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Home My WebLink About2012 - 01167 - roofing CITY OF ORONO 111111111111111113111111111111111111111111111 2750 KELLEY PARKWAY DATE ISSUED: 11/15/2012 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2790 WHITE OAK CIR PIN `` : 04-117-23-42-0016 LEGAL DES C` : REG.LAND SURVEY NO. 1447 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 9,800.00 NOTE: VALUATION OF PERMIT:$9,800.00 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 191.75 INCLINE EXTERIORS INC STATE SURCHARGE(VALUATION) 4.90 26175 BIRCH BLUFF RD SHOREWOOD,MN 55331 TOTAL 196.65 (612)471-9065 Minnesota State License#:20168831 OWNER DOHERTY,MR.&MRS. 2790 WHITE OAK CIR 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 goveming 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 th- tate Building Code.This permit may be revoked at any time for due ca .-. / V tlyi-Nte p? 7/(— Applicant Pe ite- Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono Building Permit Application for Maintenance I Renovation q' I 9 I (windows, doors, siding, re-roof, etc.) Mailing Address: -Permit number: // s"d PO Box 66 //0 C) Crystal Bay, MN 55323-0066 Date:recei ved:, I • % ,i'....40-41Street Address: Received by::� 2750 Kelley ParkwayPlan:review.fee: ESHo/ Orono, MN 55356 Total l=ee: 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: ` Job Site Address: Z7 3O ��` e 0044 nJae_ l)(O/IO Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ YesNo 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: \v\C [:›AukcAr State License# ( l 1(cac ! Expiration Date: Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: ci s2,- d3 7.43` tic) (office) �� (cell) Mailing Address: City: ZIP: Contact Person: Applicant is' Contracto / Homeowner (circle One) Email and/or Fax: PROPERTY OWNER INFORMATION:1� �� Name: G / Phone(day): • Address: City: ZIP: Email and/or Fax PROJECT INFORMATION: Type of Project: Any earth movement may require r(s) ❑ Remodel D Fire Damage MCWD review&permits: Minnehaha Creek Watershed District(MCWD) IIVRe-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd El Re-roof, cedar E] Restoration D Water Damage Deephaven, MN 55391 Phone: 952-471-0590 ❑ Re-roof, other(specify) D Siding 0 Other: (specify) Fax: 952-471-0682 0 Window(s) www.minnehahacreek.orq I Overall Project Description: ,O -�ock _ 04-4- re. rpdy-- Estimated Construction Valuation of Project (excluding land) $ 9 R OO 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 annuallyI .ate our records and records of other governmental agencies re.uired by law. If ou refuse to sir.•I th- information,the :•. cation may not be issued. Applicant's Signature: ,Wo r lI _ _e Date: Last Updated: 08-09-2011 PATE TIME V CITY OF ORONO CALLED IN -- INSPECTIONOT CE// SCHEDULED / —_ PERMIT NO. c�` -- li), COMPLETED D, ADDRESS 7 ../A D4 —_ OWNER ; TEL *NE NO. CONTRACTOR �� ► __ / / ' •/I DESCRIPTION / `'I ❑ FOOTING 0 PLU R ING NAL 0 EXCAV/GRADING/FILLING Q 0 POURED WALL 0 MECHANICAL RI ❑ LAKESHORE/WETLANCS Cl) 0 FRAMING 0 MECHANICAL FINAL 0 TREE REMOVAL ❑ IN ELATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION • 0 'ADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 7.4 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT • ❑ ' MO-SITE ❑ SEPTIC MAINT 0 FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL OWNER/CONT (O ' _YES NO CO, ' E S: cc *OLD PERMIT NO FINAL INSPECTION REQUESTED cc cc J . O i � cc a --W W cc d W 0 WORK SATISFACTORY:PROCEED PROJECT COMPLETE CCW 0 CORRECT WORK&PROCEED 0 I UE CERTIFICATE OF OCCUPANCY O 0 CORRECT WORK,CALL FOR REINSPECTION TEMPORARY C.1 BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑CITATION ISSUED 0 INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (9 2 249-4600 Owner/Contractor on site: A � �� Inspector: 4:- �i"/ ' White Copyllnspector's File / Canary Copy/Site Notice F" 1 DATE TIME \/ CITY OF ORONO CALLED IN 1 I/I S/1 2 INSPECTION N/TlClr_��l1_� 1�SCHEDULED I I ( i - Ira �.4^ PERMIT NO. �` COMPLETED ADDRESS c 9c While pa K aa ' OWNER TELEPHONE NO. / e - 60-2- itC' CONTRACTORv( f'Il E - DESCRIPTION 0(.7( qo 4.1 LL. ❑ FOOTING CI PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS " ❑ FRAMING 0 MECHANICAL FINAL O111 TREE REMOVAL • 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 0 FINAL 0 SEWER HOOK-UP El COMPLAINT v 0 DEMO-SITE ❑ SEPTIC MAINT. 0 FOLLOW-UP _ 0 DEMO-FINAL ❑ SEPTIC INSTALL 0 HARD COVER REMOVAL v ❑ PLUMBING RI ❑ SEPTIC FINALS J 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: cc W C cc 0 cc 0 W cc c k. W Z W k W� (ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE W ❑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 ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-4600 Owner/Contractor on site: Inspector. `''ui(' - ( j.c g White Copy/Inspector's File Canary Copy/Site Notice