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Home My WebLink About2011-01073 - roofing * CITY OF ORONO PERMIT NO.: 2011-01073 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/19/2011 (952)249-4600 FAX: (952)249-4616 ADDRESS : 1565 ORONO OAKS DR PIN : 35-118-23-33-0008 LEGAL DESC : ORONO OAKS : LOT 012 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : 8,300.00 NOTE: VALUATION OF PERMIT:$8300.00 ROOFING PERMITS ISSUED WITH UT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST P OVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAX ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE,SIGNS MUST BE REMOVED. APPLICAN PERMIT FEE SCHEDULE 177.00 SELECT EVERGREEN CONSTRU TION STATE SURCHARGE(VALUATION) 4.15 1200 CENTERPOINT CURVE#200 TOTAL 181.15 ST PAUL,MN 55109- (651)592-4079 Minnesota State License#:20547260 II OWNER DALBEC,JOHN 1565 ORONO OAKS DR LONG LAKE,MN 55356- AGREEMENT AND SWOR$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 relatedork which requires separate permits. All provisions of laws and ordinance governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if constructio authorized is not commenced within 180 days of the date of issu ce,or if construction is suspended for a period of 180 days at any time fter work has commenced. The applicant is responsible for assuring all re ired inspections are requested in conformance with the State Buildi g Code.This permit may be -vo. • tt any t for due cause. I ' A, -- ,7/ iy / aril �_. , 91/91 )) rplicant 'ermi e Signature I Date Issue By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application ►•��, r for New Structures or Additions O�O� MailiPO Boxr66 Permit number: o?40/ -Q� Crystal Bay, MN 55323-0066 Date received: 9jl q�j Street Address: Received by: 0472750 Kelley Parkway Plan review fee: .44tr Hoe* Orono, MN 55356 Total Fee. /37, /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: i S Lo S oeolJo Qa.lk5 D(C. Will this be a Parade of Hbmes, Remodelers Showcase Home or other Display Home? ❑ Yes El No If yes,a special event permit is req fired 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: Se(ect Edpr'lreeet, CoriStchi State License# S 47' &O Expiration Date: 3 - 3\ - 1 3 Phone: £10 ( , a q-0-79 (office) Ln 5 i Za9 3130 (cell) Mailing Address: 1Zon Ceti Ce Po1)t Cu r yr zacCity: • l'.CUJ r+-,N ZIP: SS tam Contact Person: "3-4,..-vs-. t Ck.e r Applicant is: ontracto7)/ Homeowner (circle one) Email and/or Fax: _)o,So•.1fJsizler}cvcr7rceN PROPERTY OWNEcFOR ATION: Name: ol `j 1/x c Phone(day): q 403-.20 s Address: (S t„S oro/ie, e3e=k5 D2 City: ZIP: 5 S 3 SLP Email and/or Fax ARCHITECT/ENGINEER INFORMATION: Name: Phone(day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION II� 1.Type of Project 2.Proposed Use 3.Structure Type 4.Sewage Disposal& Water Supply ❑ New Construction 0 Single Family with ® Residence ❑Addition attached garage 0 Garage/Accessory Bldg. 0 Public Sewer ❑Accessory Building ® Single Family with 0 Deck ❑ Relocation r detached garage 0 Office/Commercial 0 Private Sewer I Other:(specify) V- , ❑Multiple Family/Condo ❑Warehouse ❑ Public 0 Storage ❑ Public Water *"Any earth movement may require 0 Commercial 0 Other(specify) MCWD review&permits. 0 Industrial 0 Private Well Minnehaha Creek Watershed District(MCWD) 0 Other: (specify) 18202 Minnetonka Blvd Deephaven,MN 55391 Phone: 952-471-0590 Fax: 952-471-0682 www.m i n nehah acreek.o rq Estimated Construction Valuation (excluding land) $ c?fer.8 3EtM, Last Updated: 4/26/2011 - 19- re STRUCTURE INFORMATION: 1.Structure Dimensions 1.Structure Dimensions(continued) 2.Type of Construction a. Length(ft.)= I Number of bedrooms= 0 Wood/Frame 0 Masonry b.Width(ft.)