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Home My WebLink About2011-00949 - roofing ! ' CITY OF ORONO PERMIT NO.: 2011-00949 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 08/29/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 780 NORTH ARM DR PIN : 06-117-23-43-0010 LEGAL DESC : AUDITOR'S SUBD.NO. 362 : LOT 007 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,000.00 NOTE: VALUATION OF PERMIT:$8000.00 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 162.25 NELSON ALEXANDER LTD STATE SURCHARGE(VALUATION) 4.00 2051 MELODY HILL RD TOTAL 166.25 EXCELSIOR,MN 55331- (612)790-8232 PAID WITH CC# 4845 Minnesota State License#:20524131 OWNER CARLSON,DOUG&VERONICA 780 NORTH ARM DR MOUND,MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed acwrding 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 goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if consVuction 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 aze requested in conformance with the State Building Code.This permit may be revoked at any time for due e. , 8',�9/ � , , Applic ermitee Signature Date I e y �gnature Date SEPARATE PERMITS REQUIRED FOR WO OTHER THAN DESCRIBED ABOVE. { �� =_� �As City of Orono �� , � , � �� Building Permit Application for Maintenance / Renovation �� (windows, doors, siding, re-roof, etc. � ) � Mailing Address: Permit number: �U��—� � O�,D,�O PO Box 66 � �� Crystal Bay, MN 55323-0066 Date received: Z / �� , �� x j �a '� �' s, Sfreet Address: Received by: �: � : '�� '�,n � �� 2750 Kelley Parkway Plan review fee: �� L'�kEsxo4''� Orono, MN 55356 � -- Total Fee: ' �.;� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us ��Q. �� •f 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 /f yes,a special event permif is required with Police Department and City Council approva/60 days prior to the event. Shuttle bus service wi/l be � �� required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. ,�� { y �,�, fi�� ,i CONTRACTOR/APPUCANT INFORMATION: 1 � •; Name: P c� � �" � �: State License# Q �C��?� j Expiration Date: � �. Lead Certification Number: �^ Expiration Date: � (for work on homes that were constructed prior to 1978 � Phone: � _ � � -� , (office) ��- �� -� �'� (cell) � Mailing Address: ` City: �, ZIP: �T �� Contact Person: j—�� e� S�f., Applicant is: Contractor / Homeowne� ��irc�e one) � �� J � Email and/or Fax: � � PROPERTY OWNER INFORMATION: : Name: � �T� ," e �t o r � a� �.5� y'� � i Phone (day): �J�"�f�7 Z' O � � � Address: �' ? S S�-��/ �` �_, ' Email and/or Fax � �� —�� City: G � �. /�� ZIP: � � PROJECT INFORMATION: �� Type of Project: Any earth movement may require � ; ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �� }.Re-roof, as halt Minnehaha Creek Watershed District(MCWD) � �,3' p ❑ 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 � � � �:. ��f ❑Window(s) www.minnehahacreek.orq � j �a 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 altemative � ::�; but to reject it until it is complete; 2:� � k � � 1 • 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 ,*� °-:j 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 r ation,t a lication ma not be issued. �,y a� r i ApplicanYs Signature: -- � Date: x�,��j/ �� _� i Last Updated: 08-09-2011 z . �, • • ; . � - ._3-,.. �� /� DAT TIME �/ 6 CITY OF ORONO CALLED IN �- 2�� INSPECTION��CE � ��1�'SCHEDULED � PERMIT NO. � GO „c-oMP� /�/�� ADDRESS 0 �v (, l. • OWNER T LEPHONE NO. 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W 0. � J O � � O � W � Q � Z W � W � � � O i W�ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Wf O CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (J52� 24J-4600 OwnerlContractor on sit�: r Inspector. � � �� White Copyllnspector's File Canary CopylSite Notice �Ip �� DAT TIME �/ I CALLED IN �—� INSPECTION NOTICE /�G� C� SCHEDULED � ' I .�r�-� PERMIT NO. ��«' dU r � + COMPLETED � ADDRESS ��,/�U��^ �� OWNER TELEPHONE NO. ��2�79� -O Z3Z- CONTRACTOR yLV P�SBYI Q.�A�L�� DESCRIPTION /"" �� ``�-�C- � ❑ 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 ❑ SEWEF4 HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � ` -�� 5 �ti �� 0 a � 0 � W � Q � Z W � W � � � ❑WORK SATISFACTORY:PROCEED j PF OJECT COMPLETE W ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CQRRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance 952) 249-460� r OwnerlContractor on site: ` , Inspector. � White Copy/lnspector's File Canary CopylSite Notice