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Home My WebLink About2016-01531 - roofing t . .i CITY OF ORONO * 2 0 1 6 - 0 1 5 3 1 * 2750 KELLEY PARKWAY DATE ISSUED: 12/13/2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2730 RAINEY RD PIN : 04-117-23-43-0015 LEGAI.DESC : TREES TO BE : LOT 002 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-CEDAR ACTIV[TY : O/S BUILDING-LINDEF[NED VALUATION : $ 25,000.00 NOTE: VALUATION OF PERMIT:$25,000.00 ROOFING PERMITS[SSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF P[CTURES 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 433.67 STATE SURCHARGE(VALUATION) 12.50 KUHL'S CONTRACTING TOTAL 446.17 1515 S STH STREET Payment(s) HOPKINS, MN 55343- CHECK 9089 446.17 (952)935-9469 Minnesota State License#: BUIL-BC195769 OWNER H[LLEGASS, JAMES 2730 RAINEY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMEIYT 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. AII 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 ca e. 2 �� l�, il� i�.� pplicant P itee ature Date ssued Signature Date � . � City of Orono Building Permit Application for Maintenance/Replacement/Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) Mailing Address: ��A,� Permit number: �V PO Box 66 � Crystal Bay, MN 55323-0066 Date received: � � Street Address: Received by: tiFt �C� 2750 Kelley Parkway Plan review fee: ��'fsH�� ' 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: —7 ` Job Site Address: � / �� ,p,�'�,N� �� o�,c� , LJ„4yZ e4�} Will this be a Parade of Homes, Remodelers Showcase Home other Display Home? ❑Yes � No lf 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: �U�\�S �or`�►'��tv�� {—�lvL State License# '��cls '7�R� Expiration Date: �� '] Lead Certification Number: Expiration Date: (for wo�k on homes that were constructed prior to 1978 Phone: (cell) (� �2_ 2(c.�_Z�3c..� (office) q sa-�3s-9��5 Mailing Address: �� 5� .4- So,,�1,.� City: ��,g ZIP: S- � Contact Person: ��,k„� Applicant is: o trac r / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: 1�:<<n 1�-�11�v`tiz� Phone (day): Address: �3� �,�-sw�� (Z.a„�,� City: (�..),4yZ,�� ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: �� K�-�� Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd �Re-roof, cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding ❑Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 0-�D • 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 required by law. If ou refuse to su I the informatio ,the a lication ma not be issued. ApplicanYs Signature: Date: � Z�� 3/� � Owner's Signature: Date: Last Updated:January 2016 . �-.`� �� a-�✓ � , � a � D E TIME CITY OF ORONO CALLED IN I Z'�� INSPECTION TICE SCHEDULED � �-- « PERMIT NO. —DI S� PLETED � ADDRESS � � �-- OWNER ELEP ONE N . ' CONTRACTOR '' DESCRIPTION ____C� 6U�� G� � ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLIN(i O ❑ FOUNDATION WATERPROOF ❑ PLUMBINCa FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT � ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 O'WNEAICONTRACTOR TO MEET Y�OU:_YE$_NO � COMMENTS: c � � a � � �v � � ° o �-- � - 0 W � Q � � W � j � ^f�VORKSATISFACTORY:PROCEED ❑PROJECT COMPLETE W ��❑OORRECT WORK a PROCEED ❑ISSUE CERTIFICATE OF OCCUPJ►NCY � ❑CURRECT NfORK��R REINSPECTION TEMPORARY V BEFORECa1/ERINO PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pF{pT0 TAKEN INSPECTOR WILL RETURN O STOP ORDER POSTED.CALL INSPECTOR �GTATION ISSUED ❑INSPECTION REWIRED.CALL TO ARRANGE ACCESS. Csll for the next inspectfon 24 hours in advance. (g52 j 249-4600 OwnerlContractor on site: Inspector: �� Yyhite CopYllnap�cto�'s FIN Gnary CopylSM�Notiee /� V •.�� / DA TIME CIT�OF ORONO LLED IN IN8PECTION NC�TI�rE ,�� SCHEDULED f � PERMR NO. �� COMPLET � ADDRE..SS d OMINER ELEPH NE � � � �-�� CONTRACTOR , � DESCRIPTION �y ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL 2 ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION � ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPUIINT r �INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP i�Q AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL r ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 dMNO11CODfTRACT011 TO MEET YOU:_YEf_NO �i COMMEN� � rf�k✓� 6 � ►G�� c.J��✓ j fi� D �9i�? — OO � �_ / . � �� VC�ilZT/ r�.�/f6/v ✓///�O v!� — W aC Q ikJ�rK r��,,ol�-� �-.- cti-.Oi�/� d� � �R � j �j.u�'�� 4q,L�— - � ❑WORK SATISFACTORY:PROCEED �,IECT COMPLEfE V�� ❑CORqECT VMORK 3 PROCEED ❑ISSUE CERTIFlCATE OF OCCUR4NCY 0 ❑CORRECT W'ORK,CALL FOR REINSPE(3TION TEMPORARY V BEFORECdVERINQ PERMANENT ❑CaRRECTUNSAFE(�ONDITION WITHIN H��• ❑pHpTOTAKEN INSPECTOR WILL RETURN ❑STOP ORD�R POSTED.CALL INSPECTOR ❑pTATION ISSUED ❑INSPECTIpN REQUIRED.CALL TO ARF#ANGE ACCESS. caa ror n�e next inspeadon 2a noura�n ach►ance- (952) 249-4600 ownerlContractor on sne: I Whit�CaVylM�C1o�'S FlN C�n�ry Copy1SIN NoNee