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Home My WebLink About2011-00741 - roofing � v CITY OF ORONO PERMIT NO.: 2011-00741 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUEn: 07/27/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3860 NORTH SHORE DR PIN : 08-117-23-33-0095 LEGAL DESC : CRYSTAL BAY VIEW : LOT 000 BLOCK 007 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-I_JNDEFINED VALUATION : $ 3,000.00 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 SIGNS MUST BE REMOVED. TEAR OFF REROOF GARAGE- 14 SQUARES APPLICANT pERMIT FEE SCHEDULE 88.50 SIMMONS, BRETT STATE SURCHARGE(VALUATION) 1.50 3860 NORTH SHORE DRIVE MOUND, MN 55364- TOTAL 90.00 PAID WITH CC# 1543 OWNER SIMMONS, BRETT 3860 NORTH SHORE DRIVE MOLJND, MN 55364- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be perfomied according 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 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 perrrtit may be revoked at any[ime for due cause � � l°�7 / /� `�i a`L7 i / Applicant Permitee Signa Date Issu By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. � + City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) :, Mailing Address: Permit number: -.U�� °' ��,�,�� PO Box 66 � Crystal Bay, MN 55323-0066 Date received: 7 t a a� •�:z a, StreetAddress: Receivedby: w �',�,L 'q�'� ��' 2750 Kelley Parkway Plan review fee: 9kESHo4'� Orono, MN 55356 -- ; Total Fee: 9'�j � s 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: �' ;,�;' � � � ,'�-�.� � f .�[-��>� T. i� s_,,_�i n� Will this be a Parade of Homes, Remodelers Showcase Hom'e or�other'Display Home? ❑ Yes No `� !f yes, a special event permif is required with Police Department and City Council approval 60 days prior to the event. Shutfle bus service will be ;� required unless appficant demonstrates sufficient on-site parking is available. Non-permifted events wi!!not be allowed. ° '� CONTRACTOR/APPLICANT INFORMATION: � Name: � State License# Expiration Date: � Lead Certification Number. Expiration Date: '� (for work on homes that were constructed prior to 1978 � Phone: (office) (cell) ''� fi Mailing Address: City: ZIP: r Contact Person: Applicant is: Contractor / Homeowner �c��ie one� � Email and/or Fax: PROPERTY OWNER INFORMATION: Name: �-� �f ��✓_t�� Phone (day): � - � _ - � Address: �`��vC> /I 5(-,� ��r City:,�F-,,, o ZIP: �`�:�(v`� � Email and/or Fax �r,,�+ J J 1 , '� —�-> � �c'�er1 �tr rZ .�� '�' PROJECT INFORMATION: `� Type of Project: Any earth movement may require ';� ❑ Door(s) ❑ Remodel MCWD review 8�permits: `� ❑Water Damage Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ,K� ❑ Siding ❑ Restoration Deephaven, MN 55391 ❑ Other: (specify) Phone: 952-471-0590 � �Re-roof ❑ Fire Damage Fax: 952-471-0682 3 www.minnehahacreek.orq � P <� � 3 Overall Project Description: ��-( j�,,,,,,�T�� r.�f4 ;.. �F, _;,� ;.,�J � Estimated Construction Valuation o ro�ect(excluding la�t�d) $�Z� � � � =� :� 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; • 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 '� re uired b law. If ou refuse to su I the information, the a fication ma not be issued. � � Applicant's Signature: S� � c��V �— Date: �� -/� � � Last Updated: 03-01-2011 �a � C��/ DATE TIME J CITY OF ORONO CALLED IN INSPECTION OTIC��"'-f SCHEDULED �� PERMIT NO. COMPLETED ADDRESS 3 $66 /�(• �Si(o re Q�- w OWNER TELEPHONE NO. CONTRACTOR �'rG� '.�iwNOKc i DESCRIPTION R�- r�� - � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Z ❑ INSULATION ❑ TREE REMOVAL ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ pRp(`,,RESS � �E�N�- 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. �OLLOW-UP ? ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL � 01MNERICONTRAC'TOR TO MEEf Y�pU:_YES�NO � COMMENTS: � � d�r ^ r1_a �is��/ �s�ts�ecL`.a� r�9rt est�� j O � , _ � y1D �e�,�- a��' i�b��c�ian r'eto{ � o - QW ,�[,� I_� / - �"`�ec! s��s��lc� �4�?9�� r'rt�P.S��4s� �to t 2 _ �YI.0 l�,a,�a/ 'f�i-8 �G/'M�� - �u _ � �Joc � a►�p�iS /P3�l,�z`� , - a � W� ❑VI�RKSATISFACTORY:PROCEED �qpJECT COMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY Q ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE C04/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pH0T0 TAKEN INSPECTOR WILL RETURN ❑STOP OHDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑lNSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Ca11 forthe next inspection 24 hours in advan�. (g52) 249-4600 OwnedContractor on site: Inspector: �..�.._ White CopyAnspecMPs Filo Canary CopylSite Notice