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Home My WebLink About2013-00644 - roofing CITY OF ORONO * 2013 - 00644 * 2750 KELLEY PARKWAY DATE ISSUED: 07/12/2013 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS 2325 WATERTOWN RD PIN 03-117-23-22-0015 LEGAL DESC THE NURSERY LOT 003 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE COMMERCIAL-BUSINESS CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 3,000.00 NOTE: PARTIAL ASPHALT REROOF APPLICANT PERMIT FEE SCHEDULE 88.50 MAVERICK CONSTRUCTION STATE SURCHARGE(VALUATION) 1.50 11227 RIVER ROAD NE TOTAL 90.00 HANOVER,MN 55341 (763)498-7401 PAID WITH CC# 3227 Minnesota State License#: BC 005572 OWNER INC,KELLEY&KELLEY 2325 WATERTOWN RD 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 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 applic for assuring all required inspections are re in conf ance wit the State Building Code.This permit may be rev d at any 'ne for cause. Applicant itee S' a Date Iss e y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. A City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O1 VO Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: yF 2750 Kelley Parkway Plan review fee: t Orono, MN 55356 �kESHO Total Fee: /I2l 9� Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �U 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: 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. 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: 12;VIY /::� State License# S,S- Expiration Date: Lead Certification Number: y i 9 �' 2 Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) & j- S-)�- .9/_5' 3 (office) Mailing Address: _�2 - 6/<yoc,,e City: ` ZIP: Contact Person: C� ; �f� Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Phone (day): Address: ,5213 I-P�) City: /cYUG ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: ❑ Re-roof, asphalt ❑ Repair ❑ Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 KRe-roof, other(specify) ❑ Siding El Other: (specify) Phone: 952-471-0590 ` \ 1 Fax: 952-471-0682 r/s¢ ❑ Window(s) www.minnehahacreek.or stimated Construction Valuation of Project(excluding land) $ c ' 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 enerally cannot be given to either the public or the subject of the data. Our purpose and intended use of this informatio>3-4s to a nua update our records and records of other governmental agencies required by law. If you refuse to s rmation pIicot_be_jssued_____ Applicant's Signature: Date: _5 — '� - c:G Owner's Signature: Date: Last Updated: 03/06/2013 f DATE TIME CITY OF ORONO CALLED IN INSPECTION NOT)CE CHEDULED PERMIT NO. �7oMPLETED ( I ADDRESS Cb —T/�7�(/ `l� OWNER TEIEPH NO. CONTRACTOR a DESCRIPTION ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ElSEWER HOOK-UP El COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO COMMENTS: cc W W cc J O cc O W W cc Q 1 Z W z W CC � j GW pZAORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE Uj W ❑CORRECT WORK&PROCEED F] ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR E-1 CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. JET White Copy/Inspector's File Canary Copy/Site Notice CITY OF ORONO CALLED IN DATE TIME INSPECTION N TICE ,1 SCHEDULED PERMIT NO. yy6 T COMPLETED ADDRESS �d�� A/At_L OWNER TONE NO. CONTRACTOR DESCRIPTION Uj El FOOTING El PLUMBING FINAL El EXCAV/GRADING/FILLING q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHOREIWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSU ION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ N SLAB ❑ WATER HOOK-UP ❑ PROGRESS INAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT ❑ FOLLOW-UP Tt ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUKDATION/REMOVAL Z OWNERICONTRACTOR TO MEET YOU:_YES_NO COMMENTS: a *OLD PERMIT - NO FINAL INSPECTION REQUESTED Z) O cc O W W Cr Q 2 W W cc Lcc j O U ❑WORK SATISFACTORY:PROCEED KISRSOU JECTCOMPLETE ❑CORRECT WORK&PROCEED E CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECaVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑PHOTO TAKEN INSPECTOR WILL RETURN O CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952),;49-4600 Owner/Contractor on site: Inspector. White CopylInspector's File Canary Copy/Site Notice