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Home My WebLink About2012 - 00204 - roofing CITY OF ORONO I 11l 1 11111 I 1111 111111111111111M11111 e 2750 KELLEY PARKWAY * 21 2 — 0 0 2 4 DATE ISSUED: 03/20/22 012 ORONO, MN 55356- (952) 249-4600 FAX: (952)249-4616 ADDRESS : 80 WEAR LA PIN : 04-117-23-21-0018 LEGAL DESC : ROLLING MEADOWS 4TH ADDITION : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 8,600.00 NOTE: VALUATION OF PERMIT:$8600.00 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 177.00 SHORELINE BUILDERS STATE SURCHARGE(VALUATION) 4.30 2184 SHADYWOOD RD WAYZATA,MN 55391- TOTAL 181.30 (763)506-0629 PAID WITH CC# 0705 Minnesota State License#:20630814 OWNER VIETH,PAUL&JILL 80 WEAR LA 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 a . void if construction authorized is not commenced w'o in 180•.ys of the date of issuance,or if construction is suspended fo period .f 180 days at any time after work has commenced. The applic. is resp sible for assuring all required inspections are requested /onfo , ce with the State Building Code.This permit may be revoked 'I y ti •/or due cause. 111 A _ � ,r:)-1-lI 07,,,,„,___ , � , /Appli f1 Pe ' itee 77r-- Date ,3 . .0/ � ISsli By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance / Renovation (windows, doors, siding, re-roof, etc.) Mailing Address: Permit number: 0 f s b !,, PO Box 66 0 Crystal Bay, MN 55323-0066 Date receive : 2.--- a J Street Address: Received by: LI ' 2750 Kelley Parkway Orono, MN 55356 Plan review,fiee Total'Fee: 4,87, 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: -oed� I �4S Job Site Address: Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes r 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: ,,-.04/7(6 .44f State License# ; _ Expiration Date: '—3 Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: -74' >- � so (o ic ) (cell) Mailing Address: - . ( "l - a� (/Asid�( Citi / A 0 ZIP: S�_GJ Contact Person: /40(1,.\ / Applicant is: CC_o_ntractor / Homeowner (Circle One) Email and/or Fax: __.._.......__. PROPERTY OWNER INFORMATION: A . / ) i, q/ Name: ___ (/( Phone (day): Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require CIDoor(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: : Re-roof, asphalt Minnehaha Creek Watershed District(MCWD) ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ e-roof, cedar El Restoration CI Water Damage Deephaven, MN 55391 CIRe roof, other(specify) Phone: 952-471-0590 ( p y) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 CI Window(s) www.minnehahacreek.orq Overall Project Description: t� Estimated Construction Valuation of Project (excluding land) $ gj J �:(X 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 aseither 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 kbis information is to annually update our records and records of other governmental agencies required by law. If you refusi 'to'supply the information,the application may not be issued. Applicant's Signature: 'lb: �.- -- Date: Last Updated: 08-09-2011 T' CITY OF ORONO CALLED IN 3 A/c7_,) TIME INSPECTION NOTICE 7'" SCHEDULED PERMIT NO02/7/7jC� pMPED (��J/� ADDRESS OWNER E 2E NO. CONTRACTO / / DESCRIPTION -- W 0 FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING LI POURED WALL ❑ MECHANICAL RI 0 LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL • ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS • 0 FINAL ❑ SEWER HOOK-UP 0 COMPLAINT ❑ DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP -C ❑ DEMO-FINAL ❑ SEPTIC INSTALL I=1HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU: YES_NO o COMMENTS: CC W CL. CC O CC O W W W CC iZ• EWORK SATISFACTORY:PROCEED Li PROJECT COMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY (..) BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN CISTOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on sit : Inspector. White Copy/Inspector's File Canary Copy/Site Notice DATE TIME / CITY OF ORONO CALLED IN v INSPECTION NOTICE SCHEDULED PERMIT NO. OI - ooac. COMPLETED 6- //-/t ADDRESS c a Gll.'ar 4" • OWNER TELEPHONE NO. CONTRACTOR 5Aor el Ke �I'rs DESCRIPTION R e-resoF IQ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL 0 TREE REMOVAL ❑ INSULATION ❑ WOOD BURNER/FIREPLACE 0 SITE INSPECTION Q ❑ RADON SLAB 0 WATER HOOK-UP 0 PROGRESS ,.• in-F1NAL 0 SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINTOLLOW-UP IQ 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL • 0 PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: c a [WS r — rto efi`ti/ .isrectm:c re r e&. ee•° cc CC ha ''ea/-off" �•+Ve re_co,•e:0,0Q • L CC kG vp-itec ( dor•• DrOo6 v 12 g I4)Oc oiveatis 4h0t/0/1ie opePr►o.•z /4p ❑WORK SATISFACTORY:PROCEED *P OJECTCOMPLETE CC ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY CZO ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. 5,2,-P'•••-•-' � White Copy/Inspector's File Canary CopylSite Notice