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Home My WebLink About2013-00983 - roofing 4 ' CITY OF ORONO * z 0 1 3 - 0 0 9 8 3 * 2750 KELLEY PARKWAY DATE ISSUED: 09/23/2013 OROI`�O, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3895 SHORELINE DR PIN : 20-117-23-22-0004 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 000 BLOCK 008 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING - UNDEFINED VALUATION : $ 2,400.00 NOTE: VALUATION OF PERMIT: $2400.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NO'I'ICE 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 88.50 WILLETTE BUILDING CO. STATE SURCHARGE(VALUATION) 1.20 6074 COUNTY RD 6 MAPLE PLAIN, MN 55359- TOTAL 89.70 (952)472-4332 Minnesota State License#: 1804 OWNER RAUSCHENDORFER,JOE& SANDY 3895 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[ime 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 revoked af !me�'oF due cause, 'C.(� - L `+ ��C� l l l l Ap licant Permitee Signature Datc Issued B ignature Date SEPARATE PERMITS REQUIRED FOR WORK OTH THAN DESCRIBED ABOV . �'KE{ � .. g:;' Y )F,�y 3 !H..�^ ,�A .'�` . .. �i . . .. , .. '�'�� ; • City of Orono � Building Permit Application for Maintenance / Replacement / Renovation � (No structural expansion. Only windows, doors, siding, re-roof, etc.) ; �'� Mailing Address: Permit number: 4 �O�O PO Box 66 � � Crystal Bay, MN 55323-0066 Date received: ,��, ��: � Street Address: Received by: � ° 6�, ` 2750 Kelley Parkway Plan review fee: � �' Orono, MN 55356 `qkFSH�� 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: , Job Site Address: � ' �:,� ��„y,-��;. � 1-�L.--� 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. �:a CONTRACTOR/APPLICANT I F RMATION: �� ., Name: ��, . �� . ��,., � State License# C�j�i � � � Expiration Date: 3 C� Lead Certification Number: � _�" v,��;; � --� e- -�; � g � 3 �� y�� Expiration Date: � ; � � �-k (for work on homes that were constructed prior to` �1978 �` Phone: (cell) � I �. �•�l� -� 7� SSG' (office) (y l.� -�l �--`� �S�-' � Mailing Address: (�� f � � City:�y1� _�e�,� ZIP: S�3,5 � �� ;b�. Contact Person: � Applicant is: Contractor / Homeowner (Circle One) � Email and/or Fax: ��,� C� � ,,� b ' PROPERTY OWNER INFORMATION: '' - '' Name: .1 ��( l�i.�c�.�-�,��- Phone (day): _�� ,- � 7l r y�� _� L� Address: � � � �-t-ti,�-t�,-�,, ,2.,� L.�_ City: �%'Z�:.�� ZIP: S �'�3�; � Email and/or Fax: � l-� �_- PROJECT INFORMATION: Overall pro�ect description: �'��-c.4'L�2 � �'L' �«:.��-'�.��-� � %� Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel MCWD review&permits: � ❑ Fire Damage � _. � Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) kr-: 18202 Minnetonka Blvd �k ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ 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) $ G�% - � 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 `-a 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 information,the a lication ma not be issued. ApplicanYs Signature: �= �� '��:-� � Date: �� .� � Owner's Signature: Date: � � ,; Last Updated: 03/06/2013 . � � DATE �� TIME v CITY OF ORONO cA�� INSPECTION 'OTICE SCHEDULED i 3 PERMIT N —�9�3 PLETED _ ADDRESS OWNER P ONE NO. �`5 — CONTRACTOR � �: DESCRIPTION /`�� ❑ FOOTING ❑ PLUMBING FI A ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICALRI ❑ 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 ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W � � � O >. � O � W � Q � Z w � W � � d W �'DGORKSATISFACTORY:PROCEED Ci PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION RE�UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnedContractor on site: � Inspector. ` •'�-'� �7 �� S White Copyllnspector's File Canary CopylSite Notice