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Home My WebLink About2011-00516 - roofing • • " CITY OF ORONO PERMIT NO.: 2011-00516 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 06/24/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 559 PARK LA PIN : 06-117-23-41-0044 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 000 BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BU[LDING-UNDEFINED VALUATION : $ 5,000.00 NOTE: TGAR OFF REROOF APPLICANT PERMIT FEE SCHEDULE 118.00 K RANDALL&CO INC STATE SURCHARGE(VALUATION) 2.50 3801 SUNSET DRIVE SPRING PARK, MN 55384- TOTAL 120.50 (612)281-7683 Minnesota State License#: 20637998 OWNER MULVANNY,JAMES A 559 PARK LA LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work fbr 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 gran[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 afrer 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 r oked a[any[im for due cause. ^ /�I � ' / Z 1 � � (� �-- ��a �� Ap �cant Permite ignature Date Issue y Signature Date EPARATE 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: �,0,�. PO Box 66 � O ��a�� Crystal Bay, MN 55323-0066 Date received: ,� �� ;t-�;��. �, Street Address: Received by: �'�c,t ' ��Gti�' 2750 Kelley Parkway Plan review fee: �ESHO�`' Orono, MN 55356 — Total Fee: Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be compfeted in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: � � q � Job Site Address: 7 `� / �c � �oc,� � ('�i'L cit/o ,/f'�/v 5 � 3� � Will this be a Parade of Homes, Remodelers Showcase ome or other Display Home? ❑ Yes � 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 rs available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � . \�� c�� ` � c-w� (� ov�-✓1 State License# z� � 3 � :�� ' Expiration Date: '��•�� Z�� Lead Certification Number: Expiration Date: (for work on homes fhat were constructed prior to 1978 Phone: �� 2_ -Z n�_ -� � � � (office) �j 5 Z - �( 7 l - 7 � 5 �, (cell) Mailing Address: `3�U j tz�� Cit � ��,,`� ZIP: r � - y � Contact Person: �,�� Applicant is: Contractor / Homeowner �c��ie o�e� s� Email and/or Fax: q�i-�� PROPERTY OWNER INFORMATION: Name: �� ,� Phone (day): q 5 Z — �� '�_ g(o�� Address �5� \�o„��L t�.�„�,� City: �,� b�,l L� ZIP: � �j-� 5 (c, 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 f_ Deephaven, MN 55391 Siding ❑ Restoration ❑ Other. (specify) Phone: 952-471-0590 V` F, Re-roof ❑ Fire Damage Fax: 952-471-0682 = www.min nehahacreek.orq Overall Project Description: Estimated Construction Valuation of Project(excluding land) $ �jUC�O.. v c 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 give� 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 the information, the a lication ma not be issued. ApplicanYs Signature: Date: (p � Z�( ' � ( Last Updated: 03-01-2011 " " � . AT TIME " CITY OF ORONO CALLED IN � � � INSPECTION NOTICE SCHEDULED � PERMIT NO. D/ -OOJ��o COMPLETED ADDRESS OWNER TELEPHO E NO. ' �'�� CONTRACTOR � - ��'1�� N / � DESCRIPTION � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVEfLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNEfi/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 ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � W a � J O � � O � W � Q � Z W � W � � � W(JL�WORKSATISFACTORY:PROCEED ❑PROJECTCOMPLEfE W� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR 1MLL RETURN ❑STOP OFiDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALLTOARRANGE ACCESS. Ca11 for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit Inspector. White Copyllnspector's File Canary CopylSite Notice �� J�AT TIME �� CITY OF ORONO CALLED IN ��-��/7�,� INSPECTION TICE SCHEDULED 1�c,�.c� PERMIT NO. ��— ��-�� OMPLEfED ADDRESS J`�.5� Q�'-�G- ��Z�� OWNER TEL PHONE NO.��O��-7��3 CONTRACTOR >; DESCRIPTION � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS 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 ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATIOWREMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � J O � � O � W � Q � 2 W � W � � � ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ fSSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. p pHOTOTAKEN �NSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTIONREQUIRED.CAIITOARRANGEACCESS. Cail ior the next inspection 24 hours in advance. (952) 249-46�� OwnerlContractor on site: Inspectoc � .► White Copyllnspector's File Canary CopylSite Notice