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Home My WebLink About2011-01111 - roofing CITY OF ORONO PERMIT NO.: 2011-01111 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/23/2011 952 249-4600 FAX: 952 249-4616 REPRINTED ON 9/23/2011 ADDRESS : 245 OLD CRYSTAL BAY RD N PIN : 33-118-23-31-0012 LEGAL DESC : CLAIRE ADDN : LOT 002 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 17,800.00 NOTE: VALUATION OF PERMIT:$17800.00 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 309.75 FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 8.90 1891 SANDBAR CIRCLE WACONIA,MN 55387 MISC FEE 0.00 (612)229-8619 TOTAL 318.65 Minnesota State License#:20438042 PAID WITH CC# 0978 OWNER WELLS FARGO BANK MN N A THOMAS C ALDRICH RE0043993 6TH&MARQUETTE MAC N9305 MINNEAPOLIS,MN 55479- 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 res o 'ble for assuring all required inspections are requested inc ormance ith the State Building Code.This permit may be revoked at y time for ue cause. 9 l Z /zv/ Applicant Permitee Signature Date Issue y Signature Date 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. 0/1- 11 0 O�� Crystal Box 66 stal Bay, MN 55323-0066 Date received: m Street Address: Received by: Gti2750 Kelley Parkway Plan review fee: L�kEsilo4`� 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. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: I Job Site Address: C/ i Will this be a Parade of Homes, Remodelers Showcase Home or oth r Display Hom ? ❑ YesNo If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus Ze will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: `�55 rE><76-Q ioo S State License# -7_a y gpy2 a Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: Cy j2-Z2Q(-&0(_I (office) (cell) Mailing Address: I ?�el I S8^0944- City: �,yip, ZIP: Contact Person: -Trz-&l oti Applicant is' rac or / Homeowner (circle one) Email and/or Fax: --(-ter 2. FasS -e►2.,0t L(- PROPERTY OWNER INFORMATION: Name: (oyy) 4LD6Z4e_-H Phone (day): q SZ�75_ ct 0-1 1 Address: Z c I�- ^A?M h ew V-2 /lo City: 620n/(D ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) e-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ 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 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 mor tion is to annually update our records and records of other governmental agencies required by law. If you ref4e to supply e information,the application may not be issued. Applicant's Signature: Date: Last Updated: 08-09-2011 ljlla� qbDTIME CITY OF ORONO CALLED INeL / INSPECTION NOTICE SCHEDULEDqp:7 j N-e/ � PERMIT NO. ZZ -D11 COMPL_E/TED ADDRESS ACC OWNER TELEPH E NO.&/ Ay A'/'y CONTRACTOR 5S a DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAWGRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS ti ❑ 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 ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: W a J O CC O W cc Q Z W z W cc J d WU tjj E*1ORK SATISFACTORY:PROCEED El PROJECTCOMPLETE W ❑ ORRECT WORK i£PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY OO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V 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 Owner/Contractor on site: Inspector. White Copy/Inspector's File Canary Copy/Site Notice Dpe � D� ATE TIME CITY OF ORONO CALLED IN _ 00 INSPECTION NOTICE SCHEDULED iD-3-it PERMIT NO.ael - d COMPLETED ADDRESS a�S Did G-[�S7�aF 6&y )ed �Ay OWNER --- TELEPHONE NO.&1z ZZ4 8 h CONTRACTOR4�3� DESCRIPTION W ❑ FOOTING ElPLUMBING FINAL ElEXCAWGRADING/FILLING LL Q ❑ POURED WALL El MECHANICALRI ElLAKESHORE/WETLANDS ❑ FRAMING ❑ MECHANICAL FINAL Q E:1 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 J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: w cc Q. ^ , cc O L1_ w QC Q Z LU z w EE Z) (ZI wUj ElWORK SATISFACTORY:PROCEED P�QROJECT COMPLETE LU ❑CORRECT WORK&PROCEED SS ISSUE CERTIFICATE OF OCCUPANCY C) ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. I_IPHOTOTAKEN INSPECTOR WILL RETURN IJ 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. White Copy/Inspector's File Canary Copy/Site Notice