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Home My WebLink About2011-00632 - roofing CITY OF ORONO PERMIT NO.: 2011-00632 • 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 07/12/2011 (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 435 OLD CRYSTAL BAY RD S PIN j : 04-117-23-31-0002 LEGAL DESC : AUDITOR'S SUBD.NO.230 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDEI'}1TIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 8,000.010 NOTE: ROOFING PERMITS ISSUED WITHUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROM E COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY E ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS UST BE REMOVED. 11 APPLICANT PERMIT FEE SCHEDULE 162.25 BEN JOHNSON STATE SURCHARGE(VALUATION) 4.00 17600 8TH AVE N PLYMOUTH,MN 55447- TOTAL 166.25 (612)227-7179 Minnesota State License#:20473986 OWNER HEMMEKE,MELISSA A 435 OLD CRYSTAL BAY RD S LONG LAKE,MN 55356- AGREEMENT AND SWORN ST TEMENT The work for which this permit is issued shall be p ormed according to the approved plans and specifications,applicable Ci approvals,and the State Building Code. This ,ermit is for only the wor described and does not grant permission for additional or related work ich requires separate permits. All provisions of laws and ordinances gove ing this type of work shall be compied with whether or not specified herei .This permit will expire and become null and void if construction au rized is not commenced within 180 days of the date of issuance, r if construction is suspended for a period of 180 days at any time after ork has commenced. The applicant is responsible for assuring all requiredl inspections are requested in conformance with the State Building Cade.This permit may be revoked a y time f r due cause. ,Z..k 7_ Il �.2.— / /(- x„,,,,,,_ 7 , ,2_,, I / pp icant Permitee Signature Date ssue 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: ��// . C - ��; PO Box 66 0�1 (70 0':, \\ Crystal Bay, MN 55323-0066 Date received: 7 Z�7 i:tt,-r ) Received by: \'.A ( ,4; � y,ii Street Address: r\'�,,,, 't :l ti��/ 2750 Kelley Parkway Plan review fee: l ��''4 f , // Orono, MN 55356 �ESH�/ Total Fee: //o 5j Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 77 ` i 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: y 3 j 5 c(ci (1,-,p, s to /1,4/ /1,4 /'J Will this be a Parade of Homes, Remodelers'Showase Home or other D s lay Home? ❑ Yes g 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 INFORMATION: Name: 1*5„� - 6ketJLPi`i State License# ,-i `]3c,g Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: ,/ii7Z _ P,) -, -?(?cl (office) (cell) Mailing Address: l'76,(10-k7/1/4,,e ,J City: P/ MUr14k ZIP:S-S-vii Contact Person: iW..tiie. tvt_ At /tom/ Applicant is: � to Homeowner (Circle One) Email and/or Fax: • PROPERTY OWNER INFORMATION: Name: ill”` Si/ N-eI41 iovl ic--L!-4 Phone (day): ej st,1 — -37 3 - 506, Address: 'S frt �� 4 City: .t y.3 S- 5- olrk �� l I'C^�( ,_,. ZIP: ST3i"6 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) E Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd Restoration Deephaven. MN 55391 • ❑ Siding ❑ ❑ Other: (specify) Phone: 952-471-0590 Re-roof E Fire Damage Fax: 952-471-0682 www.minnehahacreek.org Overall Project Description: p.e s,4,1.y L Estimated Construction Valuation of Pr 'ect(excluding land) $ t 6c,i 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: C' ? Date: 7-7-2-7/ Last Updated: 03-01-2011 ' 40p�� ,L-1-,5 1 o , D• E TIME \/ CITY OF ORONO CALLED IN 7 INSPECTION OTICE ' SCHEDULED / -r -i. PERMIT NO ff., MP TED ADDRESS ". ale 1 OWNER Ago E PHONE NO. //' -' ' - 7/ CONTRACTOR z I 11,b1-/4-' DESCRIPTION 144 0 FOOTING ❑ PLUMBING FINALY ❑ EXCAV/GRADING/FILLING Q 0 POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS H ❑ FRAMING 0 MECHANICAL FINAL O ❑ TREE REMOVAL • 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION ▪ 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS Z 0 FINAL 0 EWER HOOK-UP 0 COMPLAINT J 0 DEMO-SITE 0 EPTIC MAINT. 0 FOLLOW-UP 0 DEMO-FINAL 171bEPTIC INSTALL 0 HARD COVER REMOVAL J 0 PLUMBING RI 0 EPTIC FINAL 0 FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET U:_YES_NO ccl COMMENTS: it W Q. C 0 CC0 Q.C Q W Z W ! IX WWORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE W 2KWORK ORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINS ECTION TEMPORARY ✓ BEFORE CIVERING PERMANENT ❑CORRECT�INSAFECONDITION WIT IN HOURS. 0 PHOTO TAKEN INSPE OR WILL RETURN ❑STOP ORD4R POSTED.CALL INSPE OR 0 CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO A RANGE ACCESS. Call for the next ins tion 24 hours ini illeadvance. (952) 249-4600 OwnerICorVtractor on site: Inspector. P-i White Copyllnspector's Fie Canary Copy!Site Notice DATE TIME CITY OF ORONO ' CALLED IN INSPECTION • I COMPLSCHEDETED /'v E / PERMIT NO. ._ 6 / �/ _ gnqAlr: ADDRESS , ._ rte' /�� - �, OWNER T LEPHON NO. CONTRACTOR .41 , oW DESCRIPTION tu ❑ FOOTING 0 PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORENVETLANDS " ❑ FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSUL ION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION ❑ ON SLAB 0 WATER HOOK-UP ❑ PROGRESS FINAL ❑ SEWER HOOK-UP 0 COMPLAINT v 0 EMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP IQ 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v 0 PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNENCONT• M • . 0 , 3 YOU:_YES_NO ). COM, N . cc a *OLD PERMIT NO FINAL INSPECTION REQUESTED cc0 ccO f W c Q . W Z W • c W ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE rC 0 CORRECT WORK&PROCEED 1 ❑I UE CERTIFICATE OF OCCUPANCY IQ O ❑CORRECT WORK,CALL FOR BEINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. 0 PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED 0 STOP ORDER POSTED.CALL II SPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. 11 Call for the next inspection 24 hours in advance. ('5 9-4600 Owner/Contractor on site: • Inspector. /��1 White Copy!Inspectpr's File Canary Copy/Site Notice