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Home My WebLink About2011-00792 - roofing CITY OF ORONO PERMIT NO.: 2011-00792 � 2750 KELLEY PARKWAY , ORONO,MN 55356- DATE ISsuEn: 08/04/2011 952 249-4600 FAX: 952 249-4616 ADDRESS : 577 PARK LA PIN : 06-117-23-41-0046 LEGAL DESC : MINNETONKA SUMMIT PARK : LOT 012 BLOCK 006 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 8,855.00 NOTE: ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICANT pERMIT FEE SCHEDULE 177.00 THE HOME DEPOT A.H.S. STATE SURCHARGE(VALUATION) 4.43 2690 CUMBERLAND PKWY,STE 300 TOTAL 181.43 30339- (763)542-8826 Minnesota State License#: 20268257 OWNER TEELE&AMY SULLIVAN-TEELE,BRENT 577 PARK LA LONG LAKE,MN 55356 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 dces not grant permission for additional or related work which requires separate permiu. All provisions of laws and ordinances goveming 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 aze requested in conformance with the S[ate Building Code.This permit may be revoked at any time for due cause. \iI�/L.�C'�— �i l l l l App►icant Permitee Signature Date Issued By gnature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. � - � City of Orono Building Permit Application for Internal Work (windows, doors, siding, re-roof, etc.) _ -_, Mailing Address: Permit number: �,__ j�� J�� PO Box 66 �V Crystal Bay, MN 55323-0066 Date received: � :::. a ��,�� ?, �, Street Address: Received by: � F ' `� 3� P y � 2750 Kelley Parkway Plan review fee: �l � ��; Yt��r,�' Orono, MN 55356 9kESH04/ 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 INFORMATI�7 � �Q �� / 4 I� .G Job Site Address: �' Will this be a Parade of Homes, Remodelers Showcase Home 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 is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: I J Name: THD At- Home Services, Inc. �lod� A fT � !l�7.7` State �icense# 2690 Cumberland Pkwy, Ste 300 5i' �`�S - G o V 7 Phone: cell Mailing Address: Cumberland Office Park ZIP: Contact Person: Atlanta, GA 30339-3913 lomeowner (Circle One) Email and/or Fax: Lic#20268257 Ph. 763/ 542-8826 PROPERTY OWNER FORM�TION: Name: P�i� �<l ��C Phone(day): /7 �0 • 3 3 y S�3 S l� Address: $ 77 0 �' d n Ci : a/'Ci� D ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require MCWD review&permits ❑ Door(s) ❑ Remodel ❑Water Damage Minnehaha Creek Watershed District(MCWD) 0 Window(s) [}f�2pair ❑Storm Damage 18202 Minnetonka Blvd Deephaven, MN 55391 ❑ Siding ❑ Restoration ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 �.R�Pbof ❑ Fire Damage www.minnehahacreek.orq Overall Project Description: � -P o o , ./ {�0 u 4 � �X/ S � !)!' 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 the inform tion,the a lication ma not be issued. -� 8 �a�/ 1 ApplicanYs Signature�/ Date: /` Last Updated: 05-04-2009 DATE TIME ✓i CITY OF ORONO cnLLED IN INSPECTION NOTICE SCHEDULED , PERMfT NO. 070��-d a?4.1 COMPLETED 6 ^ y�/� , ADDRESS ��7 �a�K L .�_ OWNER TELEPHONE NO. _ CONTRACTOR T�• ��'- d�l�a� �I � DESCRIPTION Iee-r�rf _ � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIWNG Q ❑ POUHED WALL ❑ MECHANICAL RI ❑ IAKESHORENVETLANDS O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNEFUFIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � �NAL ❑ SEWER HOOK-UP ❑ COMPLAINT v DEMO-SITE ❑ SEPTIC MAINT. �FOLLOW-UP i ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � a dJ� ,�P w�rt ►- //10 �iKoL /�ISBe��ie.t r'e� _QS� J o /�ari.S� �h �t� ' � I?6 �'�a� - c�f� /�ts�p�GL��o-� /'�ca�QQ 0 � Q ��c �/�n�•�¢��a.c ,p rout0erl _ � z - Wt�J�r !� air/��a.s L�..�,l�/a-{c - °� L��.�.� �i�cl�.P 3 - � ❑WORKSATISFACTORY:PROCEED �RQI�EC,'T COMPLETE W ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COMERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDEH POSTEQ.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cali for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: . inspector. �� - _ White Copyllnapector's Flle Canary CopylSke Notice