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Home My WebLink About2016-01114 - roofing � '' CITY OF ORONO 2750 KELLEY PARKWAY * 2 0 1 6 - 0 1 1 1 4 * DATE ISSUED: 09/14/2016 ORONO,MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 1990 SPATES AVE pIN : 10-117-23-42-0023 LEGAL DESC : ORA PARK ON LAKE MTKA : LOT O15 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-RUBBER ACTNITY : O/S BUILDING-LTNDEFINED VALUATION : $ 2,800.00 NOTE: VALUATION OF PERMIT:$2,800.00 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 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 92.89 STATE SURCHARGE(VALUATION) 1.40 HIGHMARK EXTERIORS TOTAL 94.29 12237 NICOLLET AVE S Payment(s) BURNSVILLE,MN 55337 CREDIT CARD 1145 94.29 (952)763-7545 Minnesota State License#:cont-20635403 OWNER BLANKENSHIP,TIMOTHY 1990 SPATES 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 dces not grant permission for additional or related work which requires separate permiu. 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 180 days at any time after work has commenced. The applicac s respons le for assuring all required inspections are ��'r/ conform e with the State Building Code.This permit may be revoke at an time r due cause. <`/ �� .� � /�.�V l` / /(, Applicant Permitee Si ture Date Issued By Signature Date j - C ity of Orono B'f�ilding Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) �O ` Mailing Address: Permit number: l�c,��0 f � .l�TO PO Box 66 Crystal Bay, MN 55323-0066 Date received: � � Sfreet Address: Received by: yF �� 2750 Kelley Parkway Plan review fee: l �,L Orono, MN 55356 /� '�kEsxo4 �� v2% 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: ��j,�� S v�+ �f/��' Will this be a Parade of Homes, Remodeler Showcase Home or other Display Home? ❑Yes ,�"No If yes,a special event permit is required with Police Department and City Council approva160 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. CONTRACTOR/APPLICANT INFORMATION: Name: '� 'i • � � , icrs �-t- State License# '� 3�� Expiration Date: � 3l )� Lead Certification Number: Nr4T-lo�.�r yS'L Expiration Date: 7j�JZt� (for work on homes that were constructed prior to 1978 Phone: (cell) �pl Z-�,p�j�-j l,s„s (office) Mailing Address: tL237 ;c.�I��.'� � .Sa:t City: ��/ Ijt Z�P� �s337 Contact Person: 'pQ,�v�� T'1,1�(�(L(7 Applicant is: rac or Homeowner (CircleOne) _ Email and/or Fax: �,,,;,dr�} ��,�,;,��,al1��Qy,��,'S.c.��M PROPERTY OWNER INFORMATION: Name: �ryj /��.nk Yt S�i b Phone (day): s .�( - a1" lp Address: f�'j�'jU �ka. ;,j City:(�,Q.,�,;►t; ZIP: �,$��1� Email and/or Fax: —� PROJECT INFORMATION: Overall project description: u �' C�'f��t� �Y�ti ' � � Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review 8 permits: ❑ Re-roof,asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar ❑ Restoration ❑Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) ❑ Siding �J Other: (specify) Phone: 952-471-0590 _ ^ �� Fax: 952-471-0682 ❑Window(s) /L,�'f' www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 0-00 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 in atio is to annually update our records and records of other governmental agencies required by law. If ou refus su I ' form ion,the a 'cation ma not be issued. ApplicanYs Sig Date: �` �y!/�P Owner's Signature: Date: Last Updated:January 2016 � -� � DATE TIME CITY OF ORONO �/ CALLED IN /�i:�� INSPECTION OTICE Q��l�7 SCHEDULED ��' / / PERMIT NO. - �2c MPLETED ADDRESS � � OWNER ' TELEPH E O. �a —ll�� CONTRACTOR - , . • � DESCRIPTION � ly ❑ FOOTING ❑ DEMO-FINAL SEPTIC NAL Q ❑ POURED WALL ❑ PLUMBING RI EXCAV/GRADING/FIL ING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ I�ISULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v �FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W�❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL _ J ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO G a : ES_NO c�i� COMMENTS: - rc r�� `crQ9c — ,rNb�� H'tc.-r�hrcn.� ar� �!� sva� od/lL a �.i /G�c �F Q�. ' ►.x•C ). -�i�'!� � O � � i6 -oo a - �s.�� 4,� � — Q � � or K- 4 cors a � k O ,�� ,�✓,.<<� rticls� w � J � ❑WORK SATISFACTORY:PROCEED `�ROJECT COMPLEfE � ❑CORRECT WORK 8 PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CANERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHpTOTAKEN INSPECTOR NALL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 2a hours in advance. (952) 249-4600 OwnerlContractor on site: Inspecto �"`� White Copyllnspector's Flle C�nary CopylSit�Notke