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Home My WebLink About2011-01387 - roofing • CITY OF ORONO PERMIT NO.: 2011-01387 2750 KELLEY PARKWAY � ORONO,MN 55356- DATE IssuEn: 1 U08/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1015 NORTH ARM DR PIN : 07-117-23-14-0020 LEGAL DESC : LINDEN BEACH : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,000.00 NOTE: VALUATION OF PERMIT:$7000.00 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 147.50 AC CONSTRUCTION&RESTORATION SERV STATE SURCHARGE(VALUATION) 3.50 12510 FLETCHER LANE SUITE L TOTAL 151.00 ROGERS,MN 55374 (763)682-0770 Minnesota State License#:20634132 OWNER CONRAD,R&L 1015 NORTH ARM DR MOLTND,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 dces not grant permission for additional or related work which requires separate 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 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 conformance with the State Building Code.This permit may be revoked at y time for due cause. '` __ (l /� / / / Applicant rmitee Signature Date Issue y S' nature Dat SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED AB E. w � City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �v�,� PO Box 66 Q ^ Q Crystal Bay, MN 55323-0066 Date received: a �a" ��ra �,�,✓',, �„ StreetAddress: Received by: �'� �`��, G�� 2750 Kelley Parkway Plan review fee: t�kESH04'� 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: �� .� ��.�" �.��r� '�� (�. ` � �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Flome? ❑ Yes No If yes,a special event permit is required with Police Department and City Council 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/A,pPLICANT INFORMATION: Name: %� (_{�t,�,�;�'._:.' �` � "\ State License# � �L �,"7��. Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were construcfed prior to 1978 Phone: �� _ (,!��. �,;��. S �office) (cell) Mailing Address: .,��k = (N-j c:,��.�-;� ,L�:s,, City: '?C,-: ,— ZIP: �. ''-.� f Contact Person: �,�� i � Applicant is: ontrac r' / Homeowner (Circle One) Email and/or Fax: .,�� ._,- - i � ;', :- -�c�°l� --..__= PROPERTY OWNER INFORMATION: . _ � Name: y�G'�\i�t.�� Y��-'l L.�til�� Phone (day): '=1`�.� ��,� ��7� , Address: (L,f=,7 �'�.i .l�,��t,� [� City:,;�� _ U�l� ZIP:��;��s,� �� Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: �Re-roof, as halt Minnehaha Creek Watershed District(MCWD) 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 ❑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 required b law. If ou refuse to sup the information,the a plication ma not be issued. ApplicanYs Signature: � � Date: �_�� Last Updated: 08-09-2011 . � ^7' AT TIME ✓ CITY OF ORONO CALLED IN � ��" INSPECTION TICE SCHEDULED / PERMIT NO O - COMPLETED ADDRESS �O/S �G��`7`7�( � �. OWNER TE EPHONE NO 3�� CONTRACTOR�� .5�C�"l �; DESCRIPTION �L � �/U � � ❑ 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 � OWNERICONTRACTOR TO MEEf YOU:_YES_NO � COMMENTS: � W a j �r � f�,� �N � � O �. � O � W � Q � Z W � W � � a W� ❑WORK SATISFACTORY:PROCEED �PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED C SSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WILL RETURN �CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on sit : Inspector. __ ,_ o _. White Copyllnspector's File Canary CopylSite Notice