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Home My WebLink About2014-01255 - roofing CITY OF ORONO * z 0 1 4 - 0 1 2 5 5 * „� 2750 KELLEY PARKWAY DATE ISSUED: 10/27/2014 � ORONO,MN 55356- 952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3515 SIXTH AVE N PIN : 29-118-23-43-0002 LEGAL DESC : UNPLATTED 29 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 7,000.00 NOTE: VALUATION OF PERMIT:$7,000.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROV[DE 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 147.50 STATE SURCHARGE(VALUATION) 3.50 MINNESOTA REMODELING SOLUTIONS TOTAL 151.00 5450 QUAM AVE#150 Payment(s) ST MICHAEL,MN 55376- CHECK 6174 151.00 Minnesota State License#: BUIL-BC521365 OWNER PETERSON,DALE&DIANE 3515 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 permit is for only the work described and does not grant permission for additional or related work which requires sepazate 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 aze requested in conformance with the State Building Code.This permit may be revoked at a r due c � / �/ / t ermi ee Signature Date Issue y Signature ate City of Orono B�Id'.;�g Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) ��A��'� Mailing Address: �� ,y PO Box 66 Permit number. (,'� � Crystal Bay, MN 55323-0066 Date received: I Street Address: Received by: ,'� YF �l 2750 Kelley Parkway Plan review fee: ��kESHo��'� Orono, MN 55356 Total Fee: Main: 952-249-4600 Fax: 952-249-4616 w•�w.ci.cronc.mi�.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: �5 � r ,��. �`� f{�t�L t�� l!YU�1 b , r�� '�� -��3�?,.� Will this be a Parade of Homes, Remodelers Showcase Home or other isplay Home? ❑ Yes � No /f yes,a special event permit is required with Po/ice Department and City Counci/approva/60 days prior to the event. Shutt/e bus service wi//be required unless applicant demonstrates su�cient on-site parking is available. Non-permitted events wil/not be allowed. CONTRACTOR/APPLICANT INFORMATION: ' Name: ,��I ; �:t�i.�;��_ !�� k�j;�i�(I.CLtrti �L�� 2� � � State License# j=��„r7 �j ��-r.� Expiration Date: �3 j� � �� Lead Certification Number. L f��j�'�" Expiration Date: .� j� 11F;�_ (for work on homes that were constructed prior to 1978 Phone: (cell) (office) 7 �� t.��-�`�� Mailing Address: �� -r��' �Li��, �� 1�,7� City:_s,j M j��,��/ ZIP: �S 3�� Contact Person: �/��u ��,�P Applicant is: `Contracto � / Homeowner (Circle One) Email and/or Fax: � �,,�, r.� C�- il')YI Y'l�t�r2'lC�, l Y��`�D Ti�:��7ta�- (�WI �-7 L��.z-`� � �c' �7 Y l-��"X-� � PROPERTY OWNER INFORMATION: Name: ��;� !� -1�'� f('_-��t.'Y7 Phone (day): Address: � I r� (��,, �,..� �l City: �i �-�j t�� ZIP: ��;�� Email and/or Fax: PROJECT INFORMATION: Overall ro'ect description: Type of Project: Any earth movement may also require ❑ Do j ❑ Remodel ❑ Fire Damage MCWD review 8 permits: Re-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_or�c Estimated Construction Valuation of Project(excluding land) $ �' �, U L! %; � ' APPLICANT ACKNOWLEDGEMENT: • Agrees to provide atl 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 th information,the a lication ma not be issued. _. � ApplicanYs Signature: ��r- = / --�- Date: ��' � %-/�� Owner's Signature: Date: Last Updated:03/06/2013 DATE TIME � CITY OF ORONO CALLED IN INSPECTION NOTICE '` SCHEDULED ��,_�� PERMIT NO.O�SI�/" a�7� COMPLETED �`�=�CS�- ADDRESS �'.S�� S�ro�G�C. �l��• rIV. OWNER TELEPHONE NO. CONTRACTOR �,� �+��.�u Sv/s?�ila..o___ � DESCRIPTION tU ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL � ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT J �FINAL ❑ WATER HOOK-UP �Q�LOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL J ❑ DEMO-SITE ❑ SEPTIC INSTALL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: � �i��.� /fo/c0,� .� .�.1� � C.e `� -�o.� o � � � .�? j /�1 b�r�<a� � a� ° - /10 f� - �-� �.s��. - Q ' /�(J .��G�4/GS � � �o � OJLfi�er �Pra�cG��e►.•� Z ��O`/rJtfl -� � OPGa� G �ii c•iC 4.1��a�s �b•r•.olaL`� W jNir►•C �.�r�wD W ❑WORK SATISFACTORY:PROCEED �O�RBQ,lECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCV W � ❑CORRECTYYORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COA/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. (g52) 249-46�� ctor on site: Inspector: �� WhiM CopyAnspector's File Canary CopylSite Notkx