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Home My WebLink About2016-00606 - roofing � CITY OF ORONO * 2 0 1 6 - 0 0 6 0 6 * � 2750 KELLEY PARKWAY DATE ISSUED: OS/3U2016 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 115 SMITH AVE PIN : 02-117-23-21-0016 LEGAL DESC : ORONO ORCHARDS : LOT 063 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 PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECT[ON 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 154.85 STATE SURCHARGE(VALUATION) 3.50 THE WHISKER GROUP INC. TOTAL 158.35 14420 WOODRUFF CIR Payment(s) MINNETONKA,MN 55391- CHECK 4816 158.35 (612)961-1732 Minnesota State License#: BUIL-BC493574 OWNER MILLER,THOMAS 115 SMITH AVE 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 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 after work has commenced. The applicant is responsible for assuring a required inspections are requested in confo nce wit the State uilding Code.This permit may be � ` revoked at any ti for ue apse. A � ! � � ' V �� /� l`' �l- /k� �L%'�- � E`�.�-(5 � � /'�I i /1� Applicant Permitee Signature Date Issued By Signature Date City of Orono Bu�lding Permit Application for Maintenance / Replacement / Remodel — Residential ONLY � (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) Mailing Address: Permit number: �� POBox66 �C� �� '�� Crystal Bay, MN 55323-0066 Date received: H �I I I�' � a StreetAddress: Received by: t .'� y�, G� 2750 Kelley Parkway Plan review fee: .-" t,yK�SHo��, 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 al� required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: �/5^ Cj M L i`F� G^ , � G� �� 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. Shutt/e bus service will be required unless applicant demonstrates sufficient on-site parking is availab/e. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: � S l,!� � C� �C , � e. State License# < �;� Expiration Date: �- ��. ,�a Lead Certification Number: �� - �O �n y' �Q � Expiration Date: ,�, -�j (for work on homes that were constructed prior to 1978 '� - ��/;�� Phone: (cell) p/� _� �Z�, /� j� (office) (�� (�-� �i/ '/ 73,1 Mailing Address: � ;�, � �,�r,fi�U ' ' ' ��i�.-- c�ty: �/�.T��,� ZIP: ,��'3 I Contact Person: j�-�v� � � c N,Jt~ Applicant is: on rac� / Homeowner (Circle One) Email and/or Fax: 5�,� ��1�: �� G /ti'ti�I.i c_ . ( �'�� PROPERTY OWNER INFORMATION: Name: , � � l((1� Phone (day): � /,� ,d Address: l l� `.�,i� �trl� f��/F• �U City: �>!1 C �(!J ZIP: �'S.� y I Email and/or Fax: -�� G r�� S r /1,��l 1�,11 Z�(tL; �- ��'1� PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: '�Re-roof,as halt Minnehaha Creek Watershed District(MCWD) p ❑ Repair ❑ Storm Damage 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.ora Estimated Construction Valuation of Project(excluding land) $ � . � 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 ually u ate our records and records of other governmental agencies required by law. If ou refuse to su I the info ion, e lic ion ma not be issued. ApplicanYs Signature: f/ .. Date: �� d'��- / Owner's Signature� Date: S �/'� "��` Last Updated:January 2016 �"� V� �� '" DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTI`CE ,� SCHEDULED ' � � PERMIT NO.D�iC�'!/->-��C'�COMPLETED L"' � ADDRESS �� , ��E� �- OWNER TELEPHONE NO. �l-� `��/'�7�'� CONTRACTOR � j'I,��t%��/ C /�--� �� DESCRIPTION __ �� ty ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ 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 ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP 41 ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL Z J ❑ DEMO-SITE ❑rSfiPTIC INSTALL 2 OWNERfCONTiiACTOR TO MEET YOU�YES_NO y COMMENTS: � � W a 2 J O �. � O � W � Q � 2 � W � � � . d W� WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE RRECT WORK b PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY ❑CO RECT WORK,CAII FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR �! ,� ❑INSPECTION REQUIRED.CALL TO ARflANGE ACCESS. U Call for the next inspection 2a hours' advance. (g5 49-4600 Owner/Contractor on site: Inspector: White Copyflnspector's File Canary CopylSite N ice ` � / ��I�✓�� ATE / TI CITY OF ORONO CALLED IN - � I(O INSPECTION IC /]�j�SCHEDULED � — PERMIT NO. vV OMPLETED ADDRESS / �5 -f/1 Ls!/v� OWNER TEJ.��HONE NO�';—��/��73y CONTRACTOR � � DESCRIPTION i��-�'�'(� W ❑ FOOTING ❑ DEMO-FINAL ❑ EPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING v3 ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_1� «� COMMENTS: ff�t s a- -�` sPe'EtcLi� ��•-��Q � � � � J�L dl'ou,�t�erL-�i3r [Ge �- LJ��er � o ,��a� ��Qsr/Q►�.�rt e.r� — � �►G l/CrL�'��G_��a�._ t7✓ev! • �2 � '� �' x- 0 W � Q 2 �'K �$vn,a�G� W � 4� �` . j .�/Nt+L 7 �/l4�ZD � ❑WORK SATISFACTORY:PROCEED �qAdECT COMPLETE W ❑CORRECT W'ORK 3 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑(�RRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOMERING PERMANENT O C:ORRECT UNSAFE CONDITION WITHIN HOURS. ❑pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CAIL INSPECTOR �CITATtON ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Catl ror the next inspection 24 hours in advance. (952) 249-4600 OMrnerlContractor site• Inspector: / +�^' White CopyAnspectw's File Cenary CopylSlte Notice