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Home My WebLink About2011-01188 - roofing CITY OF ORONO PERMIT NO.: 2011-01188 ^ 2750 KELLEY PARKWAY ORONO, MN 55356- DATE IssuED: 10/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1669 NORTH FARM RD PIN : 27-118-23-44-0008 LEGAL DESC : THE FARM AT LONG LAKE : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 20,000.00 NOTE: VALUATION OF PERMIT:$20000.00 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 339.25 ELITE REMODELING SERVICES INC STATE SURCHARGE(VALUATION) 10.00 13246 DOWNEY TRAIL APPLE VALLEY,MN 55124 MISC FEE 0.00 (952)646-2480 TOTAL 349.25 Minnesota State License#:20638744 OWNER BEENDERS&PETER MONTGOMERIE,ANTOINETTE 1669 NORTH FARM RD LONG LAKE,MN 55356- 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 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 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 ' e for due cause. oi i !/ q i// Appli t Permitee Signature Date Issue Signature Dat SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. _ City of 4rono Building Permit Application for Maintenance 1 Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: /�� ! O.¢,D,�.O PO Box 66 Crystal Bay, MN 55323-0066 Date received: ,� �, Street Address: Received by: '�, �ti�' 2750 Kelley Parkway Plan review fee: l.��Ao�,,� Orono,MN 55356 , /n = Total Fee: � �-�J� � 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: �� / s�b Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes o If yes,a special event permrt is required with Police Department and Ciry Councrl approva160 days prior to the event. Shuttle bus s ice will be required unless applicant demonstrates suffrcient on-site parking is availab/e. Non-permitted events will not be allowe . CONTRACTOR/APPLICANT INFO ATION: Name: ;,(� � `�; ✓:� State License# �3875/t� Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructied prior to 1978 Phone: —GYG —' $ (oifice) C�/O�- -a8a'�/Og (ce►�) Mailing Address: �' j City: ZIP: s�.y Contact Person: o Applicant is: ntracto / Homeowner (Circle One) Email and/or Fax: ( Q j ' PROPERTY OWNE INFORMAeT�I�ON: Name: �v�pi,vGl� /�G,.,�dS Phone(day): 9s�_y7 — � Address: /C6'f /�/ `qi,,,,, � City: Q,(U�,�(0 ZIP: S'S',35� Email and/or Fax --- PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8�permits: Minnehaha Creek Watershed District(MCWD) ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage 18202 Minnetonka Blvd �e-roof, cedar ❑ Restoration ❑Water Damage Deephaven,MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(speclfy) ❑Siding ❑Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: �� e�,ai stM► 7 Estimated Construction Valuation of Project(excluding landj $ �d,acsc� 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 govemmental agencies re uired b law. If ou refuse to su I the information,the a lication ma not be issued. ApplicanYs Signature: Date: l0 Last Updated: 08-09-2011 CC�� TE TIME � CITY OF ORONO CALLED IN /D � INSPECTION�NO_�T��/�� SCHEDULED � LFZ�� PERMIT NO. COMPLETED ADDRESS ��/Jl/J 9 �� '��%��_ �°� OWNER TELEPHONE N .` CONTRACTOR l >; DESCRIPTION �� ll� ❑ FOOTING ❑ PLUMBING ❑ 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 � ❑ 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 � COMMENTS: � W 0. o �-�1 ✓Yl.��l✓v� `�}��S�Z�c/r(lS � � 0 � � � � ��J �- �-�(�tJ �.1 -cc>r��?— Q � z W � W � �� / W�Ip(ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE n�� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑CORREC7 WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on sit : Inspector. � �` �� White Copyllnspector's File Canary CopylSite Notice DATE TIME �/ CITY OF ORONO CALLED IN ��'� INSPECTION NOT CE �( SCHEDULED /D-�S-! ,I � PERMIT NO,��` � "r��(1� COMPLETED ADDRESS ��OLD� Nl�� , OWNER TELEPHONE NO.��a a 8 a � �B� CONTRACT�R �1�-- � DESCRIPTION �n� � � � ❑ 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 � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARO COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a J �L;CtL D�"'� �► AS �/�� I�JQ2�G� O �. • � O � W � Q ti Z W � W � � (�/ GW ❑WORK SATISFACTORY:PROCEED �pROJECT COMPLETE � �ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952� 249-4600 Owner/Contractor on si�e: Inspector. �/ r� White Copyllnspector's File Canary CopylSite Notice