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Home My WebLink About2011-01096 - roofing r . ., CITY OF ORONO PERMIT NO.: 2011-01096 2750 KELLEY PARKWAY ORONO, MN 55356- �ATE ISSUED: 09/2U2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 2655 NORTH SHORE DR PIN : 09-117-23-42-0001 LEGAL DESC : UNPLATTED 09 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -CEDAR ACT[VITY : O/S BUILDING-UNDEFINED VALUATION : $ 84,114.00 NOTE: VALUATION OP PERMIT:$84114.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NO"CICE 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 944.25 ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 42.06 5565 QUAM AVE NE ST MICHAEL, MN 55376- MISC FEE 0.00 (763)550-0444 TOTAL 986.31 Minnesota State License#: 20172153 OWNER LINDELL,CRAIG&JENNIFER 2655 NORTH SHORE DR WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT 'I'he 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[he work described and does not grant permission for additional or rela[ed work which requires separate permi[s. All provisions of laws and ordinances governing 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 ot'180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Sta[e Building Code.This permit may be revoked at any ti fo qe c us - / � J � �c .�� y� z� � �I � �Q�l� �i a l� ,�A icant Permitee Signature Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �, _ _ , �� Y ; ,�.. � � � - � �:� � , � City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: //-C'/a �,0,�. PO Box 66 � Crystal Bay, MN 55323-0066 Date received: Z/ � � ��, 0 . ° Received b �,� ,� � �'� ,� Street Address: y� �',�c,t t �b;„q„ �ti 2750 Kelley Parkway Plan review fee: �kESHO�`'� Orono, MN 55356 �__� - Total Fee: � ��/_ �, / h� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us (/J, ��- .a This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) �± GENERAL INFORMATION: Job Site Address: %��j ��'��j �jQ/�� '. � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No � /f yes, a special event permit is required with Po/ice Department and City Council approval 60 days prior to the event. Shutt/e bus service wil/be � required unless applicant demonsfrates sufficient on-site parking is available. Non-permitted events will not be allowed �; t� �, CONTRACTOR/AP,PLICAcN�T INFORMATION: �� Name: �bfi� m,oa n�I �/C1 Si')C,. � State License# 2p 172 �� 3 � Expiration Date: ZO/� � Lead Certification Number: Expiration Date: �� (for work on homes that were constructed prior fo 1978 � Phone: ��3_��S p _ (office) (cell) � � � �� Mailing Address: S'S6 Q � City: ` � p ZIP: SS'3 7 � Contact Person: 'Sp v� �h t�i�c l 'r� Applicant is: Contractor Homeowner (Circle One) � Email and/or Fax: - � �m� �rs� �'�iYlca s�, �i E'f'_ <� PROPERTY OWNER INFORMATION• / ` Name: C✓� � JC'�1/1i��% �/%�QPI� � Phone (day): �_ ' _ g- Q � Address: Z(�SS /v0�'J� ��e �✓'• City: �,��,7 n ZIP: ,5`�53�/ Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: '� 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: T�t_�t � �� ; f Estimated Construction Valuation of Project(excluding land) $ g 1 , p p 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 t1e i m tion,the a lication ma not be issued. ApplicanYs Signature: f � Date: �-Z�� Last Updated: 08-09-2011 TE TIME ' CITY OF ORONO CALLED IN D �/ INSPECTION O1�C��lO SCHEDULED � � PERMIT NO. � � � COMPLETED ADDRESS ��vS�S / V�/ / 2 �`Zd✓L�. cJl"L1�2 OWNER TELEPHONE NO�� SSD-L�y� CONTRACTOR � v� �: DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE�NSPECTION 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 � � J O � � O � W V C//�� / � x � Q - ___ � Z W � W � � d W� RK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours irt advance. �95Z� Z49-46�� OwnerlContractor on site: - Inspector. Gr � _ White Copyllnspector's File Canary Copy/Site Notice � J /! D TIME Vv CITY OF�RONO ALLED W � �� -� INSPECTION NOTICE D/D9� SCHEDULED D I PERMIT NO.O�a�l�' COMPLETED • ADDRESS SS OWNER TELEPHO E NO. ��5� -� � CONTRACTOR / v G � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ 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 � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR W4LL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46QQ OwnerlContractor on site: Inspector. White Copyllnspector's Fi1e Canary CopylSite Notice