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Home My WebLink About2011-01251 - roofing � . � CITY OF ORONO PERMIT IVO.: 2011-01251 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUE�: 10/17/2011 952 249-4600 FAX: 952 249-4616 ADDRESS � : 540 NORTH ARM DR PIN �: 06-117-23-31-0006 LEGAL DESC : VICTORIA ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 37,000.00 Q� NOTE: VALUATION OF PERMIT:$37000.00 TEARING 9�CEDAR-APPLYING ASPHALT ROOF ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLE"I'E SET OF PICTURES OR A F[NAL 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 542.00 CONTRACTORS WC STATE SURCHARGE(VALUATION) 18.50 5615 KRAMER RD TOTAL 560.50 MINNETRISTA, MN 55364- (952)224-4495 Minnesota State License#: 20639265 OWNER PIEPHO, CONNIE 540 NORTH ARM DR MOUND, MN 55364- AGREEMENT AND SWORN STATEMENT "fhe work for which this permit is issued shall be performed according[o 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. AII 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 conunenced within 180 days of the date of issuance,or if cons[ruction 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 reque ed� con rmanc h the State Building Code.This permit may be revok d a a t e � e cause. i 7 � r � /Di / � l �c rmitee Signature Date Is By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � !�. City of Orono ' Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: O.g,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ��'�� Received by: a - s �, Street Address: �,�, '�� Gti�' 2750 Kelley Parkway Plan review fee: t�E3H��'� Orono, MN 55356 - Total Fee: 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: � Will this be a Parade of Homes, Remodelers Showcase Home or oth r Display Home? ❑ Yes .� No If yes,a special event permit is required with Police Department and City Council approva/60 days prior to the event. Shutt/e bus service will be required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR I APPLICAN INFOyRMATI��I� Name: --. State License# Expiration Date: �/ /3 Lead Certification Number: �� Expiration Date: _ (for work on homes that were constructed prior to 1978 Phone: o�� ,� 7, 7/��j (office) (cell) Mailing Address: � City: ,.� ZIP: Contact Person: Applicant is: ontractor Homeowner (Circle One) Email andbr Fax: •�',�„�_ �{� 3 - S/S�? � PROPERTY OWNER INFORMATION: Name: ��,��-F �C�i� Phone (day): �'S� . �� - a 5yU Address: .�tL�(� �J�r-a �.� C City: C�,�.v»v /yll� ZIP: 5�53 �(�� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits: ❑ Door(s) / n 1 ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) � Re-roof,asphalt`V � ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd �Re-roof, cedarCd �) ❑ 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: _�, Estimated Construction Valuation of Project(excluding land) $ ,3 7_ UU t) • — 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 i m ti ,the lication ma not be issued. Applicant's Signature: Date: �T/ca7Q � � Last Updated: 08-09-2011 , 'License loo p Page 1 of 1 . , , Licer�se/C rf��ate ��ail Here are the d tails for the license/certificate you are currently looking for: License na e: CONTRACTORS INC License doi g business as: License add ess: 5615 KRAMER RD City state zi : M OU N D, M N 55364 License nu ber: 20639265 License typ : RESIDENTIAL BUILDING CONTR Company s ructure: coRPORaT�oN License sta us: ISSUED License ori inal issue date: 4/14/2011 License exp ration date: 3/31/2013 License pri t date: 4/1g/2o11 Qualifying erson: SHAWN A. HANKEL Continuing ducation hours required to renew license: 14 Contractor' phone number: 952-2244495 Enforceme t action: No Anot er Lookup? � htme•//�ecn ..cl�li.�tate.mn.us/licensin�/Licensin�.aspx?id=10078 6/15/2011 � T DATE TIME " ' CALLEDIN �v � �/ CITY OF ORONO � INSPECTION OTICE SCHEDULED �� PERMIT NO. ��/ COMPLETED ADDRESS �� L�J� /�'� �l� � �' OWNER TELEPHON NOJ3d "35�' -5'?-� CONTRACTOR C - l��G�i�/WC. �: DESCRIPTION � � � ❑ FOOTING ❑ PLUMBI F A ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHA L I ❑ LAKESHORE/WETLANDS 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W C � � O � � O � W � Q � Z W � W � � d W��jp(p&K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on site: Inspector. �' .l. � White Copyllnspector's File Canary Copy/Site Notice DATE TIME CITY OF ORONO CALLED IN �� 2 L INSPECTION NOTICE ,�/ SCHEDULED / �-- PERMIT NO.��O�`� OMPLETED ADDRESS � � �1��/v` �� - /�/�� OWNER TELEPH NE NO.��—�7 -7�7� CONTRACTOR " �"L� .��L-/ti� �; DESCRIPTION �"L �t--� � � ❑ 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 ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O a � O � W � Q ti Z W � W � � � GW ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED Cl ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN �STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ iNSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copylinspector's File Canary CopylSite Notice