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Home My WebLink About2011-01027 - roofing '` • CITY OF ORONO PERMIT NO.: 2011-01027 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/08/2011 952 2494600 FAX: 952 249-4616 ADDRESS : 4745 NORTH SHORE DR PIN : 07-117-23-32-0019 LEGAL DESC : BERGQUIST&WICKLUNDS PARK : LOT 000 BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 800.00 NOTE: VALUATION OF PERMIT:$800.00 PARTIAL RE-ROOF 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. APPLICANT PERMIT FEE SCHEDULE 34.75 CRAWFORD,HERMAN STATE SURCHARGE(VALUATION) 0.40 4745 NORTH SHORE DR MOUND,MN 55364- MISC FEE 0.00 TOTAL 35.15 PAID WITH CC# 8112 OWNER CRAWFORD,HERMAN 4745 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 revoked at any time f94ue cause. p ermitee Signafawe Date IssuedBy Si ature e SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address. Permit number: O�,O �O PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: L9xH0¢F' Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: This application form must be completed in full and all required information must be submitted. GENERAL INFORMATION: Incomplete applications will be returned. (Please print) Job Site Address: j Np C, 1 I Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes MNo If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus se ice will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will 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) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNE NFORMATION: Name: e 1,01 C t�y r C CLQ C r Phone(day): jp 7-3 - �T 52 Address: 7�5 1- n . City: MCC-' v p ZIP: 5 3� MCC-' Email and/or Fax C-7 579 - _5- /G' �'c5 do PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel El Fire Damage MCWD review&permits: ,� Minnehaha Creek Watershed District(MCWD) gRe-roof,asphalt 04- epair E -8torm Damage 18202 Minnetonka Blvd -IRRe-roof,cedar -6 v,41 ❑ Restoration ❑Water Damage Deephaven, MN 55391 El Re-roof, other(specify) Phone: 952-471-0590 ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �? 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 informatio s to annually update our records and records of other governmental agencies required by law. If you refuse to supply t information, the aporLebtion may not be i sued. Applicant's Signature: Date: Last Updated: 08-09-2011 TIME CITY OF ORONO CALLED IN D�D �/ INSPECTION NOTICE SCHEDULED PERMIT NOjQ611—b /o Z 7 coMPLETED ADDRESS OWNER 1-ldr_Md 2 �EPHONE NO Eff: 40 � -SSI7 n TF CONTRACTOR DESCRIPTION +152*- QtI777 ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING 41 Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ElSEWER HOOK-UP El COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: W a 2 W cc Q W W W LU ❑WORK SATISFACTORY:PROCEED JECT COMPLETE W 11 CORRECT WORK&PROCEED ❑ISS E CERTIFICATE OF OCCUPANCY ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR 0 CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours In advance. (952) 249-4600 Owner/Contractor on site: Inspector. (A White CopyMspectoPs File Canary Copy/Site Notice CITY OF ORONO CALLED IN DATE TIME/ INSPECTION NOTIC�j SCHEDULED PERMIT NO. �� +nP;�ED _ ADDRESS -- OWNER TELEPHONE NO. CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING W ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANCS ❑ FRAMING L1 MECHANICAL FINAL [:1 TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ ON SLAB ❑ WATER HOOK-UP ❑ PROGRESS INA L ❑ SEWER HOOK-UP ❑ COMPLAINT "I ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNERICONTRACTOR TO MEET YOU:—YES_NO Zt oCUM '-: _- CC a *OLD PERMI - NO FINAL INSPECTION REQUESTED O O O +L W cc Q — 2 W W cc O - d W ❑WORK SATISFACTORY:PROCEED ROJ ECT Wcc ❑CORRECT WORK&PROCEED ❑I E CERTIFICATE OF OCCUPAl'CY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. ( 52) 249-4600 Owner/Contractor on site: Inspector White CopylInspector's File Canary Copy/Site Notice