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Home My WebLink About2011-00333 - roofing CITY OF ORONO PERMIT NO.: 2011-00333 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 05/12/2011 (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1150 OLD CRYSTAL BAY RD S PIN : 09-117-23-13-0004 LEGAL DESC : REG.LAND SURVEY NO. 1467 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 34,700.00 NOTE: TEAR OFF REROOF-CEDAR SHAKES APPLICANT PERMIT FEE SCHEDULE 520.50 MICHAEL HAYES HOMES,INC. STATE SURCHARGE(VALUATION) 17.35 2421 LORIEN ST TOTAL 537.85 HOPKINS,MN 55305- (952)975-9394 PAID WITH CC# 2668 Minnesota State License#:2163 OWNER BERGER,LARRY& SANDRA 1150 OLD CRYSTAL BAY RD S WAYZATA,MN 55391- 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 fo . e cause. (ti C)1/1/CCI-It. 5/ / 1/ Applicant Permitee Sig . ur- Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. A City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �Q/I 35. (3,� Cr Box 66 �! ‘C.-‘) � Crystal Bay, MN 55323-0066 Date' received: �j�� 2, "'-, Received b va „,z, ; Street Address: Y l'. .r ; ''' G~ 2750 Kelley Parkway Plan review fee: ty �' 4� Orono, MN 55356 Ess Total Fee: -5 3 7, 5).3 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: //.S0 /i C'•-c-fjto I 'x I/ Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes LfNo 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: !)'/(L///2c / /,6y0----L /(J— .s State License# `-V/G 3 Expiration Date: 3 . / 3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: i S2. 97)-_`-i3c�l (office) (cell) Mailing Address: .:22 y 2 L--� is- City: Vt,„i,,,J,A,),& ZIP: -s S 3 0.),-- Contact Person: Applicant is: Contractor / Homeowner (circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: z.._. //-7, +--S.o,,,s4 Phone (day): Address. // <-, v( ' 0, .!`� J')) ""'7 City: U,2c.,,,,,o ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require ElDoor(s) ❑ Remodel ElWater Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) ❑ Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ElSiding LiRestoration ❑ Other: (specify) Deephaven, MN 55391 Re roof Phone: 952-471-0590 ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ / 7" 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 I 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: --_ Date: _ --z.� SV/ -// Last Updated: 03-01-2011 ^,DV CITY OF ORONOU CALLED IN k..( TIME INSPECTION NOTI E SCHEDULED 2 4 PERMIT NO.0&8/ 91/.3.7.3 COMPLETED ADDRESS /4527 O`er" � ,a OWNER TELEPHONE NO.(/2 2 72- Z/ y'3 CONTRACTOR AbG2'€L -reC DESCRIPTION I""` Die-c Lj0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q El POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANDS (9, ❑ FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL 0 INSULATION 0 WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB 0 WATER HOOK-UP 0 PROGRESS 0 FINAL 0 SEWER HOOK-UP 0 COMPLAINT v 0 DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO (I COMMENTS: cc W O t< CCS tri a cc O O U- W CC W W ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE CC W CICORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY • ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContractot elp 't Inspector. •J White Copyllnspector's File Canary Copy/Site Notice 3 DATE TIME V CITY OF ORONO CALLED IN ' O I INSPECTION TFCE S EDULED // i/.. PERMIT NO. /( —o-3 LE ED it / u ADDRESS //(Z O- / /'tel_ a, /C S OWNER �A T?I,EP •`w'E NO. I[�/°� '"�a-/ CONTRACTO'' / i` /. ✓. 40 >. DESCRIPTION �� r I %/ Cao ,,S26did. Li CIFOOTING 111 PLUMBING FINAL / DI EXCAV/GRADING/FILLING 4. Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS " ❑ FRAMING ❑ MECHANICAL FINAL O El TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ct _ ❑ DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL v DIPLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: ccele 1\r4 w j 0 cc 0 W z Q toW Z W CC CI W 0 WORK SATISFACTORY:PROCEED 0 PROJECT COMPLETE Ct w W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY C) ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 OwnedContr r site: Inspecto w White Copy/Inspector's File Canary Copy/Site Notice DATE TIME / CITY OF ORONO CALLED IN VVV INSPECTION NcTICE /' SCHEDULED gd1 16./ PERMIT NO. ,,jDf ,// .2 CaMPLET D ADDRESS 1( L$ a') _4n-- 9 OWNER ELEPH NE NO. CONTRACTOR t 3:: DESCRIPTION 14,E / / 4.. 0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FIWNG Q ❑ POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS y 0 FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL Z 0 INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ DON SLAB ❑ WATER HOOK-UP ❑ PROGRESS FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT ✓ DEMO-SITE ❑ SEPTIC MAINT. ,FOLLOW-UP IM 0 DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNERIC•....=•in = :TO MEET YOU: YES NO oy • e MENTS: • 4W. d.•. 1,32r,14-2" _do 4;iii/ 1,ISpectia.t rearteasteZtc Ai o tc 1,40 4 4.1 CC tlQ W z W cc d 14.1 j ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ SUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED O STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours'n advance. (95 ,4 249-4600 Owner/Contractor on site: 7 Inspector. �- White Copyllnspector's File Canary Copy/Site Notice