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Home My WebLink About2017 - 01012 - roofing I1 ! I I II II 1111111111111111111 CITY OF ORONO * 2017 - 01012 * 2750 KELLEY PARKWAY DATE ISSUED: 08/23/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 2606 WEST LAFAYETTE RD PIN : 21-117-23-21-0001 LEGAL DESC : REG.LAND SURVEY NO.0131 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 34,000.00 NOTE: VALUATION OF PERMIT:$34,000.00 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 535.28 STATE SURCHARGE(VALUATION) 17.00 R R REMODELING INC TOTAL 552.28 8609 LYNDALE AVE S Payment(s) MINNEAPOLIS,MN 55420- CHECK 4121 552.28 Minnesota State License#:BUIL-BC631301 OWNER EKHOLM,PAUL&L 2606 WEST LAFAYETTE RD EXCELSIOR,MN 55331 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 applican is resp'nsible for assuring all required inspections are requested i onfo ce with the State Building Code.This permit may be revoked at y ti r or due cause. 444,- r li 'ermttee .. ature /ate Issued Byature Date - 4, City of Orono Building Permit Application for Maintenance / Replacement / Remodel — Residential ONLY (i.e. windows, doors, siding, re-roof, etc. — NO STRUCTURAL EXPANSION) Mailing Address: Permit number: - k_101\1O PO Box 66 a�l 7—6/6/ Crystal Bay, MN 55323-0066 Date received: �' �j3 —/7 Street Address: Received by: ti4. � G� 2750 Kelley Parkway Plan review fee: �4k6SH0�� Orono, MN 55356 Total Fee: .5.6a. At 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: �, p Job Site Address: i9(906, Lae 54 j._ Cctee K J Zrc-e/Sion' >KAI 55-33/ Will this be a Parade of Homes, Remodelers Showcase Home or ether Display Home? 0 Yes ifIllo 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: (Z (2 n10 jli+ts 1) 1,6-- State License# ?�(`, \30 J Expiration Date: 3/3))zo/8 Lead Certification Number: r14 Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) /S2_ Ps(b ifi&J (office) it t( Mailing Address: b4 a:1� p/b y'LpiAaJe4✓e S City: ; ileapo/rSc ZIP:.T, Y2 a Contact Person: G,,t,f,.o y, Applicant is: ontrac o / Homeowner (Circle One) Email and/or Fax: /'-/g-pemod e l i n (, c er,c2) , Cb y,,, PROPERTY OWNER INFORMATION: Name: )6I0)m Phone(day): c/2- i S3 71- Address: 2406 uJtsf lap. 4k (44 City:£kce j5; p.- ZIP: 5-5-3:3/ Email and/or Fax: r PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) 0 Remodel 0 Fire Damage MCWD review&permits: jieRe-roof,asphalt 0 Repair 0 Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar 0 Restoration 0 Water Damage Minnetonka, MN 55345 ❑ Re-roof,other(specify) 0 Siding 0 Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 0 Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project (excluding land) $ O C--)U 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 ap•lication may not be issued. Applicant's Signature: -4. r Date: d 9 � ( g r Owner's Signature: 1"4 Date: . — Last Updated:January 2016 5.-ID DATE TIME CITY OF ORONO CALLED IN INSPECTION NOTICE SCHEDULED ///oZ01--- r:30 PERMIT NO.p.Ol7- 6101.2- OMPLETED Rd ADDRESS oq&OA in/' /a,'a Rd OWNERTELEPHONE N 2 L � -3 --Gh ` CONTRACTOR ,RKt�in(//7_5 DESCRIPTION lj l fl W ❑ FOOTING ❑ DEMO-FINAL 0 SEPTIC FINAL (1. ❑ POURED WALL 0 PLUMBING RI 0 EXCAV/GRADING/FILLING Q ❑ FOUNDATION DRAIN TILE 0 PLUMBING FINAL 0 TREE REMOVAL ❑ LATHE 0 MECHANICAL RI 0 SITE INSPECTION Q 0 FRAMING 0 MECHANICAL FINAL 0 RATED WALLS 1, ❑ INSULATION 0 WOOD BURNER/FIREPLACE 0 COMPLAINT QINAL 0 WATER HOOK-UP 0 FOLLOW-UP W 0 AS BUILT-SURVEY 0 SEWER HOOK-UP 0 FOUNDATION/REMOVAL v ❑ DEMO-SITE 0 SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: cc Lu w- 5 p-5". is v d_ k o-6 V- •f- ti'a�� CC 0 e-it 7 .ie V. 4.4W-et,. av- 6.te-- o N. Q ^ nem 1 s ti,HS 0(4. 0./X! i- s WWarms Carp 1oec z cc LU ❑WORK SATISFACTORY:PROCEED ROJECT COMPLETE W 0 CORRECT WORK&PROCEED ❑ ISS E CERTIFICATE OF OCCUPANCY CZ ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY tj BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. El PHOTO TAKEN INSPECTOR WILL RETURN O STOP 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 site: Inspector. 9 i 14.--' White Copyllnspector's File Canary Copy/Site Notice