= Number of garage stalls: 0 Metal Attached= 0 Pole Bldg. Areas in square feet Detached= 0 ICF 0 On-site Prefab c. Basement= 0 Off-site Prefab d. 1st Story = 0 Other(please specify): e.2nd Story= f. %Story = g.Total Area= REQUIRED SUBMITTALS: All of the information must be submitted in order for your application to be processed: Not Enclosed Applicable ❑ 0 Permit Application ❑ 0 Proposed Building Plans ❑ 0 MN State Energy Code Calculations and Mechanical Code Requirements Form ❑ 0 Survey(meeting all requirements) ❑ 0 Stormwater Pollution Prevention Plan ❑ 0 Hardcover Calculation(s) ❑ 0 , Septic System Site Evaluation Report ❑ 0 Access Permit ❑ 0 . Wetland Buffer Improvement Plan ❑ 0 Engineered Plans for Retaining Walls 4 feet or above ❑ 0 Plan Review Fee ❑ 0 Other APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Agrees to pay the City of Orono for engineering consultant review costs in excess of$500; • 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; • Acknowledges the Escrow,Agreement is completed and signed; • Understands some or all df the information that you are asked to provide on this application is classified by State law as either private or confidential. Pri ate data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential to 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 refyse to supply the information,the application may not be issued. • Agrees that in the event that weather or other conditions prevent the completion of an as-built survey at the time the Certificate of Occupancy is requested, a temporary Certificate of Occupancy may be issued upon receipt of a $10,000 escrow to ensure completion of the as-built survey and all site improvements. l Applicant's Signature: Ill.' _ Date: ^ /9- / Last Updated: 4/26/2011 -20- 1 / 1 / /��' t&- / A� TIME CI OF ORONO CALLED IN J IN PECTIONNOTICE SCHEDULED PERMIT NO.�/I-0/D73 COMPLETED h A DRESS /SIpS D1 )'X AC S< O NERTELEPHONE NO.07--`907-177 C NTRACTOR CI L ' / / fr >; D SCRIPTION / -1aL 1 tu0 FOOTING 0 PLUMBING F Y 0 EXCAV/GRADING/FILLING cr 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORENVETLANDS y 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL Z ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 SITE INSPECTION C ❑ RADON SLAB 0 WATER HOOK-UP 0 PROGRESS • ❑ FINAL 0 SEWER HOOK-UP 0 COMPLAINT ✓ ❑ DEMO-SITE 0 SEPTIC MAINT. 0 FOLLOW-UP • DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL ✓ PLUMBING RI 0 SEPTIC FINAL 0 FOUNDATION/REMOVAL IC Z O NER/CONTRACTOR TO MEET YOU:_YES_NO c OMMENTS: cc Lu Q. cc O 5- cc cc 0 U. Lu i Q Z W Z W c Vd W WORK SATISFACTORY:PROCEED ❑PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR CI CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the neApis ion 24 hours in advance. (952) 249-4600 j Owner/Contract• - �i Inspector. yr Ar W e Copyllnspector's File Canary Copy/Site Notice �� DATE TIME ki CITY OF ORONO ( CALLED IN INSPECTION NOTIC ham]Z SCHEDULED PERMIT NO. U' O(v / -COMPLETED ADDRESS ( ' LoC7 �- cc - C (YliC& a OWNER TELEPHONE NO. i '1 U CONTRACTOR '± >: DESCRIPTION ((la I Zo& 0 FOOTING 0 PLUMBING FINAL 0 EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS y 0 FRAMING 0 MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION C 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • ❑ FINAL 0 SEWER HOOK-UP ❑ COMPLAINT 0 DEMO-SITE 0 SEPTIC MAINT. ❑ FOLLOW-UP • 0 DEMO-FINAL 0 SEPTIC INSTALL 0 HARD COVER REMOVAL 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES_NO • COMMENTS: `Q- C Ef d off- '71 1 q ' cc a P c G�✓ re-6 '' 4—G-- cc 0 W Lu z W cc Lu ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE ❑CORRECT WORK&PROCEED ❑ I UE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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. LA/`- 2s White Copy/Inspector's File Canary Copy/Site Notice