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Home My WebLink About2011-00790 - roofing CITY OF ORONO PERMIT NO.: 20��-00�90 2750 KELLEY PARKWAY ORONO, MN SS356- DA'I'E ISSUEu: 08/03/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 4775 NORTH SHORE DR PIN : 07-117-23-32-0022 LEGAL DESC : BERGQUIST& WICKLUNDS PARK : LOT 000 BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 4,700.00 NOTE: 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 S[GNS MUST BE REMOVED. APPLICANT PERMIT FEE SCHEDULE 118.00 INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 2.35 26175 BIRCH BLUFF RD TOTAL 120.35 SHOREWOOD, MN 55331 (612)471-9065 Minnesota State License#: 20168831 OWNER OLSON,CRAIG & REBECCA 4775 NORTH SHORE DR MOUND, MN 55364 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and spccifications,applicable Ciry approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or rela[ed work which requires separate pe�mits. All provisions of laws and ordinances governing this type of work shall be compied with whether or no[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 f 180 days at any time atter work has commenced. The applicant is respo ble for assu ng all required inspections are req sted conforma�c with the S te Buildin Code.This permit may be revo ed at ny time fo d e cause. � ' � �3� / Appli a Pe i ee Sig Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � � Cit of Orono �� J Y Building Permit Appiication for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number. / — �d7 l� � Og,O,�O PO Box 66 �` Crystal Bay, MN 55323-0066 Date received: � a �� s, Street Address: Received by: �; ��'�, ' ^'�� ti�' 2750 Kelfey Parkway Plan review fee: � t�ESHo4� Orono, MN 55356 �/ I �� ; 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. fncompfete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: ��7 7�� C� �u� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes No !f yes, a specra/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 avaifable. Non-permitted events will not be allowed. � �:c CONTRACTOR/APPLICANT INFORMATION: Name: ��Cl�i�O— ��yS��`:��s� �s� ( �. ;, State License# ��) � ��,�, -<;J Expiration Date: �,3 tY Lead Certification Number. Expiration Date: `' (for work on homes fhat were constructed prior to 1978 � Phone: `P�� — �/ 7/- �C`� �S �office) � �-� — .5�� - �y 7 7 (cell) � � MaifingAddress: ,��)�� y�ch l� )v �� City: _5��,��,.;�,� ZIP: �;-��3� � Contact Person: 6�`�� App(icant is: �tract� / Homeowner (Circle One) � Email and/or Fax: �� ;>� .__ J 7 �, � .�; . � PROPERTY OWNER INFORMATION: � Name: C t�c��y � � S o � -; � Phone (day): �)a- .�.� _,�,�'y l Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require `';i ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: ;� Minnehaha Creek Watershed District(MCWD) �s! ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 � P hone: 952-471-0590 � � (�`Re-roof ❑ Fire Damage Fax: 952-471-0682 ;, ��' www.minnehahacreek.orq a i Overall Project Description: �y c,:(� � � �_` 5 `� � stimated Construction Vafuation of Project (excluding land) $ ��7 C�C� � " z � � APPLICANT ACKNOWLEDGEMENT: - • Agrees to provide all information required or requested by the Building Department; � • Certifies that the information suppfied is true and correct to the best of his/her knowledge. The app(icant 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 compfete; � ;� • Some or all of the information that you are asked to provide on this application is classified by State taw 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 'y`� data. Confidential data is information wh' h generally c nnot be giv to either the public or the subject of the data. Our � purpose and intended use of this i form ' n is to a nu Ily update r records d records of other governmental agencies i:� re uired b iaw. If ou refuse to su I t informati e a ficafi ma not b issued. � ApplicanYs Signature: Date: �-= � ^ �f LastUpdated: 03-01-2011 �jj DATE TIME CITY OF ORONO CALLE6IN INSPECTION NOTICE SCHEDULED PERMIT NO.��!/-�74o COMPLETED � ADDRESS 7 7'� JV- S�o�C D�' . OWNER TELEPHONE NO. CONTRACTOR Z�'l��1G C-x��.s � DESCRIPTION �e- °`�of � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL p MECHANICAL RI ❑ LAI(ESHORFJWETLANDS y � FRAMING 0 MECHANICAL FINAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITEENS ECTION Q O RADON SLAB ❑ WATER HOOK-UP ❑ PRQGRESS � ��A� ❑ SEWER HOOK-UP ❑ COMPIAiNT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP i 0 DEMO-FINAL O SEPTIC INSTALL ❑ H/WD COVER REMOVAL v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbAl10WREMOVAL 2 01MNERICOMRACTOR TO MEET YOU:_YES_Np � COMMENTS: � o/A �*' - - rto �is�tE/ �ns�ect�� r��rt�a�t`� j � OO � � /�1) �� -��-� ,H�e�o.� f��eQ �O � W � Q � /.Jof �L' o/��t�.�s �b•�•�a/�t`� W W � �tis�� a W� ❑WORK SATISFACTORY:PROCEED ,�PROJECT COM PLETE W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR W{LL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlCorrtractor on site- Inspector: �C�.� �� Whita Copyflnspector's Flle Canary CopylSfte Notfee