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Home My WebLink About2016-00219 - roofing CITY OF ORONO * z 0 i s - 0 0 z i 9 2750 KELLEY PARKWAY DATE ISSUED: 03/07/2016 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS 3340 WATERTOWN RD PIN 32-118-23-44-0004 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-UNDEFINED VALUATION : $ 1,750.00 NOTE: VALUATION OF PERMIT:$1750.00 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 70.58 STATE SURCHARGE(VALUATION) 0.88 HUBBELL,VERNE TOTAL 71.46 3340 WATERTOWN RD Payment(s) LONG LAKE,MN 55356- CHECK 22655 71.46 OWNER HUBBELL,VERNE 3340 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 revoked at any time for due cause. Applicant Permitee Signature Date Issued By 61gnature Date City of Orono Building Permit Application for Maintenance / Replacement / Remodel (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) Mailing Address: Permit number: — e�v 9 O PO Box 66 Crystal Bay, MN 55323-0066 Date received: 'J ` Street Address: Received by: y� 2750 Kelley Parkway Plan review fee: Orono, MN 55356 11kESHO�� / 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: � �U Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes NJ No ff 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: M kx- Re .n e r t^ State License# o 0 g 7 g 8 Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) 41;L _ 31,3- 59 (j ( (office) Mailing Address: 7-546 �c�rer fo may✓ i'i1� City: Lu �4 k� ZIP: S-5- 3-1-4 Contact Person: I��r, /� N 6 b e 11 Applicant is: Contractor / Homeowner (circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: Phone (day): Address: City: ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel El 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) $ ,c d 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 supply the information,the application may not be issued. Applicant's Signature: �'"� �P Date: 3 ((? Owner's Signature: y Date: Last Updated:January 2015 DATE TIME CITY OF ORIONO CALLED IN INSPECTION NOTI,EE SCHEDULED P NO, COMPLETED Zia •/w ADDRR S 3 3 S0 /&terto""t AP- OWNER I/a o Ke SAG 46h&//-TELEPHONE NO. CONTRACTOR DESCRIPTION 1y ❑FOOTING ❑ DEMO-FINAL ❑SEPTIC FINAL ❑POURED WALL ❑ PLUMBING RI ❑ EXCAVIGRADINGIFILLING C ❑FOUNDATION WATERPROOF ❑PLUMBING FINAL ❑TREE REMOVAL Z ❑RADON SLAB ❑MECHANICAL RI ❑ SITE INSPECTION ❑ FRAMING ❑MECHANICAL FINAL ❑RATED WALLS ❑INSULATION ❑WOOD BURNOWIREPLACE ❑COMPLAINT MtINAL ❑WATER HOOK-UP A9kQLOW-UP ❑AS BUILT-SURVEY ❑SEWER HOOK-UP ❑FOUNDATIOWREMOVAL v ❑DEMO-SITE ❑ SEPTIC INSTALL TOOIE6r vOIk_Y®S_NO COMMEM ("�titi"✓�s�✓ A4-lc4 Gil< far c�t G Jot Permit has expired per MN Building Code Sec. 1300.120 subp. 11 QC Expiration, no record of a Final inspection. I 12 W O WORK SATISFACTORY.PROCEED O PROJECT COMPLETE cc O ODRRECT WORK t PROCEED O ISSUE CERTIFICATE OF OCCUPANCY O O QCT WORK CALL FOR REINSPECTION TEMPORARY �+ BEFORECf7YERSNO PERMANENT O CDFWAWUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN INSPECTOR WILL RETURN O CMATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O I48Pemm REOUIRED,CALL TO ARRANGE ACCESS. CaD forVw wct Illape r"w u moors inadvanoa. (9i2) 240-4600 on d* Vfid C"pVAPWWft FI. C&wv O pvNNNola.