site Address: _ _�'�� - �/7'� J-J� ' � � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No � If yes, a special event permit is required wifh Police Department and City Counci!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 will not be allowed. '�� CONTRACTOR/APPLICANT INFORMATION: ° Name: ! . �', S l��'l�} �o �.5� �� State License# '�� :S�,3oy�' Expiration Date: ZQ�� ;� Lead Certification Number: Expiration Date: (for work on homes fhat were construcfed prior to 1978 'a� Phone: �- �Y 7� - �-53 (office) (o� �- � E 7 3 / r � (cell) '': Mailing Address: v, �N�' G�S:, S- �, Sr�,ti��c �--1� D� City: f'1`l,�rv�..c�',s 2 ZIP: 5'S�GL,�- :7 Contact Person: licant is: �ntrac�or� Homeowner F� �-�j� App � (Circle One) Email and/or Fax: '"`� PROPERTY OWNER INFORMATION: � Name: 2, L1, � r—�. S (��a D F IL.,, �''' Phone (day): Address � City: ZIP: � Email and/or Fax '�; ;� PROJECT INFORMATION: T e of Pro'ect: �- YP 1 Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) n ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ��+, ❑ Re-roof, cedar ❑ Restorafion ❑Water Damage Deephaven, MN 55391 Phone: 952-471-Q590 �Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ��h F�l-t ❑W indow(s) www.minnehahacreek.orq :�a �. Overall Project Description: �t y-� p --- �- --S G�,� �� Estimated Construction Valuation of Project(excluding land) $ �j c�� 'F`�� `;� APPLICANT ACKNOWLEDGEMENT: >� Agrees to provide all informafion 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 �r data. Confidenfial 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 infor ation is to annually update our records and records of other govemmental agencies `� re uired b faw. If ou refu to su I t e inf ation,the a lication ma not be issued. ;"� � � �� -� ApplicanYs Signature: Date: Last Updated: 08-09-2011 ';`� �� --� DATE TIME �� CITY OF ORONO CALLED IN �/(� / 1 1 INSPECTION NOTICE C�'�^ SCHEDULED 9'�1 n f / I 8 -Y� PERMIT NO. 1f,I / �� / � � COMPLETED ADDRESS _�I�f��,� �-��"l� �� OWNER TELEPHONE NO.�� 7�—��J�' CONTRACTOR L'� ' �- �� >; DESCRIPTION '� �'h U1��C � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIILING Q ❑ POURED WALL ❑ MECHANICAL RI LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL TREE REMOVAL � ❑ INSULATION ❑ WOOD BURNER/FIRE ACE SITE INSPECTION Z 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 FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES�NO � COMMENTS: � W a J � � � 1 � � O � � A � �c; 1�— i .� � oV�� ► � W Q �J S�Z �� — \Z c�� .n S' � z W � W � � d W ❑WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WiTHiN HOURS. � pH0T0 TAKEN INSPECTOR W4LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cal1 forthe next inspection 24 hours in advance. (J52� 249-46�� Owner/Contractor on site: Inspector. � White Copy/lnspector's File Canary CopylSite Notice DATE TIME `� / CITY OF ORONO CALLED IN INSPECTIE3N NOTICE SCHEDULED PERMIT NO.? a0!1 - DOQ9.S COMPLETED q-!3 `f'l � ADDRESS _ �� N4�-� /�/X^ OWNER TELEPHONE NO. CONTRACTOR W G S�.i � CB�S9• � DESCRIPTION � ❑ FOOTING ❑ PLUMBiNG FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO c�., COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � d / W� �110RKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W�❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT �CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUtRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on i � Inspector. White Copyllnspector's File Canary CopylSite Notice