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Home My WebLink About2011-01061 - roofing � � CITY OF ORONO PERMIT NO.: 2011-01061 � 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/15/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 710 NORTH ARM DR PIN : 06-117-23-43-0005 LEGAL DESC : AUDITOR'S SUBD.NO.362 : LOT 003 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: VALUATION OF PERMIT:$12000.00 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-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 NELSON ALEXANDER LTD STATE SURCHARGE(VALUATION) 6.00 2051 MELODY HILL RD TOTAL 227.25 EXCELSIOR,MN 55331- (612)790-8232 PAID WITH CASH 227.25 Minnesota State License#: 20524131 OWNER DICKHAUSEN,K OTTESON&S 710 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 sepazate permits. All provisions of laws and ordinances governing this rype 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 I80 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 assurin all required inspections aze requested in conformance with th Bu' ing Code.This permit may be revoked at any ti e. �/ � / / � Applic Permi ee Sig ture Date Iss y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _ 5. 3 .. . " ' R? ��a(rt�< � � 54 �� f�� , �� ' City of Orono � � �� Building Permit Application for Maintenance / Renovation �y� �h�� #� (windows, doors, siding, re-roof, etc.) } Mailing Address: g� Permit number: aC� — Q ,�. �,0,�. PO Box 66 � �� 0 Crystal Bay, MN 55323-0066 Date received: ! � ` ' ,� �' �, Street Address: Received by: �� ,� � �� .� ,�,L ' Gti 2750 Kelley Parkway Plan review fe � Orono, MN 55356 � 9kESHo4` -- r " Total Fee: �� a� �r 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. - Incom_plete applications will be returned. (Please print) �� GENERAL INFORMATION: U � v:' Job Site Address: �O�( -� P Will this be a Parade of Homes, Remodelers Showcase Hom or other Display Home? ❑ Yes ❑ No � If yes, a special evenf permit is required with Police Department and City Councif 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 will not be allowed. � � CONTRACTOR/APPLICANT INFORMATION: �� Name: � �/� State License# � Expiration Date: � � �,� '� ` Lead Certification Number: Expiration Date: R �� > (for work on homes that were consfrucfed prior to 1978 �; _�� Phone: ��L- � - " d� (office) (Z �� (cell) �, �k�� Mailing Address: ' ��' � City: � ZIP: � Contact Person: � A licant is: Contractor / Homeowner � �`- �gJ�/�_� \f . G � pp (Cirde One) % �/tc�.� �::; Email and/or Fax: E. A � � PROPERTY OWNER INFORMATION: � � ` Name: �� ' �j�_� r = °� Phone (day): _ � � �r�f Address: '1 -� nr..� ��y/`'{ ��/ City: Q�af+� ZIP: �:� �- Email and/or Fax � PROJECT INFORMATION: � � Type of Project: Any earth movement may require � ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ; 't' Minnehaha Creek Watershed District(MCWD) '� �Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd � ❑ Re-roof, cedar • ❑ 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) $ / �'�) �� --�_� �+ 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, e a ication ma not be issued. / ApplicanYs Signature: �"�� Date: 9�/ � ��1 � LastUpdated: 08-09-2011 ' � . __. . . . _. _ . . , ATE TlIG1 E V CITY F ORONO CALLED IN � INSPECTION NOTICEOIO// SCHEDULED � PERMIT NOp?DI��` 5� COMPLETED ADDRESS OWNER PHONE NO�� 7�-�a3�' �,p,, �, �— CONTRACTOR �� f/ICGZ�GCX/� �� >; DESCRIPTION � ❑ FOOTING ❑ PLUMBING AL ❑ 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 J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � � O a � O � W � Q � Z w � W � � � ❑WORKSATISFACTORY:PROCEED �ROJECTCOMPLEfE W O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pH0T0 TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ IHSPECTfON REQUIRED.CALlTO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. 1 White Copyllnspector's Fite Canary CopyiSite Notice