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Home My WebLink About2013-01030 - roofing CITY OF ORONO * 2 0 1 3 - 0 1 0 3 P1 * l - •� 2750 KELLEY PARKWAY DATE ISSUED: 10/OU2013 � ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1330 SIXTH AVE N PIN : 26-118-23-31-0010 LEGAL DESC : UNDERHILL FARMS : LOT 004 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL COIYSTRUCTION TYPE : ROOFING-ASPHALT ACTiVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 8,000.00 NOTE: VALUATION OF PERMIT: $8000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR T�AR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SE"I'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 162.25 MIDWEST EXTERIORS PLUS STATE SURCHARGE(VALUATION) 4.00 6451 SYCAMORE CT.N. MAPLE GROVE, MN 55369- TOTAL 16625 Minnesota State License#: BC010277 OWNER BOHACH, WALLACE& SUSAN 1330 SIXTH AVE N 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 pennit is for only the work described and does not grant permission for additional or related work which requires separate permi[s. 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 aze requested in conformance with[he State Building Code.This permit may be revoke at a time for cau e. �! V �� / / li n P itee Signature Da Issued By i nature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO . ��T- � City of Orono � t �� Bu�'�d�g Permit Application for Maintenance / Replacement / Renovation �� (No structural expansion. Only windows, doors, siding, re-roof, etc.) � Mailing Address: � ��0 PO Box 66 Permit number: :� Crystal Bay, MN 55323-0066 Date received: � Received b : " Street Address: y � yF �' 2750 Kelley Parkway Plan review fee: � � �,�' Orono, MN 55356 � � � � �kEstto Total Fee: v�s 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) �53� GENERAL INFORMATION: A^ Job Site Address: 0 �\ �� I►►I� � Will this be a Parade of Homes, Remo elers Showc se Home or other Display Home? Ye N If yes, a specia/event permit is required with Police Department and City Council approval 60 days pnor to the event. Shuttle bus ervi will be � required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. � �� CONTRACTOR/APPLICANT INFORMATION: n � Name: ��(,(�,� C�Xf�YS `Y�L(.5 State License# C��a-� Expiration Date: 3_3�— (cf Lead Certification Number. �-1-�. 3p3G� .�r'_ � Expiration Date: �-/S-a0(S ' (for work on homes that were constructed prior to 1 78 � Phone: � — (�R (office) R � Mailing Address: City: ZIP: ��t Contact Person: Applicant is: Contra r / Homeowner (Circle On � °. Email and/or Fax: s ;� �� ,.°` PROPERTY OWNER INFORMATION: ; � Name: WGl I I C�G2 �fitC� 1 =' k ` � Phone(day): �1 'J�a _ g 3(�-- (o(o'�` �� !�z Address: (33c� C ad � (Sv��lowf-�.1 c�ty: �� .�i.� ziP: 5535� �: ��: Email and/or Fax: � �q k�1 � � PROJECT INFORMATION: Overall pro�ect description: �� ; �, � ;w Type of Project: Any earth movement may also require � ❑ Door(s) ❑ Remodel MCWD review&permits: �" ❑ Fire Damage '� e-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) '� 18202 Minnetonka Blvd ❑ 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) $ ��O . O O � �:� 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 an ally update our records and records of other governmental agencies required by law. If �, ou refuse to su the� formati n,t 'c io ma not be issued. Applicant's Signatur : Date: f(��' � " (3 � Owner's Signature: Date: ,�,� ��. Last Updated:03/06/2013 __� � , _ �-� S� D TIME " CITY OF ORONO �o iN ��' �,�— INSPECTION N1OTI?CE / ? /�SCHEDULED �� PERMIT NO.�CD�.7�D 10.7 V COMPLETED ADDRESS r.33D S�-�^ �Tu'C� OWNER TELEPHONE NO. ��2 7D Z �� CONTRACTOR /��u��-� �l-u� � DESCRIPTION ��" ^ �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL O MECHANICAL RI ❑ LAKESHORENVETIANDS y ❑ FRAMING � MECHANICAL FINAL Q ❑ TRF�E REMOVAL Z ❑ INSULATION � WOOD BURNER/FIREPLACE ❑ SI � INSPECTION Q ❑ RADON SIAB ❑ WATER HOOK-UP ❑ P�OGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL � ❑ PL AL ❑ FOUNDATIOWREMOVAL � OWN�ONTRACTORTOMEETYOU: Y _NO y COMMENTS: � ��'�Gv�d - L� � 0. �� J O � � ° �n.s -f-�4 �� r<� c<< o� �e- W � � � 1� i Q z �..� �'� 3� W � W � � O W� ❑WORKSATISFACTORY:PROCEED $�R O�JECTCOMPLEfE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY 0 �CORRECT WORK,CAIL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECTUNSAFECANDITIONWITHIN HOURS. p pHOTOTAKEN INSPECTOR WlLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cail for the next inspection 24 hours in advance. (952) 249-4600 OwnerlContractor on site: Inspector. � White Copylinspector's File Canary CopylSfte Notice