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Home My WebLink About2011-00440 - roofing � � CITY OF ORONO PERMIT NO.: 2011-00440 � 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuEn: 06/09/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 700 NORTH ARM DR PIN : 06-117-23-43-0003 LEGAL DESC : AUDITOR'S SUBD.NO. 362 : LOT 002 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,200.00 NOTE: TEAR OFF REROOF-ASPHALT SHINGLES APPLICANT pERMIT FEE SCHEDULE 162.25 NEW LIFE CONTRACTING STATE SURCHARGE(VALUATION) 3.60 2478 HILLWOOD DR E TOTAL 165.85 ST.PAUL,MN 55119- (651)2243442 Minnesota State License#:20249486 OWNER HARTY,GREGORY 700 NORTH ARM DR MOIJND,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 pertnits. 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 reques d in conformance with the State Building Code.This permit may be revok at any time due cause. � �l �l / � (� �Q,�- Col l / p cant Permitee Signature Date "' — / / Issu y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. , . City of Orono �;�� Buiiding Permit Application for Internal Work � 11 (windows, doors, siding, re-roof, etc.) � Mailing Address: ��/_U� O4v O.�O PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: �� a. �� -`;�� a, Street Address: Received by: �'� � � �� ' 2750 Kelle Parkwa �� Y Y Plan review fee: t�ESFIo4'� 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 other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prror 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. CONTRACTOR/APPLICANT INFOR ATION: Name: ,�lC r,c) ��'7i t�.�✓'tt�i,��Y�, �„ State License# ��'� � ��j Expiration Date: 3 (Z Lead Certification Number: Expiration Date: (for work on homes that were constructed prior fo 1978 Phone: (O�( �<;-��f - ��-E 3— (office) �O S_ S : � -, (cell) � Mailing Address: �y �� G- Cit � �' L ZIP: `, Contact Person: �g� �),p�} 5�� ,�-��Applicant is: Contract / Homeowner �c��ie one� , Email and/or Fax: �:�j;,,�L,�;�ti i�J I D � _ (-�z�c (�1ns��1� (�' ij/t-� PROPERTY OWNER INFORMATION: Name: ��,fi��.-�J �� 1� Phone (day): � �C� �Pl� '1�t ? ��a--2-�y �-� _ Address: �;C'�c"� �.( . �--�./vl l�/� City: (�� ,'� (,� ZIP: S� ��, /� 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 Restoration Deephaven, MN 55391 ❑ Siding ❑ ❑ Other: (specify) �Re-roof P hone: 952-471-0590 ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: �g�=�'�,��-t'�� , (.��.,�(�(",(,c ( _�U �=;��Cr Estimated Construction Valuation of Project(excluding land) $ --?6-�� ;� 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. 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 information is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to su I the inf mati , the a lication ma not be issued. ApplicanYs Signature: � � Date: �Q � � Last Updated: 03-01-2011 AT TIME � CITY OF ORO O CALLED IN � INSPECTION NOTICE SCHEDULEO PERMIT NO. COMPLETED ADDRESS �r OWNER T EPH NE N . CONTRACTO j DESCRIPTION � a� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO v�, COMMENTS: � W C � J O >. � O � W � Q � Z W � W � � � �WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca�1 for the next inspection 24 hours in advance. (J52) 249-4600 OwnerlContractor on site: Inspector. /� White Copyllnspector's Flle Canary CopylSite Notice ��e� r/�T TIME ✓ CITY OF ORONO CALLED IN �`` � INSPECTION N TIC SCHEDULED /�:� PERMIT NO.� —�� COMPLETED , ADDRESS �� OWNER ELEPHO O. �5�—a� � `� CONTRACTOR l� >; DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ FRAMING ❑ MECHANICAL FINAL � ❑ 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 ❑ PL NG RI SE�T}C FINAL ❑ FOUNDATION/REMOVAL � OWN CONTRA YOU:f YES_NO � C M NTS: � � � �--- � - � O �. �� ' � r L (s' W PJ � �—� W Q � � � � Z W � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CARRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on s�t • ' Inspector. / .r '� White Copyllnspector's File Canary CopylSite Notice