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Home My WebLink About2012-00191 - roofing CITY OF ORONO * 2 0 1 2 - 0 B 1 9 1 * 2750 KELLEY PARKWAY DATE ISSUED: 03/13/2012 � ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3560 SIXTH AVE N PIN : 29-118-23-43-0001 LEGAL DESC : UNPLATTED 29 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : M1NOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL COI�ISTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 4,500.00 NOTE: VALUATION OF PERMIT:$4,500-BEING DONE BY OWNERS ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. APPLICAI�TT PERMIT FEE SCHEDULE I 18.00 OSTV[G, WILLIAM& DONNA 3560 SIXTH AVE N STATE SURCHARGE(VALUATION) 2.25 LONG LAKE, MN 55356- TOTAL 120.25 PAID WITH CC# 5613 OWNER OSTVIG, WILL[AM & DONNA 3560 SIXTH AVE N LONG LAKE, MN 55356- AGREEMENT AIVD SWORN STATEMENT "fhe work for which this permit is issued shall be performed according to the approved plans and specitications,applicable City approvals,and the State E3uilding Code. This permit is for only the work described and does not grant permission for additional or rela[ed work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void iY construction authorized is not commenccd within 180 days of the date of issuance,or if construction is suspended for a period of I 80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are reques[ed in conformance with the State Building Code.This permit may be revoked at any time for due cause. , ,_._ f �-) _ �Ic�� , �3 �f� l� �' � -� /�1- � Applicant Permitee S gna ure Date �� '��j � � -��_ � Issued By Signature Date SEPARATE MITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. City of Orono Building Permit Application for IVlaintenance / Renovation ;� ' (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: �,�,� PO Box 66 � �. 0 Crystal Bay, MN 55323-0066 Date received: a �� 3r�� s, Street Address: Received by: '$�,� e�34" ti � �� 2750 Kelley Parkway Plan review fee: L�kESHo4� 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. (P/ease print) ;� GENERAL INFORMATION: _ -- Job Site Address: '` � �� ;� Will this be a Parade of Homes, Remodeler Showcase Home or er Display Home? ❑ Yes No ��. /f yes,a special event permit is required with Police Department and City Counci/approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficienf on-srte parking is available. Non-permitted events will not be allowed. :�� CONTRACTOR/APPUCANT INFORMATION: t;� Name: ' �„ _>� State License# Expiration Date: ;�� Lead Certification Number: Expiration Date: (for work on homes that were consfructed prior fo 1978 Phone: (office) (cell) °''� Mailing Address: City: ZIP: t� Contact Person: Applicant is: Contractor / Homeowner �Circle One) 'k Email and/or Fax: M1�., PROPERTY OWNER INFORMATION: , Name: b Ct �! �L� -�k � `�� Phone (day): _ - � Address: �1�� .�v 'i�[�( (Q City: �G ' �, ZIP: �j,3sf�, Email and/or Fax � • ��' clonn�as+v,a�hv�Frna��l .wrvi ;� PROJECT INFORMATION: �i Type of Project: Any earth movement may require ;�; ❑ Door(s) ❑ Remodel MCWD review&permits: `�� ❑ Fire Damage Minnehaha Creek Watershed District(MCWD) � �Re-roof, asphalt ❑ Repair �Storm Damage 18202 Minnetonka Blvd � ❑ Re-roof, cedar ❑ Restoration ❑Water Damage PhoneaV952-4N1 05 01 '" ❑ Re-roof, other(specify) ❑Siding ❑ Other: (specify) Fax: 952-471-0682 ` ;;:� ❑Window(s) www.minnehahacreek.orq �� Overall Project Description: (,LY �� a ' - p � Q.v�c� c2,✓�� " � � Estimated Construction Valuation of Project(excluding land) $ �dp `� ':3 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 knowfedge. The applicant recognizes that they are solely responsible for submitfing 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 re uired b law. If ou refu e to su I the information,the a lication ma not be issued. �__ s ApplicanYs Signature: �' . Date: � �� ; - °1',. Last Updated: 08-09-2011 ,,,; _ -ay � DATE TIME � ��TY OF ORONO ��LED IN ^ INSPECTION N�TICE p� SCHEDULED =�� , PERMIT NO.;�� UDI / I COMPLETED C v� ADDRESS S�� Lr9<� .S �,'�.�� _ OWNER �,�ii'/ � TELEPHONE NO. �� g�y�� CONTRACTOR � � �; DESCRIPTION � C� � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREM/ETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPT FINAL ❑ FOUNDATION/REMOVAL ��ICONTRACTOR TO MEET YOU: YES_NO � COMMENTS: � W C � � O � � O � � W � Q � Z W � W � � d 4 ��UORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE � ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERIN('i PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call for the next inspection 24 hours in advance. (J52� 249-4600 OwnerlContractor on sit : - Inspector. White Copyllnspector's File Canary CopylSite Notice �' � DATE TIME � �ITY OF ORONO CALLED IN � ' �`� INSPECTION NOTICE �y SCHEDULED `1�1�� _�� PERMIT NO. ��'(.�-f C' I"1 I COMPLETED ADDRESS � - ` � OWNER • TELEPHONE NO.��o� ��f.-�—C%7C'�� CONTRACTOR � DESCRIPTION '� <�E� I ��_� � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FIL�ING Q ❑ POURED WALL ❑ MECHANICALRI ❑ LAKESHORENVETLANDS � ❑ 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 FINA� ❑ FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES NO � COMMENTS: ��-C�'� C_`�� L'�1.�. �;�//_�>�/��/,�. W a � � O a � O � W � Q ti Z W � W � � GW ❑WORK SATISFACTORY:PROCEED �OJECT COMPLEfE � ❑ CORRECT WORK&PROCEED l� ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN INSPECTOR WlLL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �952� 249-46QQ Owner/Contractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice