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Home My WebLink About2013 - 00371 - roofing I - 111111111111111111111101111 111111111111111111111111111 CITY OF ORONO * 2013 - 00371 * 2750 KELLEY PARKWAY DATE ISSUED: 05/16/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 1130 WILLOW DR S PIN : 10-117-23-24-0033 LEGAL DESC : UNPLATTED 10 117 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 7,000.00 NOTE: VALUATION OF PERMIT:$7000.00 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 147.50 SMART BUILDERS STATE SURCHARGE(VALUATION) 3.50 7001 GARLAND LANE N MAPLE GROVE,MN 55311- MAIL-IN FEE 2.00 (763)639-8142 TOTAL 153.00 Minnesota State License#: BC639139 PAID WITH CC# 7038 OWNER BOWMAN, PAUL E&BARBARA D 1130 WILLOW DR S CRYSTAL BAY,MN 55323- 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 y time for due cause. 07 Applicant Permitee Signature Date I td By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. it City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structur I expansion. Only windows, doors, siding, re-roof, etc.) * �� Mailing Address: Permit number: o?p/3=p-, -37 0 PO Box 66 3 Crystal Bay, MN 55323-0066 Date received; -J_ 16, -3 A y Street Address: Received by: ___6J t 2750 Kelley Parkway Plan review fe : its tt� SRo ��,�' I Orono,MN 55356 Total Fee: / /60 Main: 952249-4600 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: 1130 �� Wll�ow 0� Job Site Address: Will this be a Parade of Who ties,Remodelers Showcase Home or other Display Home? ❑ Yes j No If yes,a special event permit is rikulraa with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless app!cant demonstrates sufficient on-site parking is available. Non permitted events wilt not be allowed. CONTRACTOR/APPLICAN INFORMATION: -- Name: 50,404,14,4,- 814nded4 **S, C. State License# BGG?' (39 Expiration Date: 3-31-1 if Lead Certification Number: I No pcilft Expiration Date: (for work on homes that ware constructed prior to 1978 Phone: (cell) 763 -63q - alga 2„ (office) Mailing Address: '700( ea.';we'd LN /Ir Cit : ,. -._ .le Gwe ZIP: 5S'S Contact Person; Vi'Cr.R $k,j xh. Applicant is: Contractor / Homeowner (circle One) Email and/or Fax: sw•0.4T'644 e.44$/4N@ 541.m.ii,co Ai 1 PROPERTY OWNER INFORMATION: Name: _t7.. 11 • OW h4c4AV Phone (day): 611— 2. 2. --6334 Address: $272. 51-o,ve QReeic OR City: C.44.01masse„,ZIP: £S I7 Email and/or Fax: PROJECT INFORMATION Overall .ro ect descri•tion: _ _ Type of Protect: Any earth movement may also require MCWD review&permits: ❑Door(s) El remodel IDFire Damage Minnehaha Creek Watershed District(MCWD) XRe-roof,asphalt ❑ 3epair ❑Storm Damage 18202 Minnetonka Blvd El Re-roof,cedar ❑Restoration ❑Water Damage Deephaven, MN 55391 Phone: 952471-0590 ❑Re-roof, other(specify) ❑siding ❑Other: (specify) Fax: 952-471-0682 ❑ IS.lindow(s) www.minnehahacreek.org Estimated Construction Vadation of Project(excluding land) $ 1,000 APPLICANT ACKNOWLEDGEMENT: + Agrees to provide all information required or requested by the Building Department; ▪ Certifies that the informatiofl 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( 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 sum the inf rmati,;,.p:• application may not be issued. Applicant's Signature: ��>, Date: 5-/S-/3 Owner's Signature: . _ Date; Last Updated:03/06/2013 44 v �7 ATE TIME CITY OF ORONO l + CALLED IN ) 3 v INSPECTION NOTICESCHEDULED - � PERMIT NO.c- /3 —0037//�, CO LD ADDRESS //& aieD c-& OWNER LEP�ONE NO.1(P 3- ( 3I-(e ./5 - CONTRACTOR �u` �rS c >; DESCRIPTION /_66t4 W ❑ FOOTING 0 PLUMBING FINAI ❑ EXCAV/GRADING/FILLING 0 POURED WALL 0 MECHANICAL RI 0 LAKESHORE/WETLANDS ri) ❑ FRAMING ❑ MECHANICAL FINAL El TREE REMOVAL • 0 INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q 0 RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS 0 FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT 0 DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ 0 DEMO-FINAL 0 SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI 0 SEPTIC FINAL ❑ FOUNDATION/REMOVAL • OWNER/CONTRACTOR TO MEET YOU:_YES NO o COMMENTS: CC W Q. CC O CC O U. W CC W W C 0 LU ORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE cc W ❑ RRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY O O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ 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 advance. (952) 249-4600 Owner/Contractor on ' e: i Inspector. � �• White Copy/Inspector's File Canary Copy/Site Notice DATE TIME \/ CITY OF ORONO CALLED IN t�-S- 13 INSPECTION NOTICE / SCHEDULED 4 —//— /3 PERMIT NO.c /3� £D37CO PLETED ADDRESS /130 ) 31/ S OWNER ONE NO.73_ CONTRACTOR O DESCRIPTION LL. 0 FOOTING CIPLUMBING FINAL EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI IN LAKESHORE/WETLANDS Cl) El FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL ❑ PLUMBING RI ❑ SEPTIC FINAL 0 FOUNDATION/REMOVAL Z OWNER/CONTRACTOR TO MEET YOU:_YES_NO o COMMENTS: c Q. O Pi fQS" 1.Jf�CJ- a cC U. CC Q W CC d 14./CC LIWORK SATISFACTORY:PROCEED A'INOJECTCOMPLETE W ElCORRECT WORK&PROCEED CIISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY ✓ BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN LISTOP 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 si Inspector. White Copyllnspector's File Canary Copy/Site Notice