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Home My WebLink About2012-00461 (roof) CITY OF ORONO * Z 0 1 2 - 0 0 4 6 1 * ' 2750 KELLEY PARKWAY DATE ISSUED: OS/29/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3760 BAYSIDE RD PIN : OS-117-23-21-0022 LEGAL DESC : VALERIUS ADDN : LOT 001 BLOCK 001 PERMIT TYPE : MINOR ALTERAT[ONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY : O/S BUILDING-LJNDEFINED VALUATION : $ 26,956.35 NOTE: VALUATION OF PERMIT: $26,956.35 KOOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR'IO 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. ONCF,WORK IS COMPLETED THE SIGNS MUST BG REMOVLll. APPLICANT pERM1T FEE SCHEDULE 434.50 ALBACHTEN ROOFING LLC STATE SURCHARGE(VALUATION) 13.48 8744 78TH STREET N W ANNANDALE, MN 55302- TOTAL 447.98 (612)237-4710 Minnesota State License#: RR638834 OWNER MURRAY, STEVE&ALYSON 3760 BAYSIDE RD P.O. BOX 9 LONG LAKE, MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approvcd 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 wi[h whether or not specified herein.This permit will expire and become null and void if construction au[horized is no[ 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. Thc applicant is responsible for assuring all required inspections are requested in conformance wi[h the State Building Code.This permit may be re o d at any t� e for du � � � / / pplicant Permitee Signature Date Issue y S� ature Da� SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOVE Cit of Orono � - Buildin Permit A lica on for M in n a��'� , g pp a te ance / Renovation (windows, doors, siding, re-roof, etc.) :—� Mailing Address: Permit number: O�v�,�.0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: <�`o `� �� Received b a ' ',r ,� Sfreef Address: y� �'� '�"� Gti 2750 Kelley Parkway Plan review fee: L9'kESH��`'� Orono, MN 55356 Total Fee: 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 INFORMATIO,[�• Job Site Address: �7��Q� �,` ��- Will this be a Parade of Homes, Remodelers howcase Home or other Display Home? ❑ Yes ❑ No If yes, a specral 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/A I� CANT I FjJRMATtO : /1 N a m e: 1 `E-� `f-;�.� �� State License# �� Expiration Date: �j - �� ``;F� Lead Certification Num er: Expiration Date: (for work on homes fhat we e constructed prior to 1978 Phone: � 2j �' �� (office) (cell) Mailing Address: � t -t-- City. � /�,�� r ZIP: �_ Contact Person: Applicant is: Contracto / Homeowner (Circle One) Email and/or Fax: � � �� ,h K �- PROPERTY OWNERJNFORMATION: ` N a m e: �L C��-r/� �'v �c�-/�1��'�,-y Phone (day): Address: �j7CD� b�a � S� � � . c�ty: j�,�a ��,..1� ziP:SS 5S� , Email and/or Fax </ r PROJECT INFORMATION: Type of Project: Any earth movement may require ❑ D or(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �-roof, as halt Minnehaha Creek Watershed District(MCWD) p ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other s ecif Phone: 952-471-0590 ( p y) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682 ' ❑Window(s) www.minnehahacreek.or4 Overall Project Description: Estimated Construction Valuation of Project (excluding land) $ (p ,S �� r � 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; i • 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 re uired b law. If ou refuse to su I the information,the a lication ma not be issued. Applicant's Signature: � �— Date: S o�� Last Updated: 08-09-2011 DATE TIME � CITY OF ORONO CALLED IN S'.�� Z- INSPECTION NOTICE ,` SCHEDULED � —� DG��'L PERMIT NO. .�o/%��UD'f�P� COMPLETED ADDRESS �J��o b f�s-o�c-c� � OWNER TE EPHONE NO. �� —��7— y7�d CONTRACTOR >': DESCRIPTION �"` �� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL O ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS �L ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � a %�d1�--�i( ,rL.�.�u��e.� ��3/ o �� / �� c.�s�C� q` �-t�� 0 � W � Q � Z W � W � j a W��.1pLRK SATISFACTORY:PROCEED [-� PROJECT COMPLETE W ❑ CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑ CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Cal1 for the next inspection 24 hours in advance. (952� 249-46�� OwnerlContractor on site: Inspector. White Copyllnspector's File Canary CopylSite Notice D � TIME v CITY OF ORONO CALLED IN � INSPECTION IC _�/�j/ SCHEDULED PERMIT NO � `�`�� COMPLETED ADDRESS � OWNER PH ENO. �� l'� CONTRACTOR C � �; DESCRIPTION � � ❑ FOOTING ❑ PLUMBIN NAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHAN CAL RI ❑ LAKESHORE/WETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL Q ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT � ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ WARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL j' � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O � � � � � � O � W � Q � Z W � W � � d W� ❑WORK SATISFACTORY:PROCEED �OJECT COMPLETE W ❑CORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WILL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECT�ON REQUIRED.CALL TO ARRANGE ACCESS. Call forthe next inspection 24 hours in advance. �952� 249-46�� Owner/Contractor on site: Inspector. � White Copyllnspector's File Canary CopylSite Notice