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Home My WebLink About2015-01196 - roofing y CITY OF ORONO * 2 0 1 5 - 0 1 1 9 6 2750 KELLEY PARKWAY DATE ISSUED: 09/17/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS 2420 WATERTOWN RD PIN 33-118-23-44-0029 LEGAL DESC DANIELS LONG LAKE HEIGHTS LOT 000 BLOCK 003 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING-ASPHALT ACTIVITY O/S BUILDING-UNDEFINED VALUATION $ 2,807.00 NOTE: VALUATION OF PERMIT:$2,807.00 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 92.93 GREAT RIVER REMODELING STATE SURCHARGE(VALUATION) 1.40 15703 93RD CIRCLE NE TOTAL 94.33 ELK RIVER,MN 55330- Payment(s) (763)241-9596 CREDIT CARD 6925 94.33 Minnesota State License#:BUIL-BC626941 OWNER KENWORTHY,GEORGE&TERRI 2420 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 applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be rev ed at any time for due cause. I� djzkZ;��-q-47-./S (� � c� pplicant Permitee Signature Date Issued By Signature Date i City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) �0 Mailing Address: Permit number: - PO Box 66 Crystal Bay, MN 55323-0066 Date received: – `J Street Address: Received by: A, 2750 Kelley Parkway Plan review fee: '— Orono, MN 55356 (� tqk@SHO�� _I Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: 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: L ,-�C) (�J Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑Yes ONO 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/AF-f LICANT IN RMATION• Name: e-c� h t V,�, � State License# BC • f Expiration Date: 3 /31 f.24 iq Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 // Phone: (cell) (� ( -- — 3 (office) C� c L{ — Q " �p Mailing Address: /5 7o 3 - 0fcSe_ N E City:EJ( :✓ ZIP: 51S 3 3 0 Contact Person: � Applicant is: Contractor / Homeowner (Circle One) Email and/or Fax: Co(N_ke,n ,cA C�r�(�t �•/r� e,,c� c�e ( ;) �- CK, PROPERTY OWNER INFORMATION: Name: �o�o�e.€ 7e-i se-: r-4_-�WO Phone(day): 1 — (�$"s— SS-7 Address: City:�h ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any eartovement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&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 ❑ Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) www.minnehahacreek.org Estimated Construction Valuation of Project (excluding land) $ n 7, 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 annually update our records and records of other governmental agencies required by law. If you refuse to su I he information,theapplicaynot be issued. Applicant's Signature: Date: �' J7— 1JOwner's Signature: Date: Last Updated:January 2015 CITY OF'ORONO DATE TIME CALLEDIN INSPECTION NOT �y SCHEDULED PERMIT NO. I"l COMPLETED ADDRESS OWNER TELEPHONE NO. CONTRACTOR (—� DESCRIPTION �C W ❑ FOOTING ❑ DEMO-FINAL SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ PROGRESS ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ HARD COVER REMOVAL v ❑ DEMO-SITE ❑ TIC INSTALL ❑ FOUNDATION/REMOVAL OWNERlCONTRACTOR TO MEET YOU: YES—NO COMMENTS: 10 0 I S• eof Ivy•.. L« cc � f pKly Qc Co,A,trtcf,./ � Dlud,40e G,P W cc Q _ 2 6X q� t�,�f•hce d W z W j W K SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Q BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ElSTOP ORDER POSTED.CALL INSPECTOR El 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. White Copyllnspector's File Canary Copy/Site Notice l;� t3 TE / CITY OF ORONO CALLED IN _ ? TIME INSPECTION NOTICE SCHEDULED PERMIT NO. —2-25''-// 6112,& COMPLETED 74 ADDRESS ,70 OWNER TE PHONE N x'22 330 CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING y ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ R DON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION _ ❑ RAMING ❑ MECHANICAL FINAL ❑ RATED WALLS INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT INAL ❑ WATER HOOK-UP ❑ FOLLOW-UP AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v DEMO-SITE ❑ SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO Zn COMMENTS: cc W a O O cc O W cc Q 2 W W cc j d W ❑WORK SATISFACTORY:PROCEED PROJECT COMPLETE cc [)CORRECT WORK 3 PROCEED ❑ UE CERTIFICATE OF OCCUPANCY W ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY Q BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in adva 52) 249-4600 Owner/Contractor on site: Inspector. White Copyllnspector's File Canary Copyle Notice