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Home My WebLink About2011-00578 - roofing CITY OF ORONO PERMIT NO.: 2011-00578 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 07/05/2011 952 249-4600 FAX: 952 249-4616 ADDRESS 4105 OAK ST PIN 06-117-2341-0095 LEGAL DESC MINNETONKA SUMMIT PARK LOT 000 BLOCK 007 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 6,761.00 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. APPLICANT PERMIT FEE SCHEDULE 147.50 STIO ROOFING&CONSTRUCTION STATE SURCHARGE(VALUATION) 3.38 9100 BALTIMORE ST NE#114 BLAINE,MN 55449- TOTAL 150.88 (763)412-4290 Minnesota State License#:20626947 OWNER SUNDSTROM,N M&J W 4105 OAK ST LONG LAKE,MN 55356- 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 r yoked at any time for due cause. Applicant Permrtee Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono 04W- BuildingApplication Buildin Permit for Internal Work / (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number el-3'9 O�0 PO Box 66 Crystal Bay,MN 55323-0066 Date received: Street Address: Received by: 2750 Kelley Parkway Plan review fee: Orono,MN 56356 Total Fee: s� Main: 952-249.4600 Fax 952-2494616 www.d.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: ST Q��m�m� Job Site Address: / J Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? Yes DLNo If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event Shuttle bus m1nike w111 be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION, Name: EbliP RQQf7kA f S Me- Statel-Icense# Expiration Date: "?j - Lead Certification Number: AW- 10312-5`1 Expiration Date: - - 2,.p1tp (for walk on homes that were constructed prior to 9978 Phone: - Z" LR 0 (office) (celq Mailing Address: ST' Is City: ZIP: MAI Contact Person: Applicant Is: n rao / Homeowner tcrrai•on.t Email and/or Fax: Sgj ff �6 IN S pn.DDf7I PROPERTY OWNER INFORMATION: Name: Phone(day): Address: L-110 c, S CRY: j��Dl4 m9 ZIP: CJ Gj3 S�p Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑Doogs) ❑ Remodel ❑Water DamageI 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 ❑ Fire Damage Fax: 952-471-0682 www.minnehshocreek.oro Overall Project Description: p Estimated Construction Valuation of tioJect(excludln land) $ V7 , 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 refuse to supply the information the application may not be Issued. Applicant's Signature: .-TOW — Date: i Last Updated: 03-01-2011 Z00121 %V3 99:60 TT09/09/90 9100 Baltimore Street NE Suite #114 Blaine, MN 55449 763-4124290 FAX 763-784-1921 FAX COVER SHEET DATE: Z± TO: Mkam &a FROM: �f Y v FAX NUMBER: TOTAL#OF PAGES (INCLUDING COVER) MESSAGE OR COAMENTS: T001M XVA 9£:60 TTOZ/OZ/90 DA TIME CITY OF ORONO CALLED IN 7 INSPECTION NOTICE SCHEDULED / PERMIT NODI `0 S7�'COMPLETED ADDRESS ✓l�S l/� �/ OWNER TELEPHONE NO. CONTRACTOR D ----- DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL XCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q El TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP Q _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES NO COMMENTS: ac W Q_ � y - LL V W CC Q Z W z W Z) d W ❑WORK SATISFACTORY:PROCEED F] PROJECT COMPLETE cc W [ICORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY UO BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN CITATION ISSUED 11STOP 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 site: Inspector. White CopyllnSpector's File Canary Copy/Site Notice DATE TIME v CITY OF ORONO CALLED IN = INSPECTION NOTICESCHEDULED PERMIT Od NOzZQ0/- .S7$'COMPLETED ADDRESS I2Ze S OWNER TELEPHONE NO. 163 Y12,Z �Z9Q CONTRACTOR WiQ �a DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q El TREE REMOVAL ❑ 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 i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL OWNERICONTRACTOR TO MEET YOU:—YES—NO Zt 0 COMMENTS: L j O Cr O 2 W cc Q W W j U1 ❑WORK SATISFACTORY 'PROCEED ROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑�UE CERTIFICATE OF OCCUPANCY C ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C1 BEFORE COVERING 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 Omer/Contractor on site: Inspector. White Copylinspector's File Canary Copy/Site Notice