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Home My WebLink About2011-00559 - roofing CITY OF ORONO PERMIT NO.: 2011-00559 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/30/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 4545 NORTH SHORE DR PIN 07-117-23-31-0019 LEGAL DESC REST POINT PARK LAKE MTKA LOT 006 BLOCK 000 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,500.00 NOTE: TEAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 177.00 TONKA ROOFING 4573 SADDLEWOOD DR. STATE SURCHARGE(VALUATION) 4.25 MINNETONKA,MN 55345- TOTAL 181.25 (612)598-3116 PAID WITH CC# 7811 Minnesota State License#:20586668 OWNER ALBRECHT,HAROLD&CAROL 4545 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 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 separate permits. 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 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 revoke a y t" a for due cause. \ /30 At erme Signature Date is t Issued Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: � O'Qv 0 PO Box 66 Permit number: Crystal Bay, MN 55323-0066 Date received: A s, Street Address: Received by: 2750 Kelley Parkway Plan review fee* �t`9kzsaos'� 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: j /`%^►/Ir)s�� IJP Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 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/APPLICANT IN TION: Name: p ICJ 14 n State License# 20S ff6 6�k Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: jS-�- ;L3-7 3 (office) (cell) Mailing Address: it 73 wyd 0,-- City:/14 ZIP: 57�3 y Contact Person: ('-,CL, „S d Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: &�d 0 /fl b/L° Phone (day): O-� 10k Address: k S'{�" /t/o��5(- ,e Q�"� City: 0/0"i,y ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑Water Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 Re-roof El Fire Damage Fax: 952-471-0682 www.minnehahacreek.ora Overall Project Description: d f Estimated Construction Valuation of Project(excluding land) $ Y� e 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 by law. If you refus to I he information, the application may not be issued. Applicant's Signature: Date: 5 // Last Updated: 03-01-2011 'DATE/' TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED d PERMIT NO. k mss, % COM LETED T ADDRESS YS5 cSl'I�Y� JJr OWNER EL PF,fW ENO.!- -A37 3!;a5 CONTRACTOR DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREMETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL 4 ❑ 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 v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: W C j O cc O W W cc Q Z W ZC W cc O W ❑WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE re0W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY �j 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. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit . Inspector. White CopyMspector's File Canary CopylSite Notice DAT TIME CITY OF ORONO CALLED IN l INSPECTION NOTICEp SCHEDULED PERMITNO2WZ- �S/ COMPLETEDy� �^ ADDRESSJ .S OWNER TELfiPHPNE NO. 7 3n3s CONTRACTOR 3Z DESCRIPTION O� ❑ FOOTING ❑ PLUMBING FI ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS h ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: a j O Cc O W Cc Q Z W z W Cc j LU ❑WORK SATISFACTORY:PROCEED f�PROJECTCOMPLETE Cc W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. 1F White Copylinspector's File Canary Copy/Site Notice