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Home My WebLink About2016-00343 - roofing 1111111111111111111111111111111 IN 11111111 11M �► CITY OF ORONO * 2016 - 00343 * 2750 KELLEY PARKWAY DATE ISSUED: 04/06/2016 ORONO,MN 55356- 952)249-4600 FAX: (952)2494616 ADDRESS 740 WILLOW DR S PIN 03-117-23-33-0006 LEGAL DESC WEBBER HILLS LOT 011 BLOCK 001 PERMIT TYPE MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 12,000.00 NOTE: VALUATION OF PERMIT:$12,000.00 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 232.30 STATE SURCHARGE(VALUATION) 6.00 KUHL'S CONTRACTING TOTAL 238.30 1515 S 5TH STREET HOPKINS,MN 55343- Payment(s) (952)935-9469 CREDIT CARD 9727 238.30 Minnesota State License#:BUIL-BC 195769 OWNER WILKINS,THOMAS&CATHY 740 WILLOW DR S WAYZATA,MN 55391- 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 4forsAp . ant re Date Issued BySignature Date V1Ly VI VI VI IV Building Permit Application for Maintenance/ Replacement/ Remodel - Residential ONLY (i.e. windows, doors, siding, re-roof, etc. - NO STRUCTURAL EXPANSION) Mailing Address: Permit number: PO Box 66 Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: ti kESHO��G� 2750 Kelley Parkway Plan review fee: F t Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us Total Fee: 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: lN��p�.� l��.Vc Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes 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: KuW'5 GcKk`Ac�+v..g mNi L State License# I?L 11576A Expiration Date: abs? Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (,p�Z-21`"�'�-13`� (office) °lsc�' al3S.r'1�{ („o°l Mailing Address: . __ 15-A41% City: k-NuZIP: TLJ Contact Person: �(LE Applicant is: ontrac or / Homeowner (Circle One) Email and/or Fax: PROPERTY OWNER INFORMATION: Name: -("o,n, W- II�otiS Phone (day): '%?L- Address: City: Z)✓b.,/a ZIP: Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: KRe-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) $ 1 2l.o non . p° 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: Date: 7 Owner's Signature: Date: f, TE J i�^ TIME CITY OF ORONO CALLED IN i CJ INSPECTIONMOT CE�2 0 SCHEDULED PERMIT NO. CCo4�PLL ED ADDRESS 7� L& G��lj__r_7W,7 OWNER E NO. �� CONTRACTOR DESCRIPTION W ❑ FOOTING ❑ DE -FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING O ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS ❑ I ULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP Q AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL v [I DEMO-SITE El SEPTIC INSTALL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO vdi COMMENTS: cc W a O O O W Q 12 2 W Z cc J d W ❑WORK SATISFACTORY:PROCEED XRJECTCOMPLETE ❑CORRECT WORK&PROCEED E CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY U BEFORE COWERING 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. 49-4600 OwnedContractor on site: Inspector. white CopyAnspector's File Canary Copy/Site Notice