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Home My WebLink About2013-00009 - re-roof � � CITY OF ORONO * 2 0 1 3 - 0 0 0 0 9 * 2750 KELLEY PARKWAY DATE ISSUED: OU07/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 2080 SHORELINE DR PIN : 15-117-23-21-0006 LEGAL DESC : HARTWOOD : LOT 007 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 15,800.00 NOTE: VALUATION OF PERMIT:$15800.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 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 280.25 HAYNE ROOFING INC STATE SURCHARGE(VALUATION) 7.90 12820 46TH AVE N PLYMOUTH,MN 55447- TOTAL 288.15 (763)557-1831 PAID WITH CC# 7578 Minnesota State License#: BC631639 OWNER STAHLBACH,ROBIN 2080 SHORELINE DR WAYZATA,MN 55391- 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 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 are requested in conformance with the State Building Code.This permit may be revoke y time for due cause. ' -' ..-� 1 , 7 , �3 � � 7 � 2oi3 Applicant Permitee Signature Date ss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. �>� >� ti�. _r �i��/ O� ��'C�i�Q r: k ; � � ' � � . ` Building Permit Appi�ca�ion for IV�ainter�ance / Renovatio� �� (windows, doors, siding, re-roof, etc.) MaifrngAddress: Permitnumber. p�� — �y /Ov^�.,0,�-O PO Box 66 �, � Crystal Bay, MN 55323-0066 Date received: �� ' ,�.,��,�,� � Street Address: Received by: � �'"�n � ;'�' ti 2750 Kelle Parkwa � �� o Y Y Pfan�review fee: � \L9kEs�4`� Orono, MN 55356 � Total Fee: p��f, L J� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be complefed in fuil and all required information must be submitted. � Incompfete appiications will be returned. (Please print) � GENERAL INFORMATION: � �� Job Site Address: .�C��(� `j'�{',R�� '�.�;Y Will this be a Parade of Homes, Remodefers Showcase Home or other Display Home? ❑ Yes o lf yes, a specra!event permit is required with Police Depariment and City Council approval 60 days prior to the event. Shutt/e bus service wil!be required unless applrcant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. 5$ C�lVTRACTOR/APPLI ANT INFO M TION: � Name: � � , (�,� State License # '� �9� � (�,�� Expiration Date: 3- ?� - �y � Lead Certification Number: Expiration Date: � (for work on f�omes that were constructed prior fo 1978 � Phone: , _S• -- _ l�`,3 (office) (cell) �u Maifing Address: l ��f� � City: � 1�ti� 11 ZIP: �S�/y2 �� Contact Person: �� ,,.J Appficant is: ontractor / Homeowner (Circfe One) � Cmail and/or Fax: � � �, �� --- PROPERTY OWNER INFORMATION: Name: S a-� �b e� � Phone(day): (012 _ �.,q;L - �� `j ' �. Address: �,@�,f` J 1�4 1�.'� l�� City: ZIP� Email and/or Fax '�� PROJECT INFORMATIOI�: � Type of Project: Any earth movement nzay require � `s� ❑ Door(s) ❑ Remodel MCWD review&permits: � ❑ Fire Damage Minnehaha Creek Watershed District(MCWD} � �.Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd '�. F, ❑ Re-roof, cedar ❑ Restorafion ❑Water Damage Deephaven, MN 55391 ;� ❑ Re-roof, other s eci Phone: 952-471-0590 � ( p fy) ❑ Siding ❑ Other. (specify) Fax: 952-471-0682 � ❑Window(s) www.minnehahacreek.orq � �. Overall Project Description: � � _ � Esfimated Construction Valuati�n of roject (exciuding fand) $ /,� . �l �J � � 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 applicafion being aware that upon failure to do so, the staff has no alfernative � 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 � confideniial. Private data is information which generally cannot be given to the pub(ic but can be given to the subject of the I �, data. Confidential data is information which generaliy cannot be given to either the public or the subject of tne 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 informafion,the a lication ma not be issued. ;� // ;`�4 ApplicanYs Signature: -?/`�j� � Date: � ^� ' 13 :y, Last Updated: OS-Q9-2011 ; . '.� � DATE TIME ✓ CITY OF ORONO CALLED IN /- 7-/� INSPECTION NOTICE SCHEDULED i-7—�3 //•'O� PERMIT NO.�?0/3-�=� COMPLETED ADDRESS �� - OWNER � LEPHONE N0��3-5-�7/�'.3/ CONTRACTOR /t� .�� /r1 >; DESCRIPTION �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORENVETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPIACE ❑ 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 � COMMENTS: � W a � � O a � O � W � Q ti Z W � W � � GW �K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITION WITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 Owner/Contractor on site: n Inspector. '� � � White Copyllnspector's File Canary CopylSite Notice