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Home My WebLink About2011-00396 - garage roof € � CITY OF ORONO PERMIT NO.: 2011-00396 �, , 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 05/26/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 1496 PARK DR PIN : 07-117-23-43-0013 LEGAL DESC : SAGA HILL REVISED : LOT 000 BLOCK 014 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 1,500.00 E� U ��. APPLICANT pERMIT FEE SCHEDULE 57.50 HARDIN,MR.&MRS STATE SURCHARGE(VALUATION) 0.75 1496 PARK DR TOTAL 58.25 MOLJND,MN 55364 OWNER HARDIN,MR.&MRS 1496 PARK DR MOUND,MN 55364 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 ali required inspections aze reques[ed in confo ance with the State Building Code.This permit may be revoked at ti �'or due se. / �- , d 1� / / A plic t ermitee Signa re ate Issued By S' ature te SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . City of Orono , � Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: Og,�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: ,� ��' Received b ' ,.s�4 a, Street Address: y� 1��'�n ' '�'� �� 2750 Kelley Parkway Plan review fee: t�'kESH��`'� Orono, MN 55356 — Total Fee: 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: ' / I Job Site Address: �`I��? �a�-/� 1�v��ve l�/�Uv✓�C� Will this be a Parade of Homes, Remodelers Show ase Home r other Display Home? ❑ Yes ,0 No If yes,a special event permit is required with Polrce 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 wil!not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: d WN,Qr State License# Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (office) (cell) Mailing Address: City: ZIP: Contact Person: Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: ��h �d(j� Phone (day): qS, Z. H'72 ,�� n � Address: �c.(C�� (�qr k � ri � City:�� ZIP: S�j �� 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) ❑Window(s) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Siding ❑ Restoration ❑ Other: (specify) Deephaven, MN 55391 Phone: 952-471-0590 �e-roof ❑ Fire Damage Fax: 952-471-0682 www.minnehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $�� 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 re uired b law. If ou refuse to su I infor atio the a lication ma not be issued. ApplicanYs Signature: � Date: �j��Z(� • ( ( Last Updated: 03-01-2011 T TIME ✓ CITY OF ORONO CALLED IN S� INSPECTION NOTICE SCHEDULED �J� PERMIT NO at0!/—DD��IID COMPLETED ADDRESS ��7�D t�G�� E�v OWNER ✓� �Q'�'�G'^ TELEPHONE NO. Q-Sz �7L 373/ CONTRACTOR � DESCRIPTION �� ' � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ 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 � ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � ti � Q � 2 W � W � � d W� WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE W CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CAIL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 2a hours in advance. (952) 249-4600 Owner/ConUactor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice � �� D E TIME ✓ � �� CITY OF ORONO CALLED IN � INSPECTION N TI E SCHEDULED � PERMIT NO. �� PLETED ADDRESS � OWNER TELEPHdIV�NO.�7 �1 - �� CONTR TOR � DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLIN Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ 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 _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ P I ❑ SE TI INAL ❑ FOUNDATIOWREMOVAL Q NE CTOR TO MEET YOU: YES_NO v�, COMM W G/�- a j � O � � O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ UE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION REQUIRED.CALLTOARRANGEACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-460� OwnerlContractor on s' e: Inspector. White Copyllnspector's Ffle Canary CopylSlte Notice