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Home My WebLink About2012-00350 - roofing �_ CITY OF ORONO * 2 0 1 2 - 0 0 3 5 0 * f 2750 KELLEY PARKWAY DATE ISSUED: OS/02/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 75 STUBBS BAY RD N PIN : 32-118-23-34-0014 LEGAL DESC : UNPLATTED 32 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING -ASPHALT ACTIVITY : O/S BUILDING-ITNDEFINED VALUAT[ON : $ 18,902.00 NOTE: VALUATION OF PERMIT:$18,902.00 ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECT[ONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF P[CTURES 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 324.50 GATES GENERAL CONTRACTORS STATE SURCHARGE(VALUATION) 9.45 3500 VICKSBURG LANE N PLYMOUTH, MN 55447- TOTAL 333.95 Minnesota State License#: 6793 PAID W[TH CC# 7533 OWNER MALBY, DONALD&BRUCE 75 STUBBS BAY RD N MAPLE PLA[N, MN 55359- 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 l80 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested i onformance with the State Building Code.This permit may be revoked at n time for due cause. �j�� ./7�-- `S / � / /� ��. '-yV'Ll.C�� '�c_. App can e 'tee Signature Date � � �� Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. , -. ; . , �_ . .. � ,: ., : ,�;: _ ; ; _ : � � �; City of Orono � � r�,' � `' Building Permit Application for Maintenance / Renovation � i �� "�� (windows, doors, siding, re-roof, etc.) � � Mailing Address: � � ' ��,L,0 PO Box 66 Permit number: � �v: �, / Crystal Bay, MN 55323-0066 Date received: � " I(� �s �\� � �°' ';a 4 ��;:; �, Street Address: Received by: � �� '� =''� ti 2750 Kelle Parkwa � �'� , �, o- Y Y Plan review fee: , � � �L��Ho�� Orono, MN 55356 �� s� 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 appfications will be returned. lease prinf) � � GENERAL INFORMATION: _. � J �U /�v �� , �� O f�� , S �5�� Job Site Address: ` �J � i # ` Will this be a Parade of Homes, Remodelers Showcase Home or other Dis la Home? �, p y ❑ Yes �'No � If yes, a specia!event permit is required with Polrce Department and City Counci(approval 60 days prior to the event. Shuttle bus service will be ' required un/ess applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. :,; ��: � , CONTRACTOR/APPLICANT INFORMATION: ' �Y: Name: �� s %v��r% �'.e-T-�i��C�o rs �h c . � E� State License# G��; Expiration Date: �v/� � Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 � t,; Phone: ,�G��- �:S"� - o o�3 (office) ��Z-�Z�S--7�/� (cell) � � � Mailing Address: �'Q� ,C� �.j Gy � �,�� r�,t City:�l� ZIP: sS�/�-J � �� Contact Person: (�;s �,,,�� Applicant is: �� on rac / Homeowner �c��ie One) � .�_� �� =�;<: Email and/or Fax: �,s ��L�Jg p�y,P�,�(.��a� �„� 7G -�!%�77�' � � PROPERTY OWNER INF RMATION: � Name: �i�a �� /�w��,,/ � Phone(day): �� - f/� - /D • � Address: �� `;�6�J �� City: p�U-�-� ZIP: �T.�s� � �� Email and/or Fax � :, PROJECT INFORMATION: � Type of Project: Any earth movement may require � MCWD review& ermits: ❑ D r(s) ❑ Remodel ❑ Fir .Damage p � Minnehaha Creek Watershed District(MCWD) �e-roof, asphalt ❑ Re air � Storm Damage 18202 Minnetonka Blvd � ❑ Re-roof, cedar Restoration ❑Water Damage Deephaven, MN 55391 � �*- ❑ Re-roof, other s eci Phone: 952-471-0590 � ( p fy) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 � �k�' ❑ Window(s) www.minnehahacreek.orq j ?; � � Overall Project Description: � -� r�, � ly P M f;< Estimated Construction Valuation of Project(excluding land) $ � �0 Z ,�� 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; � e; • 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 ' formation is to annually update our records and records of other governmental agencies re uired b law. If ou refuse to s I t information,the a lication ma not be issued. � � �,-- 5---� �� ,-' `` Applicant's Signature: Date: � Last Updated: 08-09-2011 s� , a . ,r � �,�-� �� I y r�-�� DATE TIME � � �iTY OF ORONO CALLED IN ��_ � INSPECTION NOTICE SCHEDULED `�7� :�3� )a �T IY �l�'� PERMIT NO.��•��CC^�3�C% COMPLETED ADDRESS �� Lt �')��S �t3-U � IV OWNER TELEPHONE NO. ��'� -'��C ' �� c(� CONTRACTOR ��]CL �C'� �-��p�%1.., C OY�f7"C�'-�-. �: DESCRIPTION ��-V� P%'C`'[— � � ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � ❑ 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 v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:�YES_NO � COMMENTS: � W a � J O �. � O � W � Q � 2 W � W � j d W��4fQRK SATISFACTORY:PROCEED f� PROJECT COMPLETE W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Call forthe next inspection 24 hours in advance. �95Z) Z49-4600 OwnerlContractor on site: Inspector. (. �i � � White Copyllnspector's File Canary CopylSite Notice